James Derek Sword, DO - Medicare Emergency Medicine in Pikeville, KY

James Derek Sword, DO is a medicare enrolled "Emergency Medicine" physician in Pikeville, Kentucky. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Clark Emergency Physicians, New Lexington Clinic, Psc and his current practice location is 911 Bypass Road, Pikeville Medical Center Residency Program, Pikeville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 218-3985.

James Derek Sword is licensed to practice in Kentucky (license number 04006) 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 1356751929.

Contact Information

James Derek Sword, DO
911 Bypass Road, Pikeville Medical Center Residency Program,
Pikeville, KY 41501
(606) 218-3985
(606) 218-4620

Map and Direction




Physician's Profile

Full NameJames Derek Sword
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location911 Bypass Road, Pikeville, 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 Derek Sword graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1356751929
  • Provider Enumeration Date: 05/05/2014
  • Last Update Date: 02/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517251689
  • Enrollment ID: I20160811002810

Medical Identifiers

Medical identifiers for James Derek Sword such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356751929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 04006 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph HospitalLexington, KYHospital
Saint Joseph BereaBerea, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clark Emergency Physicians296177026817
New Lexington Clinic, Psc3476457532307

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 Derek Sword allows following entities to bill medicare on his behalf.
Entity NameNew Lexington Clinic Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803681
PECOS PAC ID: 3476457532
Enrollment ID: O20031121000103
Entity NameSouthern Medical Partners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538109962
PECOS PAC ID: 8123923679
Enrollment ID: O20031206000036
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameHyden Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497036776
PECOS PAC ID: 6103099163
Enrollment ID: O20111108000187
Entity NameClark Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346781499
PECOS PAC ID: 2961770268
Enrollment ID: O20170609000089
Entity NameBeaver Creek Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689165904
PECOS PAC ID: 6406102797
Enrollment ID: O20180628001337

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 Derek Sword 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 Derek Sword, DO
911 Bypass Road, Pikeville Medical Center Residency Program,
Pikeville, KY 41501

Ph: (606) 218-3985
James Derek Sword, DO
911 Bypass Road, Pikeville Medical Center Residency Program,
Pikeville, KY 41501

Ph: (606) 218-3985

Reviews and Comments


Emergency Medicine Doctors in Pikeville, KY

John M Fleming, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501
Phone: 606-430-3500    Fax: 606-437-0595
William B Webb, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501
Phone: 606-430-3500    Fax: 606-437-0595
Ashley Parsell,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 810 Hambley Blvd, Pikeville, KY 41501
Phone: 606-218-5354    
Elizabeth Dupre,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501
Phone: 606-218-3500    Fax: 606-437-0595
Michael Christian Whittier, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501
Phone: 606-430-3500    Fax: 606-437-0595
Christopher Cody Reynolds, D.O
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501
Phone: 606-430-3500    Fax: 606-437-0595

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.