JAMES F METHERELL MD
NPI 1023109253
Obstetrics & Gynecology in Billings, MT

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
801 N 29TH ST, BILLINGS, MT 59101(406) 238-2500 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2022, Apr 22, 2019 (2 updates tracked since 2019).

About James F Metherell Md NPPES

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

JAMES F METHERELL MD (NPI 1023109253) is an individual obstetrics & gynecology provider in Billings, Montana, licensed in South Carolina (28153) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1023109253
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJAMES F METHERELLCredential: MD
Location Address801 N 29TH STBillings, MT 59101
Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1998
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
NPI 1023109253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in SC · 28153
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

801 N 29TH ST, Billings, MT 59101

Secondary Practice Location 1

Location 1135 Commonwealth Dr, Suite 300Greenville, SC 29615-4831 · Phone (864) 675-1190

Accepted 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 F Metherell Md 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 ID1355381716
PECOS Enrollment IDI20160525001321
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physical Therapist
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Obstetrics & Gynecology (Gynecologic Oncology)
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant
801 N 29TH ST
BILLINGS, MT 59101
Occupational Therapist
801 N 29TH ST
BILLINGS, MT 59101
Ophthalmology
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Family Medicine
801 N 29TH ST
BILLINGS, MT 59101

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 Metherell's NPI number?

The NPI number for James Metherell is 1023109253. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is James Metherell located?

James Metherell practices at 801 N 29th St, Billings, MT 59101. The listed phone number is (406) 238-2500.

What is James Metherell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Metherell enrolled in Medicare?

Yes. James Metherell 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 Metherell accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list James Metherell 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 James Metherell affiliated with any hospitals?

According to CMS data, James Metherell is affiliated with Billings Clinic.

When was this NPI record last updated?

The NPPES record for James Metherell was last updated on February 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.