James Derek Sword, DO
Family Medicine Physician · Pikeville, KY
James Derek Sword, DO is a family medicine physician with a practice address in Pikeville, Kentucky, and NPI 1356751929, issued on May 5, 2014. Check the license (Kentucky 04006, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- James Derek Sword
- Credential
- DO
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 04006 KY
Self-reported in NPPES; status is on the state search - Practice location
- 911 Bypass Road, Pikeville, KY 41501
- Phone
- (606) 218-3985
- Enumerated
- May 5, 2014
- Record last updated
- Sep 23, 2025
- Fax
- (606) 218-4620
- Medicare enrollment
- Enrolled (PECOS I20160811002810); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 1,968 in Kentucky → Look up another NPI →
Also registered at 911 Bypass Road
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- William Leighton, D.O.Anesthesiology Physician1497962385
- Michael Scroggins, CRNACertified Registered Nurse Anesthetist1295837573
Verify James Derek Sword in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 04006Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average family medicine physician in 2024
332 Medicare Part D claims for 197 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims.
Most prescribed
- Prednisone51 claims
- Cefdinir24 claims
- Baclofen23 claims
- Ondansetron Odt23 claims
- Sulfamethoxazole-Trimethoprim17 claims
- Ketorolac Tromethamine16 claims
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 practice group's MIPS final score for 2023 (Medicare payment program): 80.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 3 group practices
- Georgetown Urgent Care PLLCGeorgetown, KY
- Lexington Urgent Care PLLCLexington, KY
- Man O War Urgent Care LLCLexington, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James Derek Sword among 1,968 family medicine physician records in Kentucky
James Derek Sword, DO is one of 1,968 family medicine 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 2014, is newer than 73% of them.
- NPI issued2014 · 73% of these records are older, 25% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2014 · median 2006 among the 1,277 with a school on file
- Record last updated2025 · 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 207Q00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
46 family medicine physician records list a practice address in Pikeville
They are 46 of the 1,007 NPPES records with a practice address in Pikeville, and 1,968 family medicine physician records in Kentucky.
All 1,968 in Kentucky → Every provider in Pikeville → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Raymond Bishop, MDPikeville, KY 415011609865591
- John Fleming, DOPikeville, KY 415011093744807
- Suzanne Ford, DOPikeville, KY 415011023066032
- Laura Griffin, D.O.Pikeville, KY 415011326002676
- James Hager, D.O.Pikeville, KY 415011386617322
- Samuel King, M. D.Pikeville, KY 415011174550867
- Michael Murphy, DOPikeville, KY 415011063410629
- Jeffery Potter, DOPikeville, KY 415011851313266
Common questions
What is James Derek Sword, DO's NPI number?
James Derek Sword, DO's National Provider Identifier (NPI) is 1356751929, issued on May 5, 2014. An NPI identifies a provider in billing; it is not a license.
Where is James Derek Sword, DO located?
The NPPES record lists a practice address at 911 Bypass Road, Pikeville, KY, 41501. Phone: (606) 218-3985. Providers update this record themselves, so call before visiting.
How can I verify James Derek Sword, DO's license?
NPPES lists Kentucky license number 04006, 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 Derek Sword, DO prescribe under Medicare Part D?
In 2024, James Derek Sword, DO had 332 Medicare Part D claims for 197 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is James Derek Sword, DO's MIPS final score?
The 2023 MIPS final score is 80.9 of 100, reported for the practice group. 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.