DR. JAMES GREGORY KAUFMANN MD
NPI 1083693527
Ophthalmology in Salisbury, NC

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
530 CORPORATE CIRCLE, SALISBURY, NC 28147(704) 637-0158(704) 637-7710 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Mar 30, 2021, May 3, 2018 (3 updates tracked since 2018).

About Dr. James Gregory Kaufmann Md NPPES

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

DR. JAMES GREGORY KAUFMANN MD (NPI 1083693527) is an individual ophthalmology provider in Salisbury, North Carolina, licensed in North Carolina (33385) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083693527
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAMES GREGORY KAUFMANNCredential: MD
Location Address530 CORPORATE CIRCLESalisbury, NC 28147
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 637-7710
Fax(704) 637-7710
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1987
Enumeration DateJanuary 12, 2006
Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1083693527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 33385
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedSpecialistTaxonomy 174400000X · License 33385 (NC)
530 CORPORATE CIRCLE, Salisbury, NC 28147

Secondary Practice Locations 2

Location 1645 Amalia St NEConcord, NC 28025-2434 · Phone (704) 295-3255
Location 2646 Hartness RdStatesville, NC 28677-3423 · Phone (704) 872-4108

Other Identifiers 7

OtherP01307757NC · Medicare-railroad
Other1439315Coventry
Other4414440Aetna
Medicaid7947850NC
MedicaidQ33385SC
Other48750NC · Bcbs
Other1046260SC · Wellcare Of Sc

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

Dr. James Gregory Kaufmann Md 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 ID2769559400
PECOS Enrollment IDI20100804000803
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 14

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
579 services538 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.
274 services200 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.
167 services128 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
151 services150 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
106 services74 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
85 services76 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28147 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Ophthalmology
530 CORPORATE CIRCLE
SALISBURY, NC 28147
Specialist
530 CORPORATE CIRCLE
SALISBURY, NC 28147
Nurse Practitioner
530 CORPORATE CIRCLE, SUITE 200
CHARLOTTE, NC 28147
Nurse Practitioner
530 CORPORATE CIRCLE, SUITE 200
CHARLOTTE, NC 28147
Nurse Practitioner (Neonatal)
530 CORPORATE CIRCLE, SUITE 200
SALISBURY, NC 28147

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 Kaufmann's NPI number?

The NPI number for James Kaufmann is 1083693527. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is James Kaufmann located?

James Kaufmann practices at 530 Corporate Circle, Salisbury, NC 28147. The listed phone number is (704) 637-0158.

What is James Kaufmann's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Kaufmann enrolled in Medicare?

Yes. James Kaufmann 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 Kaufmann accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list James Kaufmann 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 Kaufmann affiliated with any hospitals?

According to CMS data, James Kaufmann is affiliated with Novant Health Rowan Medical Center.

When was this NPI record last updated?

The NPPES record for James Kaufmann was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.