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JESSICA A. JAMES DO
NPI 1063709368
Pediatrics in Athens, OH

Active since July 07, 2011PECOS Enrolled
83.28/100
CMS Quality Rating
2131 E STATE ST, ATHENS, OH 45701(740) 589-3100(740) 589-3123 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2021, May 22, 2020, Feb 27, 2018 (3 updates tracked since 2018).

About Jessica A. James Do NPPES

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

JESSICA A. JAMES DO (NPI 1063709368) is an individual pediatrics provider in Athens, Ohio, licensed in Ohio (34.011339) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063709368
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA A. JAMESCredential: DO
Location Address2131 E STATE STAthens, OH 45701-2138
Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5371 · Fax (740) 446-5711
Phone(740) 589-3100
Fax(740) 589-3123
Sole ProprietorNo
Enumeration DateJuly 7, 2011
Last NPPES UpdateJanuary 21, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
✔ NPI 1063709368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 34.011339
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2131 E STATE ST, Athens, OH 45701
Open in Google Maps ↗

Other Identifiers 2

Medicaid0105396OH
Medicaid3810027662WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica A. James Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jessica James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adena Medical Group LLC
51 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45701 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

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.

CYRIL FRANKLYN HALBERT M.D.
Plastic Surgery
2131 E STATE ST
ATHENS, OH 45701
Athens County (740) 589-3100
JESSICA L CALAWAY CNP
Nurse Practitioner
2131 E STATE ST
ATHENS, OH 45701
Athens County (740) 589-3100
DR. KENNETH ALAN MARSHALL MD
Anesthesiology (Pain Medicine)
2131 E STATE ST
ATHENS, OH 45701
Athens County (740) 589-3100
MICHEA TENILLE BARTOE
Nurse Practitioner (Family)
2131 E STATE ST
ATHENS, OH 45701
Athens County (855) 446-5937
WILLIAM A. RAMSEY D.C.
Chiropractor
2131 E STATE ST
ATHENS, OH 45701
Athens County (740) 589-3100
GEORGE F CASTILLO MD
Surgery
2131 E STATE ST
ATHENS, OH 45701
Athens County (740) 589-3100
CHARLES RONALD SMALLING JR. MD
Dermatology
2131 E STATE ST
ATHENS, OH 45701
Athens County (740) 589-3100
DANIELLE SCHABEL MSN, APRN, FNP-C
Nurse Practitioner (Family)
2131 E STATE ST
ATHENS, OH 45701
Athens County (740) 589-3100

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 Jessica James's NPI number?

The NPI number for Jessica James is 1063709368. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Jessica James located?

Jessica James practices at 2131 E State St, Athens, OH 45701. The listed phone number is (740) 589-3100.

What is Jessica James's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica James enrolled in Medicare?

Yes. Jessica James is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica James reassigns Medicare benefits to Adena Medical Group LLC (Chillicothe, OH). The 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 Jessica James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica James accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Jessica 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.

When was this NPI record last updated?

The NPPES record for Jessica James was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.