Provider profile

James WhartonMD

Dermatology

3 locationsNPI 1386619203
2195 Harrodsburg Rd Ste 2, Lexington, KY 40504859-323-3376

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Medicare Advantage plans for Fayette and Jefferson counties, KY.

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 45 plans so far

Some of UnitedHealthcare, Aetna Medicare, Anthem Blue Cross and Blue Shield, Wellcare, Devoted, Humana, Passport Advantage and Essence Healthcare's 2027 plans in Fayette and Jefferson counties, KY haven't been checked yet.

The 68 Medicare Advantage plans we show for Fayette and Jefferson counties, KY in 2027

  • 45 list James
  • 16 not listed
  • 7 not checked yet

UnitedHealthcare

13 plans list James.

13plans
  • AARP Medicare Advantage from UHC KY-1 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-099-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-127-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx KY-MA01 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH8768-020-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx KY-MA2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage4 starsH5253-235-000Medicare.gov
    $0a month

Aetna Medicare

7 plans list James.

7plans
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-488-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0628-008-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-156-000Medicare.gov
    $0a month
  • Aetna Medicare Value Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-490-000Medicare.gov
    $9.50a month

2 more Aetna Medicare plans haven't been checked yet.

Anthem Blue Cross and Blue Shield

7 plans list James; not listed on 1 other plan.

7plans
  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH9525-013-003Medicare.gov
    $0a month
  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3 starsH4909-023-000Medicare.gov
    $0a month
  • Anthem Medicare Advantage 2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH9525-021-003Medicare.gov
    $33a month
  • Anthem Medicare Advantage (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH4036-036-000Medicare.gov
    $41a month

2 more Anthem Blue Cross and Blue Shield plans haven't been checked yet.

Wellcare

7 plans list James.

7plans
  • Wellcare Giveback (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH9730-007-000Medicare.gov
    $0a month
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH9730-009-000Medicare.gov
    $0a month
  • Wellcare Simple Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH3975-001-000Medicare.gov
    $0a month
  • Wellcare Dual Access (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH9730-003-000Medicare.gov
    $0a month

Devoted

6 plans list James.

6plans
  • DEVOTED CHOICE 001 KY (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 161 Lexington Green Cir Ste 100, Lexington, KY, 40503
    • 15410 Beckley Crossing Dr, Louisville, KY, 40245

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5718-001-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK 002 KY (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 161 Lexington Green Cir Ste 100, Lexington, KY, 40503
    • 15410 Beckley Crossing Dr, Louisville, KY, 40245

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5718-002-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK EXTRAS 011 KY (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 161 Lexington Green Cir Ste 100, Lexington, KY, 40503
    • 15410 Beckley Crossing Dr, Louisville, KY, 40245

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5718-011-000Medicare.gov
    $0a month
  • DEVOTED C-SNP CHOICE ENHANCED 006 KY (PPO C-SNP)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 15410 Beckley Crossing Dr, Louisville, KY, 40245
    • 161 Lexington Green Cir Ste 100, Lexington, KY, 40503

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with certain chronic conditionsDrug coverage4 starsH5718-006-000Medicare.gov
    $0a month

Humana

4 plans list James; not listed on 13 other plans.

4plans
  • Humana Gold Plus H5619-188 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 13802 Lake Point Cir, Ste 102, Louisville, KY, 40223
    • 13802 Lake Point Cir, Ste 102, Louisville, KY, 40223
    • 2300 Hurstbourne Village Dr, Louisville, KY, 40299

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH5619-188-001Medicare.gov
    $0a month
  • Humana Dual QMB Only (HMO D-SNP)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 13802 Lake Point Cir, Ste 102, Louisville, KY, 40223
    • 13802 Lake Point Cir, Ste 102, Louisville, KY, 40223
    • 2300 Hurstbourne Village Dr, Louisville, KY, 40299

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH5619-190-000Medicare.gov
    $0a month
  • Humana Dual Select H5619-075 (HMO D-SNP)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 13802 Lake Point Cir, Ste 102, Louisville, KY, 40223
    • 13802 Lake Point Cir, Ste 102, Louisville, KY, 40223
    • 2300 Hurstbourne Village Dr, Louisville, KY, 40299

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH5619-075-000Medicare.gov
    $0a month
  • Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 13802 Lake Point Cir, Ste 102, Louisville, KY, 40223
    • 13802 Lake Point Cir, Ste 102, Louisville, KY, 40223
    • 2300 Hurstbourne Village Dr, Louisville, KY, 40299

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH5619-163-000Medicare.gov
    $0a month

2 more Humana plans haven't been checked yet.

Passport Advantage

1 plan lists James.

1plan
  • Passport Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2195 Harrodsburg Rd, Ste 2, Lexington, KY, 40504

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH1799-003-002Medicare.gov
    $17a month

1 more Passport Advantage plan hasn't been checked yet.

Essence Healthcare

Not listed on its 2 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether James takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

3 practice locations

2195 Harrodsburg Rd Ste 2
Lexington, KY 40504

NPI Registry

13802 Lake Point Cir Ste 102
Louisville, KY 40223

NPI Registry

2300 Hurstbourne Village Dr Ste 900
Louisville, KY 40299

NPI Registry
NPI issued
2006
Registry record updated
Oct 28, 2025

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list James Wharton?

In Fayette and Jefferson counties, KY, 45 Medicare Advantage plans for 2027 list James in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage from UHC KY-1 (HMO-POS), AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS) and AARP Medicare Advantage Patriot No Rx KY-MA01 (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does James Wharton practice?

3 locations, including 2195 Harrodsburg Rd Ste 2, Lexington, KY. All of them are listed on this page.

How do I confirm James is in my plan's network?

Call the member services number on your plan card and give them the NPI 1386619203, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm James's networks with the carrier and help you compare plans that include them.

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Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Fayette and Jefferson counties, KY. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2025-10-28). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by James Wharton or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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