# James Robert Wharton, MD

Source: https://ourhealthnetwork.com/doctor/james-wharton-md-1386619203
NPI: 1386619203
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

James Robert Wharton, MD is a dermatology based in Lexington, KY practicing at Kentucky Medical Services Foundation, Inc with NPI 1386619203.

## Profile

- Primary specialty: Dermatology
- Credential: MD
- Gender: Male
- Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
- Graduation year: 1994
- NPI: 1386619203 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1386619203))

## Practice and contact

- Practice name: Kentucky Medical Services Foundation, Inc
- Address: 2195 Harrodsburg Rd, Lexington, KY, 405043504
- Phone: (859) 257-1000
- Group practice size: 988 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 94.17/100
- Quality category score: 88.33/100
- Improvement Activities score: 40.00/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (8 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 12 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 12 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 5 plans
- [Molina Healthcare](https://ourhealthnetwork.com/insurance/molina-healthcare) — 3 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 3 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 2 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers James Robert Wharton, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1386619203).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 192 disclosed payments from medical industry sources totaling approximately $119,243.

Largest disclosed payer: SUN PHARMACEUTICAL INDUSTRIES INC. ($99,671 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Dermatology doctors in LEXINGTON, KY](https://ourhealthnetwork.com/dermatology/ky/lexington)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1386619203)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)