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Dr. James Stanley Gwinn Jr. Md image

Dr. James Stanley Gwinn Jr. Md

2601 Kentucky Ave Suite 301
Paducah KY 42003
270 753-3113
Medical School: University Of Louisville School Of Medicine - 1974
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: Yes
License #: 19484
NPI: 1588693840
Taxonomy Codes:
207RI0011X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. James Stanley Gwinn is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:93458 Description:L hrt artery/ventricle angio Average Price:$2,668.95 Average Price Allowed
By Medicare:
$241.40
HCPCS Code:92980 Description:Insert intracoronary stent Average Price:$2,500.00 Average Price Allowed
By Medicare:
$767.05
HCPCS Code:78452 Description:Ht muscle image spect mult Average Price:$1,876.50 Average Price Allowed
By Medicare:
$382.49
HCPCS Code:92982 Description:Coronary artery dilation Average Price:$2,000.00 Average Price Allowed
By Medicare:
$566.62
HCPCS Code:93459 Description:L hrt art/grft angio Average Price:$1,551.49 Average Price Allowed
By Medicare:
$267.45
HCPCS Code:33208 Description:Insrt heart pm atrial & vent Average Price:$1,730.00 Average Price Allowed
By Medicare:
$484.30
HCPCS Code:93306 Description:Tte w/doppler complete Average Price:$1,389.63 Average Price Allowed
By Medicare:
$188.34
HCPCS Code:93306 Description:Tte w/doppler complete Average Price:$1,146.56 Average Price Allowed
By Medicare:
$61.79
HCPCS Code:78452 Description:Ht muscle image spect mult Average Price:$1,054.59 Average Price Allowed
By Medicare:
$73.62
HCPCS Code:36252 Description:Ins cath ren art 1st bilat Average Price:$943.64 Average Price Allowed
By Medicare:
$330.19
HCPCS Code:93351 Description:Stress tte complete Average Price:$657.00 Average Price Allowed
By Medicare:
$82.21
HCPCS Code:93350 Description:Stress tte only Average Price:$582.36 Average Price Allowed
By Medicare:
$69.65
HCPCS Code:93015 Description:Cardiovascular stress test Average Price:$580.00 Average Price Allowed
By Medicare:
$80.25
HCPCS Code:92960 Description:Cardioversion electric ext Average Price:$512.52 Average Price Allowed
By Medicare:
$115.40
HCPCS Code:93880 Description:Extracranial study Average Price:$525.00 Average Price Allowed
By Medicare:
$160.75
HCPCS Code:A9500 Description:Tc99m sestamibi Average Price:$475.00 Average Price Allowed
By Medicare:
$120.83
HCPCS Code:93567 Description:Inject suprvlv aortography Average Price:$370.25 Average Price Allowed
By Medicare:
$45.74
HCPCS Code:93325 Description:Doppler color flow add-on Average Price:$325.00 Average Price Allowed
By Medicare:
$3.53
HCPCS Code:93308 Description:Tte f-up or lmtd Average Price:$238.56 Average Price Allowed
By Medicare:
$24.82
HCPCS Code:93016 Description:Cardiovascular stress test Average Price:$215.00 Average Price Allowed
By Medicare:
$21.21
HCPCS Code:Q9957 Description:Inj perflutren lip micros,ml Average Price:$240.00 Average Price Allowed
By Medicare:
$60.15
HCPCS Code:93018 Description:Cardiovascular stress test Average Price:$175.00 Average Price Allowed
By Medicare:
$14.32
HCPCS Code:93018 Description:Cardiovascular stress test Average Price:$175.00 Average Price Allowed
By Medicare:
$14.32
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$308.06 Average Price Allowed
By Medicare:
$149.67
HCPCS Code:J2785 Description:Regadenoson injection Average Price:$203.00 Average Price Allowed
By Medicare:
$52.70
HCPCS Code:93017 Description:Cardiovascular stress test Average Price:$190.00 Average Price Allowed
By Medicare:
$44.73
HCPCS Code:99215 Description:Office/outpatient visit est Average Price:$261.55 Average Price Allowed
By Medicare:
$130.55
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$209.17 Average Price Allowed
By Medicare:
$96.90
HCPCS Code:99223 Description:Initial hospital care Average Price:$285.00 Average Price Allowed
By Medicare:
$185.95
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$193.59 Average Price Allowed
By Medicare:
$97.28
HCPCS Code:99238 Description:Hospital discharge day Average Price:$155.28 Average Price Allowed
By Medicare:
$66.11
HCPCS Code:99222 Description:Initial hospital care Average Price:$213.56 Average Price Allowed
By Medicare:
$126.49
HCPCS Code:99217 Description:Observation care discharge Average Price:$152.67 Average Price Allowed
By Medicare:
$66.37
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$151.49 Average Price Allowed
By Medicare:
$65.34
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$149.10 Average Price Allowed
By Medicare:
$66.56
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$176.55 Average Price Allowed
By Medicare:
$95.46
HCPCS Code:99234 Description:Observ/hosp same date Average Price:$197.00 Average Price Allowed
By Medicare:
$124.79
HCPCS Code:93288 Description:Pm device eval in person Average Price:$105.17 Average Price Allowed
By Medicare:
$35.01
HCPCS Code:93225 Description:Ecg monit/reprt up to 48 hrs Average Price:$83.00 Average Price Allowed
By Medicare:
$22.89
HCPCS Code:93000 Description:Electrocardiogram complete Average Price:$75.00 Average Price Allowed
By Medicare:
$17.27
HCPCS Code:93227 Description:Ecg monit/reprt up to 48 hrs Average Price:$76.41 Average Price Allowed
By Medicare:
$22.80
HCPCS Code:99221 Description:Initial hospital care Average Price:$146.98 Average Price Allowed
By Medicare:
$93.38
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$87.37 Average Price Allowed
By Medicare:
$36.34
HCPCS Code:93227 Description:Ecg monit/reprt up to 48 hrs Average Price:$75.88 Average Price Allowed
By Medicare:
$25.09
HCPCS Code:93293 Description:Pm phone r-strip device eval Average Price:$97.71 Average Price Allowed
By Medicare:
$48.76
HCPCS Code:93010 Description:Electrocardiogram report Average Price:$51.00 Average Price Allowed
By Medicare:
$8.12
HCPCS Code:93010 Description:Electrocardiogram report Average Price:$51.00 Average Price Allowed
By Medicare:
$8.12
HCPCS Code:99218 Description:Initial observation care Average Price:$125.00 Average Price Allowed
By Medicare:
$90.07
HCPCS Code:99211 Description:Office/outpatient visit est Average Price:$45.33 Average Price Allowed
By Medicare:
$17.94

