Provider profile

James DoddsMD

Orthopaedic Surgery

NPI 1154375897
200 Clinic Dr, Madisonville, KY 42431270-824-6655

Check your plan

Medicare Advantage plans for Hopkins County, KY.

Checked Oct 24, 2026

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

Directory results See what each insurance company reports

The 50 Medicare Advantage plans we show for Hopkins County, KY in 2027

  • 30 list James
  • 20 not listed

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:

    • 200 Clinic Dr, Madisonville, KY, 42431

    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:

    • 200 Clinic Dr, Madisonville, KY, 42431

    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:

    • 200 Clinic Dr, Madisonville, KY, 42431

    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:

    • 200 Clinic Dr, Madisonville, KY, 42431

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

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

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:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 900 Hospital Dr, Madisonville, KY, 42431

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

    HMO-POSDrug coverage3.5 starsH9525-013-001Medicare.gov
    $0a month
  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 900 Hospital Dr, Madisonville, KY, 42431

    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:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 900 Hospital Dr, Madisonville, KY, 42431

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

    HMO-POSDrug coverage3.5 starsH9525-021-001Medicare.gov
    $35a month
  • Anthem Medicare Advantage (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 900 Hospital Dr, Madisonville, KY, 42431

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

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

Aetna Medicare

6 plans list James.

6plans
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 1010 Medical Center Dr, Powderly, KY, 42367

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

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 1010 Medical Center Dr, Powderly, KY, 42367

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

    HMO-POSDrug coverage3.5 starsH0628-007-000Medicare.gov
    $0a month
  • Aetna Medicare Value Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 1010 Medical Center Dr, Powderly, KY, 42367

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

    PPODrug coverage4 starsH5521-490-000Medicare.gov
    $9.50a month
  • Aetna Medicare Chronic Care (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 1010 Medical Center Dr, Powderly, KY, 42367

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

    HMOFor people with certain chronic conditionsDrug coverage3.5 starsH0628-042-000Medicare.gov
    $0a month

Humana

4 plans list James; not listed on 12 other plans.

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

    Source: Humana provider directory.

    Listed offices for this plan:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 1010 Medical Center Dr, Powderly, KY, 42367

    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:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 1010 Medical Center Dr, Powderly, KY, 42367

    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:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 1010 Medical Center Dr, Powderly, KY, 42367

    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:

    • 200 Clinic Dr, Madisonville, KY, 42431
    • 1010 Medical Center Dr, Powderly, KY, 42367

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

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

Wellcare

Not listed on its 7 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

Practice location

200 Clinic Dr
Madisonville, KY 42431

NPI Registry
NPI issued
2006
Registry record updated
Dec 3, 2020

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

Common questions

Which 2027 Medicare Advantage plans list James Dodds?

In Hopkins County, KY, 30 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.

Does James Dodds take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists James on 13 Medicare Advantage plans for 2027 in Hopkins County, KY, including AARP Medicare Advantage from UHC KY-1 (HMO-POS) and AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does James Dodds take Anthem Blue Cross and Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists James on 7 Medicare Advantage plans for 2027 in Hopkins County, KY, including Anthem Medicare Advantage (HMO-POS) and Anthem Veteran (PPO). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Anthem Blue Cross and Blue Shield before you enroll.

Does James Dodds take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists James on 6 Medicare Advantage plans for 2027 in Hopkins County, KY, including Aetna Medicare Eagle Giveback (PPO) and Aetna Medicare Signature Extra (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Where does James Dodds practice?

200 Clinic Dr, Madisonville, KY 42431.

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 1154375897, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for James Dodds on 7 plans from Wellcare in Hopkins County, KY. Other offices are not confirmed; this isn't proof the practice is out of network.

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 2020-12-03). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 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 Dodds 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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