DR. JAMES ROBERT WHARTON (MD) – Dermatology Physician, NPI 1386619203
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
166 DERMATOLOGY in KY
Provider Addresses for DR. JAMES ROBERT WHARTON (MD)
13802 Lake Point Cir Ste 102
Louisville, KY 402234219
Phone: (502) 245-4450
Fax: (502) 245-4462
Type: Location
2300 Hurstbourne Village Dr Ste 900
Louisville, KY 402991851
Phone: (502) 245-4450
Fax: (502) 245-4462
Type: Location
Lake Point Circle, Louisville, Jefferson County, Kentucky, 40245, United States
LOUISVILLE, KY 402234219
Phone: (502) 245-4450
Fax: (502) 245-4462
Type: Mailing
2195 HARRODSBURG RD STE 2
LEXINGTON, KY 405043516
Phone: (859) 323-3376
Fax: (859) 323-0350
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 443 Open Payments records for all available years, with a total value of $282,001.
Total Amount is formed as General ($282,001) + Research ($0) + Ownership ($0) = $282,001.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($99,671).
Total Amount
$282,001
General + Research + Ownership
Payments
443
Total payment records
General Amount
$282,001
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $99,671 |
| Sun Pharmaceutical Industries Inc. | $97,502 |
| Amgen Inc. | $72,228 |
| Incyte Corporation | $9,354 |
| ABBVIE INC. | $773 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070808000113 | I | Dermatology | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3245 | Injection, tildrakizumab, 1 mg | 4,701 | 21 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,812 | 312 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 818 | 489 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 583 | 480 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 521 | 396 | $0 |
Insurance plans in this area (ZIP 40223)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KY | |
| A N E S T H E S I O L O G Y | FL | |
| Pediatric Medicine | KY | |
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Critical Care (Intensivists), Pulmonary Disease | KY | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Internal Medicine | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| Pediatric Medicine, Internal Medicine | KY |
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