HCPCS Code Definitions

93350
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report
78452
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection
92960
Cardioversion, elective, electrical conversion of arrhythmia; external
99203
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
93225
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)
93325
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)
93306
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography
93306
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography
93308
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study
93351
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional
93018
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only
93459
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography
93880
Duplex scan of extracranial arteries; complete bilateral study
93567
Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)
93018
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only
93458
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed
93017
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report
93016
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report
93010
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
93000
Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
93010
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
93015
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report
93293
Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes recording with and without magnet application with analysis, review and report(s) by a physician or other qualified health care professional, up to 90 days
78452
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection
93227
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional
99204
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99238
Hospital discharge day management; 30 minutes or less
93288
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead pacemaker system
36252
Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral
99234
Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of low severity. Typically, 40 minutes are spent at the bedside and on the patient's hospital floor or unit.
93227
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional
99233
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Typically, 35 minutes are spent at the bedside and on the patient's hospital floor or unit.
99211
Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.
99231
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.
99232
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
Q9957
Injection, perflutren lipid microspheres, per ml
J2785
Injection, regadenoson, 0.1 mg
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
33208
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular
99215
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99214
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99223
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit.
99213
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99221
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit.
99218
Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit.
99217
Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])
99222
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit.

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1285665182
Cardiovascular Disease (Cardiology)
12,362
1043248636
Cardiovascular Disease (Cardiology)
10,548
1003999251
Internal Medicine
7,014
1821189002
Diagnostic Radiology
5,871
1083665061
Medical Oncology
5,070
1376657254
Hematology/Oncology
4,776
1831120930
Family Practice
4,159
1104830801
Internal Medicine
3,984
1851342372
Anesthesiology
3,974
1831173442
Diagnostic Radiology
3,967
*These referrals represent the top 10 that Dr. Gwinn has made to other doctors

Publications

None Found

Map & Directions

2601 Kentucky Ave Suite 301 Paducah, KY 42003
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Nearby Doctors

2501 Kentucky Ave
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2601 Kentucky Ave Suite 301
Paducah, KY 42003
270 753-3113
1530 Lone Oak Rd
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1532 Lone Oak Rd Suite G10
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270 410-0021
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