James Thomas Bilbo, MD
Orthopaedic Surgery Physician · Highland Heights, KY
James Thomas Bilbo, MD is an orthopaedic surgery physician with a practice address in Highland Heights, Kentucky, and NPI 1841295656, issued on Jun 17, 2005. Check the license (Kentucky 24525, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- James Thomas Bilbo
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 24525 KY
Self-reported in NPPES; status is on the state search - Practice location
- 2626 Alexandria Pike Ste 100, Highland Heights, KY 41076
- Phone
- (859) 301-2663
- Enumerated
- Jun 17, 2005
- Record last updated
- Jul 8, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (859) 817-7848
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 364 in Kentucky → Look up another NPI →
Also registered at 2626 Alexandria Pike Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michael Bennett, PAPhysician Assistant1083085948
- Suzanne Dorma, PTPhysical Therapist1336210046
- Marissa Frommeyer Jennings, PTPhysical Therapist1528835113
- Nicholas Gates, MDOrthopaedic Surgery Physician1164424313
- Forest Heis, MDOrthopaedic Surgery Physician1073518874
- Zachary Holtkamp, DPTPhysical Therapist1871063628
Verify James Thomas Bilbo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 24525Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
14 Medicare Part D claims, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 90.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
James Thomas Bilbo among 364 orthopaedic surgery physician records in Kentucky
James Thomas Bilbo, MD is one of 364 orthopaedic surgery physician records with a practice address in Kentucky. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 78% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileNo · 72% of these records are
- Record last updated2021 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 orthopaedic surgery physician records list a practice address in Highland Heights
They are 4 of the 137 NPPES records with a practice address in Highland Heights, and 364 orthopaedic surgery physician records in Kentucky.
All 364 in Kentucky → Every provider in Highland Heights → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Nicholas Gates, MDHighland Heights, KY 410761164424313
- Forest Heis, MDHighland Heights, KY 410761073518874
- Ayesha Yahya, DOHighland Heights, KY 410761780035923
- Robert PettitFort Thomas, KY 410751881074706
- Maria Rodenberg, M.D.Fort Thomas, KY 410751013401645
- John Schuler, M.D.Fort Thomas, KY 410751629469408
- Charlotte Harris, M.D.Maysville, KY 410561164409017
- Cody Lane, DOMaysville, KY 410561770080533
Common questions
What is James Thomas Bilbo, MD's NPI number?
James Thomas Bilbo, MD's National Provider Identifier (NPI) is 1841295656, issued on Jun 17, 2005. An NPI identifies a provider in billing; it is not a license.
Where is James Thomas Bilbo, MD located?
The NPPES record lists a practice address at 2626 Alexandria Pike Ste 100, Highland Heights, KY, 41076. Phone: (859) 301-2663. Providers update this record themselves, so call before visiting.
How can I verify James Thomas Bilbo, MD's license?
NPPES lists Kentucky license number 24525, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James Thomas Bilbo, MD prescribe under Medicare Part D?
In 2024, James Thomas Bilbo, MD had 14 Medicare Part D claims; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is James Thomas Bilbo, MD's MIPS final score?
The 2023 MIPS final score is 90.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.