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DR. JAMES WESTMORELAND MD PA
NPI 1104818897
Orthopaedic Surgery in Conroe, TX

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
1501 RIVER POINTE DR, SUITE 100, CONROE, TX 77304(936) 539-2663(936) 539-2664 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Westmoreland Md Pa NPPES

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

DR. JAMES WESTMORELAND MD PA (NPI 1104818897) is an individual orthopaedic surgery provider in Conroe, Texas, licensed in Texas (L9012) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Sullivan County Community Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1999).

NPPES Registry Identity

NPI1104818897
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES WESTMORELANDCredential: MD PA
Location Address1501 RIVER POINTE DR, SUITE 100Conroe, TX 77304-2860
Mailing Address1501 River Pointe Dr, Suite 100Conroe, TX 77304-2860 · (936) 539-2663 · Fax (936) 539-2664
Phone(936) 539-2663
Fax(936) 539-2664
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1999
Enumeration DateAugust 18, 2005
Last NPPES UpdateFebruary 11, 2014
✔ NPI 1104818897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · L9012
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.
1501 RIVER POINTE DR, Conroe, TX 77304
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Other Identifiers 3

Medicaid168529901TX
Medicare PIN8C6056TX
Medicare UPINI17851

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan 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

Dr. James Westmoreland Md Pa 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 ID5496714289
PECOS Enrollment IDI20041012000906, I20250307000335
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 3

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 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.
13 services11 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.
12 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Cleveland Emergency Hospital

Acute Care Hospitals · Cleveland, TX
OwnershipProprietary
CMS Certification Number670115
Location1017 S Travis AveCleveland, TX 77327 · Liberty County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
86%50 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%3,391 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
92%703 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.
99%326 patients4/55-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.
98%629 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%1,679 patients1/55-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…
100%629 patients5/55-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…
62%629 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 666 patients
0%666 patients5/55-star benchmark: 100%
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.
11%629 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
83%149 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.

Other Providers at the Same Location NPPES 18

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

APT ENTERPRISES, LLC
Physical Therapist
1501 RIVER POINTE DR, SUITE 130
CONROE, TX 77304
Montgomery County (936) 756-0086
MRS. KATHLEEN F FLAGGE P.T
Physical Therapist
1501 RIVER POINTE DR, SUITE 130
CONROE, TX 77304
Montgomery County (936) 756-0086
RIVER OAKS ENDOSCOPY LLP
Clinic/Center (Ambulatory Surgical)
1501 RIVER POINTE DR, # 260
CONROE, TX 77304
Montgomery County (936) 494-3636
JOHN M. FACKLER M.D. PA
Orthopaedic Surgery
1501 RIVER POINTE DR, SUITE 100
CONROE, TX 77304
Montgomery County (936) 539-2663
CONROE TX ENDOSCOPY ASC LLC
Clinic/Center (Ambulatory Surgical)
1501 RIVER POINTE DR, SUITE 260
CONROE, TX 77304
Montgomery County (936) 494-3636
DR. SUNIL K REDDY MD
Internal Medicine (Gastroenterology)
1501 RIVER POINTE DR, STE 220
CONROE, TX 77304
Montgomery County (936) 756-8144
POOJA RAO P.T.
Physical Therapist
1501 RIVER POINTE DR, SUITE 130
CONROE, TX 77304
Montgomery County (936) 756-0086
RICHARD EARLE COLLIER MD PA
Surgery
1501 RIVER POINTE DR, SUITE 150
CONROE, TX 77304
Montgomery County (936) 539-5566

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 Westmoreland's NPI number?

The NPI number for James Westmoreland is 1104818897. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is James Westmoreland located?

James Westmoreland practices at 1501 River Pointe Dr Suite 100, Conroe, TX 77304. The listed phone number is (936) 539-2663.

What is James Westmoreland's specialty?

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

Is James Westmoreland enrolled in Medicare?

Yes. James Westmoreland 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 Westmoreland accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Louisiana Healthcare Connections and 7 other insurers list James Westmoreland 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 Westmoreland affiliated with any hospitals?

According to CMS data, James Westmoreland is affiliated with Sullivan County Community Hospital and Cleveland Emergency Hospital.

When was this NPI record last updated?

The NPPES record for James Westmoreland was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.