MR. JAMES SAMUEL SHOEMAKER LCSW
NPI 1083337257
Social Worker - Clinical in Portland, OR

Active since September 22, 2022PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
1130 NW 22ND AVE STE 220, PORTLAND, OR 97210(503) 413-8988(503) 413-5629 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. James Samuel Shoemaker Lcsw NPPES

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

MR. JAMES SAMUEL SHOEMAKER LCSW (NPI 1083337257) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L12412) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083337257
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAMES SAMUEL SHOEMAKERCredential: LCSW
Location Address1130 NW 22ND AVE STE 220Portland, OR 97210-2969
Mailing Address1544 Se Hawthorne Blvd Apt 3Portland, OR 97214-3976 · (616) 822-1637
Fax(503) 413-5629
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
NPI 1083337257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L12412
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1130 NW 22ND AVE STE 220, Portland, OR 97210

Accepted 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

Mr. James Samuel Shoemaker Lcsw 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 ID1456720986
PECOS Enrollment IDI20221206000527
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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
42 services23 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Social Worker (Clinical)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Pharmacist (Ambulatory Care)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210

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 Shoemaker's NPI number?

The NPI number for James Shoemaker is 1083337257. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is James Shoemaker located?

James Shoemaker practices at 1130 NW 22nd Ave Ste 220, Portland, OR 97210. The listed phone number is (503) 413-8988.

What is James Shoemaker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is James Shoemaker enrolled in Medicare?

Yes. James Shoemaker 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 Shoemaker accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list James Shoemaker 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 Shoemaker affiliated with any hospitals?

According to CMS data, James Shoemaker is affiliated with Legacy Emanuel Medical Center.

When was this NPI record last updated?

The NPPES record for James Shoemaker was last updated on September 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.