DR. THEODORE WILLIAM JAMES M.D.
NPI 1003159559
Internal Medicine - Gastroenterology in Bangor, ME
About Dr. Theodore William James M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE WILLIAM JAMES M.D. (NPI 1003159559) is an individual gastroenterology provider in Bangor, Maine, licensed in Maine (MD24132) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Chapel Hill.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Theodore William James 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theodore James reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 259 clinicians in this Medicare group
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bangor, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BANGOR, ME 04401
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 Theodore James's NPI number?
The NPI number for Theodore James is 1003159559. It was assigned to this individual provider in the NPPES registry on April 3, 2013. The provider is also known as Dr. Ted William James M.D..
Where is Theodore James located?
Theodore James practices at 417 State St Ste 121, Bangor, ME 04401. The listed phone number is (207) 973-4266.
What is Theodore James's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Theodore James enrolled in Medicare?
Yes. Theodore James 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.
Which organizations bill Medicare for Theodore James's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore James reassigns Medicare benefits to 2 organizations: St. Joseph Hospital (Bangor, ME) and Mainegeneral Medical Center (Augusta, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore James accept?
Health plans from Taro Health list Theodore James 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.
Is Theodore James affiliated with any hospitals?
According to CMS data, Theodore James is affiliated with St Joseph Hospital.
When was this NPI record last updated?
The NPPES record for Theodore James was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Theodore William James, M.D. · NPI 1003159559
Gastroenterology physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since April 3, 2013.
## Identity
- **NPI:** 1003159559 (Entity type: Individual)
- **Enumerated:** April 3, 2013
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** MD24132 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 417 STATE ST STE 121, Bangor, ME 04401-6630
- **Phone:** (207) 973-4266
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Joseph Hospital (NPI 1154321545, Bangor, ME); Mainegeneral Medical Center (NPI 1083949184, Augusta, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** January 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003159559) · Data from the CMS NPPES public registry.