1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Internal Medicine
  6. NPI Profile

DR. JAMES ANDREW DRISCOLL M.D.
NPI 1013094515
Internal Medicine - Critical Care Medicine in Santa Rosa, CA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
4001 SPLIT RAIL CT, SANTA ROSA, CA 95403(512) 459-6599 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 3, 2026, Oct 9, 2025, Sep 11, 2025 and 3 more (6 updates tracked since 2024).

About Dr. James Andrew Driscoll M.d. NPPES

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

DR. JAMES ANDREW DRISCOLL M.D. (NPI 1013094515) is an individual critical care medicine provider in Santa Rosa, California, licensed in California (A113201) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 13 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013094515
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. JAMES ANDREW DRISCOLLCredential: M.D.
Location Address4001 SPLIT RAIL CTSanta Rosa, CA 95403-0178
Mailing Address4001 Split Rail CtSanta Rosa, CA 95403-0178
Phone(512) 459-6599
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 3, 20266 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1013094515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A113201
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 4301516147 (MI), 72779 (AZ), MD61672497 (WA), 84535-20 (WI), MD29635 (ME), 3038 (MN)
4001 SPLIT RAIL CT, Santa Rosa, CA 95403
Open in Google Maps ↗

Secondary Practice Locations 13

Location 1301 N Main StSheridan, MI 48884-9235 · Phone (303) 390-1940
Location 2194 E Main StFort Kent, ME 04743-1428 · Phone (207) 834-3155
Location 3603 S Chestnut StEllensburg, WA 98926-3875 · Phone (303) 390-1940
Location 41650 4th St SERochester, MN 55904-4717 · Phone (507) 529-6600
Location 51016 Tacoma AveSunnyside, WA 98944-2263 · Phone (303) 390-1940
Location 61221 Highland AveClarkston, WA 99403-2829 · Phone (303) 390-1940
Location 7520 Rose LnWickenburg, AZ 85390-1447 · Phone (303) 390-1940
Location 820 Hartford StHoulton, ME 04730-1891 · Phone (207) 532-2900
Location 9333 E 2nd StRichland Center, WI 53581-1914 · Phone (608) 647-6321
Location 10800 Alder StSouth Bend, WA 98586-4900 · Phone (303) 390-1940
Location 11502 W 4th AveToppenish, WA 98948-1616 · Phone (303) 390-1940
Location 12530 Bogachiel WayForks, WA 98331-9120 · Phone (303) 390-1940
Location 131900 Sunrise DrSaint Peter, MN 56082-5376 · Phone (303) 390-1940

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. James Andrew Driscoll 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 ID8921181678
PECOS Enrollment IDI20240521001540, I20240819001610, I20240909000911, I20250516002632, I20250919000240, I20260304003845, I20260310001368, I20260408003359
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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Driscoll reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
37 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000
Inpatient Specialists Of California, PC
428 mi
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 clinicians in this Medicare group
NPI 1952792475 (615) 377-5658
Rural Physicians Group-Pannu PLLC
960 mi
Hospitalist
5575 DTC PKWY STE 225
Greenwood Village, CO 80111
  • Reassigned Medicare billing, Arizona, Georgia, Maine, Michigan, Minnesota, Tennessee, Washington and Wisconsin enrollments
  • Also billed through NPI 1891236584 (Wisconsin)
  • 35 clinicians in this Medicare group
NPI 1861808719 (303) 390-1924
Olmsted Medical Center
1,611 mi
Clinic/Center
210 9TH ST SE
Rochester, MN 55904
  • Reassigned Medicare billing, Minnesota enrollment
  • 379 clinicians in this Medicare group
NPI 1952356297 (507) 288-3443
Sheridan Community Hospital
1,957 mi
Foot and Ankle Surgery
1525 E BELTLINE AVE NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 85 clinicians in this Medicare group
NPI 1285588442 (989) 291-6304

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers14 claims14 services$53.07 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers14 claims14 services$20.29 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers15 claims15 services$14.06 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers21 claims122 services$2.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Driscoll's NPI number?

The NPI number for James Driscoll is 1013094515. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is James Driscoll located?

James Driscoll practices at 4001 Split Rail Ct, Santa Rosa, CA 95403. The listed phone number is (512) 459-6599.

What is James Driscoll's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is James Driscoll enrolled in Medicare?

Yes. James Driscoll 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 James Driscoll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Driscoll reassigns Medicare benefits to 5 organizations: Permanente Medical Group Inc (Vallejo, CA), Inpatient Specialists Of California, PC (San Bernardino, CA), Rural Physicians Group-Pannu PLLC (Greenwood Village, CO), Olmsted Medical Center (Rochester, MN) and Sheridan Community Hospital (Grand Rapids, MI). 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 James Driscoll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Driscoll accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list James Driscoll 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 Driscoll was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.