James H Shoptaw Jr, MD - Medicare Thoracic Surgery in Hazard, KY

James H Shoptaw Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Hazard, Kentucky. He went to Medical College Of Georgia School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Sgmc Physician Network Inc and his current practice location is 243 Roy Campbell Dr, Suite A, Hazard, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 439-0447.

James H Shoptaw Jr is licensed to practice in Kentucky (license number 37469) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710951942.

Contact Information

James H Shoptaw Jr, MD
243 Roy Campbell Dr, Suite A,
Hazard, KY 41701
(606) 439-0447
(606) 436-0408

Map and Direction




Physician's Profile

Full NameJames H Shoptaw Jr
GenderMale
SpecialityThoracic Surgery
Experience35 Years
Location243 Roy Campbell Dr, Hazard, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James H Shoptaw Jr attended and graduated from Medical College Of Georgia School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1710951942
  • Provider Enumeration Date: 02/15/2006
  • Last Update Date: 08/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3678543089
  • Enrollment ID: I20170822002228

Medical Identifiers

Medical identifiers for James H Shoptaw Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710951942NPI-NPPES
61-1427889OtherKYTRICARE
61-1427889OtherKYCHA
61-1427889OtherKYUHC
C91818OtherKYCUMBERLAND HEALTHCARE INC
61-1427889OtherKYBLUEGRASS FAMILY HEALTH
000000377924OtherKYANTHEM PROVIDER #
50005330OtherKYPASSPORT HEALTH PLAN
64054315MedicaidKY
P00276210OtherKYRRMCR
030670000OtherKYBLACK LUNG
61-1427889OtherKYHUMANA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 033699 (Georgia)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 37469 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Georgia Medical CenterValdosta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sgmc Physician Network Inc4082036843106

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James H Shoptaw Jr allows following entities to bill medicare on his behalf.
Entity NameMppg Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033131172
PECOS PAC ID: 7012829351
Enrollment ID: O20040223000338
Entity NameHospital Authority Of Valdosta And Lowndes County Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033160791
PECOS PAC ID: 1355334509
Enrollment ID: O20040405001313
Entity NameSgmc Physician Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417597170
PECOS PAC ID: 4082036843
Enrollment ID: O20201015000629

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James H Shoptaw Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James H Shoptaw Jr, MD
4731 Waters Ave,
Savannah, GA 31404-6220

Ph: (606) 439-0447
James H Shoptaw Jr, MD
243 Roy Campbell Dr, Suite A,
Hazard, KY 41701

Ph: (606) 439-0447

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Hazard, KY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.