DR. THEODORE WILLIAM JAMES M.D.
NPI 1003159559
Internal Medicine - Gastroenterology in Bangor, ME

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
417 STATE ST STE 121, BANGOR, ME 04401(207) 973-4266 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2021, Nov 10, 2020, Aug 5, 2020 and 2 more (5 updates tracked since 2019).

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

NPI1003159559
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. THEODORE WILLIAM JAMESCredential: M.D.
Location Address417 STATE ST STE 121Bangor, ME 04401-6630
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateJanuary 27, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
NPI 1003159559 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 ME · MD24132
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.
417 STATE ST STE 121, Bangor, ME 04401

Other Names 1

Other Name (5)Dr. Ted William James M.d.

Secondary Practice Location 1

Location 1101 Manning DriveChapel Hill, NC 27599-0005 · Phone (984) 974-5050

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

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.

PECOS PAC ID2567680549
PECOS Enrollment IDI20201102001423
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 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.

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.
94 services93 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.
61 services57 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
31 services23 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.
25 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services15 patients
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237
This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.
17 services16 patients

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, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Physician 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.

New Patient
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
417 STATE ST STE 121
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
417 STATE ST STE 121
BANGOR, ME 04401
Physician Assistant (Medical)
417 STATE ST STE 121
BANGOR, ME 04401
Physician Assistant
417 STATE ST STE 121
BANGOR, ME 04401
Physician Assistant
417 STATE ST STE 121
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
417 STATE ST STE 121
BANGOR, ME 04401
Nurse Practitioner (Acute Care)
417 STATE ST STE 121
BANGOR, ME 04401
Physician Assistant
417 STATE ST STE 121
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.

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.