JAMES W BARNES M.D.
NPI 1083980585
Orthopaedic Surgery in Lake Havasu City, AZ

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
74.1/100
CMS Quality Rating
5601 HIGHWAY 95 N STE 714, LAKE HAVASU CITY, AZ 86404(928) 854-3333 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2021, Aug 5, 2019, Apr 4, 2019 and 2 more (5 updates tracked since 2017).

About James W Barnes M.d. NPPES

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

JAMES W BARNES M.D. (NPI 1083980585) is an individual orthopaedic surgery provider in Lake Havasu City, Arizona, licensed in Arizona (55081) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arkansas College Of Medicine (2012).

NPPES Registry Identity

NPI1083980585
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES W BARNESCredential: M.D.
Location Address5601 HIGHWAY 95 N STE 714Lake Havasu City, AZ 86404-8551
Mailing Address5601 Highway 95 N Ste 714Lake Havasu City, AZ 86404-8551 · (928) 854-3333
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2012
Enumeration DateMarch 29, 2012
Last NPPES UpdateJuly 1, 20265 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1083980585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in AZ · 55081 Licensed in CA · A159330
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5601 HIGHWAY 95 N STE 714, Lake Havasu City, AZ 86404

Secondary Practice Locations 2

Location 1751 W Legion Rd Dept OfBrawley, CA 92227-7732 · Phone (760) 351-4400
Location 2387 Lake Havasu Ave S Ste 101Lake Havasu City, AZ 86403-9306 · Phone (928) 854-7666

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

James W Barnes 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 ID1557662582
PECOS Enrollment IDI20190509001213, I20191101002183
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 35

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.

Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331
Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.
9,360 services90 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
995 services178 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.
452 services297 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
416 services127 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
237 services156 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.
233 services186 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86404 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

74.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.6
Promoting Interoperability100
Improvement Activities40
Cost70.06

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3807
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$183.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

General Practice
5601 HIGHWAY 95 N STE 714
LAKE HAVASU CITY, AZ 86404

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 Barnes's NPI number?

The NPI number for James Barnes is 1083980585. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is James Barnes located?

James Barnes practices at 5601 Highway 95 N Ste 714, Lake Havasu City, AZ 86404. The listed phone number is (928) 854-3333.

What is James Barnes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Barnes enrolled in Medicare?

Yes. James Barnes 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 Barnes accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list James Barnes 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 James Barnes was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.