JAMES M MABRY PA-C
NPI 1093064107
Physician Assistant - Surgical in Grass Valley, CA

Active since September 05, 2012PECOS EnrolledAccepts Medicare Assignment
360 SIERRA COLLEGE DR STE 120, GRASS VALLEY, CA 95945(530) 274-6222(530) 242-4846 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Sep 8, 2023 (2 updates tracked since 2023).

About James M Mabry Pa-c NPPES

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

JAMES M MABRY PA-C (NPI 1093064107) is an individual surgical provider in Grass Valley, California, licensed in California (PA22458) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1093064107
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJAMES M MABRYCredential: PA-C
Location Address360 SIERRA COLLEGE DR STE 120Grass Valley, CA 95945-5088
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(530) 242-4846
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 5, 2012
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1093064107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA22458
360 SIERRA COLLEGE DR STE 120, Grass Valley, CA 95945

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 M Mabry Pa-c 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 ID4981854098
PECOS Enrollment IDI20121026000348
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 5

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 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.
19 services17 patients
Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
15 services15 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
12 services11 patients

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
360 SIERRA COLLEGE DR STE 120
GRASS VALLEY, CA 95945
Orthopaedic Surgery
360 SIERRA COLLEGE DR STE 120
GRASS VALLEY, CA 95945

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 Mabry's NPI number?

The NPI number for James Mabry is 1093064107. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is James Mabry located?

James Mabry practices at 360 Sierra College Dr Ste 120, Grass Valley, CA 95945. The listed phone number is (530) 274-6222.

What is James Mabry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is James Mabry enrolled in Medicare?

Yes. James Mabry 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 Mabry accept?

Health plans from Mountain Health CO-OP list James Mabry 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 Mabry was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.