JAMES YI D.O.
NPI 1053726521
Family Medicine in Lewisburg, WV

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
400 N JEFFERSON ST, LEWISBURG, WV 24901(304) 645-3220(304) 647-1372 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Yi D.o. NPPES

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

JAMES YI D.O. (NPI 1053726521) is an individual family medicine provider in Lewisburg, West Virginia, licensed in West Virginia (ED00000) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053726521
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES YICredential: D.O.
Location Address400 N JEFFERSON STLewisburg, WV 24901-1177
Mailing Address400 N Jefferson StLewisburg, WV 24901-1177 · (304) 645-3220 · Fax (304) 647-1372
Fax(304) 647-1372
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2014
✔ NPI 1053726521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · ED00000
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.
400 N JEFFERSON ST, Lewisburg, WV 24901

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

James Yi D.o. 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 ID6406133164
PECOS Enrollment IDI20180711002215, I20250116000225
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

6

Medicare enrollment records show James Yi reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
Hospitalist
303 S MAIN ST
Bluffton, IN 46714
  • Reassigned Medicare billing, Indiana enrollment
  • 69 clinicians in this Medicare group
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Indiana enrollment
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Hospitalist
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 309 clinicians in this Medicare group
Internal Medicine
5165 MCCARTY LN
Lafayette, IN 47905
  • Reassigned Medicare billing, Indiana enrollment
  • 671 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.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
356 services340 patients
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.
47 services41 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.
23 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151312
Location720 South Sixth StMonticello, IN 47960 · White County
Emergency services

Indiana University Health Frankfort Inc

Critical Access Hospitals · Frankfort, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151316
Location1300 S Jackson StFrankfort, IN 46041 · Clinton County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24901 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%143 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
400 N JEFFERSON ST
LEWISBURG, WV 24901
Psychiatry & Neurology (Geriatric Psychiatry)
400 N JEFFERSON ST
LEWISBURG, WV 24901
Family Medicine
400 N JEFFERSON ST
LEWISBURG, WV 24901
Family Medicine
400 N JEFFERSON ST, ROBERT C. BYRD CLINIC
LEWISBURG, WV 24901
Family Medicine (Geriatric Medicine)
400 N JEFFERSON ST
LEWISBURG, WV 24901
Student in an Organized Health Care Education/Training Program
400 N JEFFERSON ST, ROBERT C. BYRD CLINIC
LEWISBURG, WV 24901
Family Medicine
400 N JEFFERSON ST
LEWISBURG, WV 24901
Neuromusculoskeletal Medicine & OMM
400 N JEFFERSON ST
LEWISBURG, WV 24901

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 Yi's NPI number?

The NPI number for James Yi is 1053726521. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is James Yi located?

James Yi practices at 400 N Jefferson St, Lewisburg, WV 24901. The listed phone number is (304) 645-3220.

What is James Yi's specialty?

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

Is James Yi enrolled in Medicare?

Yes. James Yi 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 James Yi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Yi reassigns Medicare benefits to 6 organizations: Southeastern Physician Services PC (Oak Ridge, TN), Hospital Services Of Indiana PC (Bluffton, IN), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Iu Health Medical Group, LLC (Indianapolis, IN), Hospitalist Physicians Of Indiana, PC (Fort Wayne, IN) and 1 more organization, listed in the Medicare section above. 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 James Yi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Yi accept?

Health plans from CareSource and Cigna Healthcare list James Yi 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 Yi affiliated with any hospitals?

According to CMS data, James Yi is affiliated with Lutheran Hospital Of Indiana, Indiana University Health Arnett Hospital, Indiana University Health White Memorial Hospital, Indiana University Health Frankfort Inc and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Yi was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.