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JAMES C. HIGHAM-KESSLER M.D.
NPI 1003105636
Internal Medicine - Gastroenterology in Thornton, CO

Active since April 05, 2011PECOS EnrolledAccepts Medicare Assignment
54.17/100
CMS Quality Rating
10001 N. WASHINGTON STREET, UPPER LEVEL, THORNTON, CO 80229(303) 252-4442 Get Directions Write a Review

NPPES record last updated: June 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James C. Higham-kessler M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES C. HIGHAM-KESSLER M.D. (NPI 1003105636) is an individual gastroenterology provider in Thornton, Colorado, licensed in Colorado (58776) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2011).

NPPES Registry Identity

NPI1003105636
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJAMES C. HIGHAM-KESSLERCredential: M.D.
Location Address10001 N. WASHINGTON STREET, UPPER LEVELThornton, CO 80229
Mailing Address3333 S. Wadsworth Blvd., Ste. D-100Lakewood, CO 80227-5122 · (303) 205-1090
Phone(303) 252-4442
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2011
Enumeration DateApril 5, 2011
Last NPPES UpdateJune 29, 2017
✔ NPI 1003105636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CO · 58776
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
10001 N. WASHINGTON STREET, Thornton, CO 80229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James C. Higham-kessler M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507182847
PECOS Enrollment IDI20170731000737
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
49 services49 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
47 services46 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
42 services41 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
21 services21 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
20 services19 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

54.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.89
Promoting Interoperability0
Improvement Activities40
Cost68.7

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Higham-kessler's NPI number?

The NPI number for James Higham-kessler is 1003105636. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Where is James Higham-kessler located?

James Higham-kessler practices at 10001 N. Washington Street Upper Level, Thornton, CO 80229. The listed phone number is (303) 252-4442.

What is James Higham-kessler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is James Higham-kessler enrolled in Medicare?

Yes. James Higham-kessler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Higham-kessler accept?

Health plans from UnitedHealthcare list James Higham-kessler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Higham-kessler was last updated on June 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.