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JAMES JOSEPH CHAMBERLAIN MD
NPI 1093805681
Internal Medicine in Salt Lake City, UT

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
1160 E 3900 S, SUITE 1200, SALT LAKE CITY, UT 84124(801) 261-9651 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Joseph Chamberlain Md NPPES

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

JAMES JOSEPH CHAMBERLAIN MD (NPI 1093805681) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (327185-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Vanderbilt University School Of Medicine (1995).

NPPES Registry Identity

NPI1093805681
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES JOSEPH CHAMBERLAINCredential: MD
Location Address1160 E 3900 S, SUITE 1200Salt Lake City, UT 84124-1202
Mailing Address1160 E 3900 S, Suite 1200Salt Lake City, UT 84124-1202 · (801) 261-9651
Phone(801) 261-9651
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1995
Enumeration DateOctober 13, 2006
Last NPPES UpdateSeptember 23, 2011
✔ NPI 1093805681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 327185-1205
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.
1160 E 3900 S, Salt Lake City, UT 84124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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 Joseph Chamberlain 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 ID4981648144
PECOS Enrollment IDI20050617000688
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
600 services188 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
580 services200 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
501 services144 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.
179 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
92 services92 patients

Hospital Affiliations CMS Care Compare

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

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%2,231 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%223 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%1,234 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%1,234 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%1,234 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
40%1,234 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
13 suppliers130 claims1,608 services$18.18 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
12 suppliers124 claims3,820 services$2.35 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims13 services$174.16 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
32 suppliers113 claims371 services$6.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims20 services$0.91 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
10 suppliers95 claims95 services$297.62 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 20

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

JAMES S ZEBRACK MD
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. KELLY RAMSAY O'NEAL III MD, MS
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, SUITE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. JEFFREY G RANDLE MD
Physical Medicine & Rehabilitation
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486
KENNETH G NIELSON MD
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. MINA GOHARI M.D.
Family Medicine
1160 E 3900 S, STE G200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7766
PAWAN K SHARMA MD
Nuclear Medicine (Nuclear Cardiology)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
STEPHEN G ROPER PA
Physician Assistant
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486
MRS. LAURA JEAN ABERTON PT
Physical Therapist
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486

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 Chamberlain's NPI number?

The NPI number for James Chamberlain is 1093805681. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is James Chamberlain located?

James Chamberlain practices at 1160 E 3900 S Suite 1200, Salt Lake City, UT 84124. The listed phone number is (801) 261-9651.

What is James Chamberlain's specialty?

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

Is James Chamberlain enrolled in Medicare?

Yes. James Chamberlain 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 Chamberlain accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list James Chamberlain 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 Chamberlain affiliated with any hospitals?

According to CMS data, James Chamberlain is affiliated with St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for James Chamberlain was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.