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JAMES EARL DUNLAP MD
NPI 1043274046
Family Medicine - Sports Medicine in Fairfield, ME

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
4 SHERIDAN DRIVE, FAIRFIELD, ME 04937(207) 453-3000(207) 453-3301 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Earl Dunlap Md NPPES

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

JAMES EARL DUNLAP MD (NPI 1043274046) is an individual sports medicine provider in Fairfield, Maine, licensed in Maine (EC101036) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of University Of Nevada School Of Medicine (1990).

NPPES Registry Identity

NPI1043274046
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJAMES EARL DUNLAPCredential: MD
Location Address4 SHERIDAN DRIVEFairfield, ME 04937
Mailing Address4 Sheridan DriveFairfield, ME 04937 · (207) 453-3000 · Fax (207) 453-3301
Phone(207) 453-3000
Fax(207) 453-3301
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1990
Enumeration DateApril 14, 2006
Last NPPES UpdateOctober 16, 2012
✔ NPI 1043274046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses✔ Licensed in ME · EC101036✔ Licensed in TN · MD41057
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD41057 (TN)
4 SHERIDAN DRIVE, Fairfield, ME 04937
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Other Identifiers 2

Medicare PIN001825601ME
Medicare UPINF55175NV

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 Earl Dunlap 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 ID4284652140
PECOS Enrollment IDI20101105000449
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services23 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.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04937 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
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.

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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Other Providers at the Same Location NPPES

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

MICHAEL E CLARK MD
Family Medicine
4 SHERIDAN DRIVE
FAIRFIELD, ME 04937
Somerset County (207) 861-5000

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 Dunlap's NPI number?

The NPI number for James Dunlap is 1043274046. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is James Dunlap located?

James Dunlap practices at 4 Sheridan Drive, Fairfield, ME 04937. The listed phone number is (207) 453-3000.

What is James Dunlap's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is James Dunlap enrolled in Medicare?

Yes. James Dunlap 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 James Dunlap affiliated with any hospitals?

According to CMS data, James Dunlap is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for James Dunlap was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.