WILBERT DANIEL JAMES M.D.
NPI 1033246673
Family Medicine in Forks, WA

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment
461 G ST, FORKS, WA 98331(360) 374-6224(360) 374-6039 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wilbert Daniel James M.d. NPPES

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

WILBERT DANIEL JAMES M.D. (NPI 1033246673) is an individual family medicine provider in Forks, Washington, licensed in Washington (MD00036777) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Cascade Valley Hospital, and is a graduate of University Of Washington School Of Medicine (1999).

NPPES Registry Identity

NPI1033246673
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILBERT DANIEL JAMESCredential: M.D.
Location Address461 G STForks, WA 98331-9025
Mailing Address5318 Chief Brown LnDarrington, WA 98241-9420 · (360) 436-0131
Fax(360) 374-6039
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1999
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1033246673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00036777
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
461 G ST, Forks, WA 98331

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

Wilbert Daniel 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 ID3678634649
PECOS Enrollment IDI20120521000309
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

2

Medicare enrollment records show Wilbert James reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
345 MOKO PL
La Conner, WA 98257
  • Reassigned Medicare billing, Washington enrollment
Substance Abuse Treatment, Children
5318 CHIEF BROWN LN
Darrington, WA 98241
  • Reassigned Medicare billing, Washington enrollment
  • 3 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.

Hospital Affiliations CMS Care Compare

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

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500060
Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98331 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 5

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

Family Medicine
461 G ST
FORKS, WA 98331
Clinic/Center (Rural Health)
461 G ST
FORKS, WA 98331
Clinic/Center (Rural Health)
461 G ST
FORKS, WA 98331
Family Medicine
461 G ST
FORKS, WA 98331
Nurse Practitioner (Family)
461 G ST
FORKS, WA 98331

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 Wilbert James's NPI number?

The NPI number for Wilbert James is 1033246673. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Wilbert James located?

Wilbert James practices at 461 G St, Forks, WA 98331. The listed phone number is (360) 374-6224.

What is Wilbert James's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wilbert James enrolled in Medicare?

Yes. Wilbert 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 Wilbert James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilbert James reassigns Medicare benefits to 2 organizations: Red Knight Clinic LLC (La Conner, WA) and Sauk-Suiattle Indian Tribe (Darrington, WA). 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 Wilbert James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilbert James accept?

Health plans from Ambetter Health list Wilbert 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 Wilbert James affiliated with any hospitals?

According to CMS data, Wilbert James is affiliated with Cascade Valley Hospital.

When was this NPI record last updated?

The NPPES record for Wilbert James was last updated on January 12, 2024. 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.