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DR. JAMES VERNER M.D.
NPI 1073956041
Internal Medicine in Saint Paul, MN

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
640 JACKSON STREET, SAINT PAUL, MN 55101(651) 254-3456(651) 254-9673 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Verner M.d. NPPES

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

DR. JAMES VERNER M.D. (NPI 1073956041) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (59834) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2013).

NPPES Registry Identity

NPI1073956041
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES VERNERCredential: M.D.
Location Address640 JACKSON STREETSaint Paul, MN 55101-2502
Mailing Address8170 33rd Ave, Ms: 21110qBloomington, MN 55425-4516 · (651) 254-3456 · Fax (651) 254-9673
Phone(651) 254-3456
Fax(651) 254-9673
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateJuly 19, 2016
✔ NPI 1073956041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 59834
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
640 JACKSON STREET, Saint Paul, MN 55101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Dr. James Verner 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 ID1850695693
PECOS Enrollment IDI20160310001580, I20171226001009
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 8

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.

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.
195 services73 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
60 services28 patients
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.
29 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

MR. CHRISTOPHER LAWRENCE KAYE PA-C
Physician Assistant
640 JACKSON STREET
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
FELIX K ANKEL MD
Emergency Medicine
640 JACKSON STREET, MC 11102F
ST PAUL, MN 55101
Ramsey County (651) 254-3456
RANDOLPH W HURLEY MD
Internal Medicine (Hematology & Oncology)
640 JACKSON STREET, MC 11503F
ST PAUL, MN 55101
Ramsey County (651) 254-3448
RALPH J FRASCONE MD
Emergency Medicine
640 JACKSON STREET, MC11102F
ST PAUL, MN 55101
Ramsey County (651) 254-3456
ALICE MANGEN ENGELHARDT PT
Physical Therapist
640 JACKSON STREET
ST. PAUL, MN 55101
Ramsey County (651) 254-2032
DR. JANENE L HAWKINS PSYD LP
Psychologist (Clinical)
640 JACKSON STREET, MAIL STOP 11303A
ST PAUL, MN 55101
Ramsey County (651) 254-9272
GHAZIUDDIN A QADRI MBBS
Internal Medicine
640 JACKSON STREET, MC11503F
ST PAUL, MN 55101
Ramsey County (123) 123-1234
ROBERT D WEST CRNA
Nurse Anesthetist, Certified Registered
640 JACKSON STREET, MAIL STOP 11503P
ST PAUL, MN 55101
Ramsey County (651) 254-3456

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 Verner's NPI number?

The NPI number for James Verner is 1073956041. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is James Verner located?

James Verner practices at 640 Jackson Street, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is James Verner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Verner enrolled in Medicare?

Yes. James Verner 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 James Verner accept?

Health plans from Medica list James Verner 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 Verner affiliated with any hospitals?

According to CMS data, James Verner is affiliated with Lakeview Memorial Hospital, Regions Hospital and Hudson Hospital.

When was this NPI record last updated?

The NPPES record for James Verner was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.