HUGH TILLMAN JAMES SR. M.D.
NPI 1053375592
Surgery in Spartanburg, SC

Q: What is Hugh James's NPI number?

The NPI number for Hugh James is 1053375592. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Hugh James's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Hugh James was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 13, 2006PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

100 E WOOD ST, SUITE 301, SPARTANBURG, SC 29303(864) 560-7070(864) 560-7073 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2023, Jan 21, 2021, Nov 20, 2017 (3 updates tracked since 2017).

On this page

About Hugh Tillman James Sr. M.d. NPPES

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

HUGH TILLMAN JAMES SR. M.D. (NPI 1053375592) is an individual surgery provider in Spartanburg, South Carolina, licensed in South Carolina (15633) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1989).

NPPES Registry Identity

NPI1053375592

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameHUGH TILLMAN JAMES SR.Credential: M.D.

Location Address100 E WOOD ST, SUITE 301Spartanburg, SC 29303-3004

Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413

Phone(864) 560-7070

Fax(864) 560-7073

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1989

Enumeration DateApril 13, 2006

Last NPPES UpdateMarch 20, 20233 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1053375592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in SC · 15633

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

100 E WOOD ST, Spartanburg, SC 29303

Open in Google Maps ↗

Other Identifiers 5

Other69359SC · Medcost

OtherF786277628SC · Medicare Pin

Medicaid5905331NC

Other4582732SC · Aetna

Medicaid156334SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Hugh Tillman James Sr. 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 ID8022025576

PECOS Enrollment IDI20060308000777

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 11

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

83 services69 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

71 services71 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.

31 services29 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

25 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

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.

19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420043

Location1530 N Limestone StGaffney, SC 29340 · Cherokee County

Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420103

Location250 Westmoreland RoadGreer, SC 29651 · Greenville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

96.08/100

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

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier11 claims520 services$3.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOSEPH PAUL ROSS III M.D.

Surgery

100 E WOOD ST, SUITE 202
SPARTANBURG, SC 29303

Spartanburg County (864) 560-7070

DR. RIFAT HASSAN M.D

Internal Medicine

100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6851

DR. ARI D KRAMER MD

Surgery

100 E WOOD ST, SUITE 202
SPARTANBURG, SC 29303

Spartanburg County (864) 560-7070

DR. JEFFREY M CRAFT MD

Internal Medicine

100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6851

DR. JAMES E BROWN IV M.D.

Internal Medicine

100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6851

DR. THOMAS LUTHER ROBERTS MD

Plastic Surgery

100 E WOOD ST, SUITE 100
SPARTANBURG, SC 29303

Spartanburg County (864) 583-1222

KIMBERLY VALENTI NP

Nurse Practitioner

100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6851

MRS. MARTHA ANN RAINES N.P.

Nurse Practitioner

100 E WOOD ST, SUITE 202
SPARTANBURG, SC 29303

Spartanburg County (864) 560-7070

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 Hugh James's NPI number?

The NPI number for Hugh James is 1053375592. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Hugh James located?

Hugh James practices at 100 E Wood St Suite 301, Spartanburg, SC 29303. The listed phone number is (864) 560-7070.

What is Hugh James's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Hugh James enrolled in Medicare?

Yes. Hugh 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.

What insurance does Hugh James accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Hugh 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 Hugh James affiliated with any hospitals?

According to CMS data, Hugh James is affiliated with Spartanburg Medical Center, Cherokee Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Hugh James was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.