DR. JAMES FREDERICK BARTSCHER M.D.
NPI 1033239041
Psychiatry & Neurology - Neurology in Edmonds, WA

Q: What is James Bartscher's NPI number?

The NPI number for James Bartscher is 1033239041. It was assigned to this individual provider in the NPPES registry on March 31, 2007.

Q: What is James Bartscher's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for James Bartscher was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 31, 2007PECOS EnrolledAccepts Medicare Assignment

82.84/100

CMS Quality Rating

21601 76TH AVE W, EDMONDS, WA 98026(206) 215-2520(206) 215-6364 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. James Frederick Bartscher M.d. NPPES

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

DR. JAMES FREDERICK BARTSCHER M.D. (NPI 1033239041) is an individual neurology provider in Edmonds, Washington, licensed in Washington (MD60284459) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains a secondary practice location in Michigan City.

NPPES Registry Identity

NPI1033239041

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. JAMES FREDERICK BARTSCHERCredential: M.D.

Location Address21601 76TH AVE WEdmonds, WA 98026-7507

Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043

Phone(206) 215-2520

Fax(206) 215-6364

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 31, 2007

Last NPPES UpdateSeptember 19, 2023

NPPES CertifiedSeptember 19, 2023

✔ NPI 1033239041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in WA · MD60284459✔ Licensed in IN · 02007140A✔ Licensed in MA · 224944

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

21601 76TH AVE W, Edmonds, WA 98026

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Secondary Practice Location 1

Location 13500 Franciscan Way Ste 300Michigan City, IN 46360-0021 · Phone (219) 214-4633

Other Identifiers 2

OtherP01212215WA · Rail Road Mdc

Medicaid1033239041WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, PacificSource Health Plans and more.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

Dr. James Frederick Bartscher 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 ID8921296906

PECOS Enrollment IDI20121012000766, I20231031002762, I20240131002658, I20240318001218

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 4

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

72 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

37 services27 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

34 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

22 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500025

Location500 17th AvenueSeattle, WA 98122 · King County

Emergency services

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500152

Location751 NE Blakely DrIssaquah, WA 98029 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

82.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.14

Promoting Interoperability

100

Improvement Activities

Cost

60.65

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.

BARBARA R FAYETTE PA C

Physician Assistant