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DR. JAMES JOSEPH GHOLSON M.D.
NPI 1144669912
Orthopaedic Surgery in Los Gatos, CA

Active since June 14, 2013PECOS EnrolledAccepts Medicare Assignment
555 KNOWLES DR STE 219, LOS GATOS, CA 95032(408) 866-3874(650) 447-2022 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Dec 17, 2021, Aug 5, 2019 (3 updates tracked since 2019).

About Dr. James Joseph Gholson M.d. NPPES

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

DR. JAMES JOSEPH GHOLSON M.D. (NPI 1144669912) is an individual orthopaedic surgery provider in Los Gatos, California, licensed in California (A168852) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Harvard Medical School (2013).

NPPES Registry Identity

NPI1144669912
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES JOSEPH GHOLSONCredential: M.D.
Location Address555 KNOWLES DR STE 219Los Gatos, CA 95032-1551
Mailing Address973 University AveLos Gatos, CA 95032-7636 · (408) 871-3200
Phone(408) 866-3874
Fax(650) 447-2022
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2013
Enumeration DateJune 14, 2013
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1144669912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in CA · A168852✔ Licensed in MT · 73119✔ Licensed in IA · R-9822
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.
555 KNOWLES DR STE 219, Los Gatos, CA 95032
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12360 Mullan Rd Ste CMissoula, MT 59808-1811 · Phone (406) 721-4436 · Fax (406) 721-6053
Location 2200 Hawkins DrIowa City, IA 52242-1009 · Phone (618) 841-1349

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 Joseph Gholson 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 ID6709029317
PECOS Enrollment IDI20201221000674
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95032 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%20 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%23 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 3

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

MATTHEW DAVID MILLER M.D.
Orthopaedic Surgery
555 KNOWLES DR STE 219
LOS GATOS, CA 95032
Santa Clara County (408) 866-3874
GRACEE LEE PA
Physician Assistant
555 KNOWLES DR STE 219
LOS GATOS, CA 95032
Santa Clara County (408) 866-3874
OSKIE PEDIATRICS
Pediatrics
555 KNOWLES DR STE 219
LOS GATOS, CA 95032
Santa Clara County (408) 378-6171

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 Gholson's NPI number?

The NPI number for James Gholson is 1144669912. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is James Gholson located?

James Gholson practices at 555 Knowles Dr Ste 219, Los Gatos, CA 95032. The listed phone number is (408) 866-3874.

What is James Gholson's specialty?

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

Is James Gholson enrolled in Medicare?

Yes. James Gholson 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.

When was this NPI record last updated?

The NPPES record for James Gholson was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.