JAMES A. PLATTS-MILLS M.D.
NPI 1164758017
Internal Medicine - Infectious Disease in Charlottesville, VA

Active since October 28, 2009PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
HOSPITAL DRIVE 5TH DR, CHARLOTTESVILLE, VA 22908(434) 982-1700(434) 982-3268 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About James A. Platts-mills M.d. NPPES

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

JAMES A. PLATTS-MILLS M.D. (NPI 1164758017) is an individual infectious disease provider in Charlottesville, Virginia, licensed in Virginia (0101258200) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1164758017
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJAMES A. PLATTS-MILLSCredential: M.D.
Location AddressHOSPITAL DRIVE 5TH DRCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 982-3268
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2009
Enumeration DateOctober 28, 2009
Last NPPES UpdateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1164758017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in VA · 0101258200
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
HOSPITAL DRIVE 5TH DR, Charlottesville, VA 22908

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James A. Platts-mills 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 ID5890924609
PECOS Enrollment IDI20150826001896
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.

Medicare Billing Reassignment

Medicare enrollment records show James Platts-mills reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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 Platts-mills's NPI number?

The NPI number for James Platts-mills is 1164758017. It was assigned to this individual provider in the NPPES registry on October 28, 2009.

Where is James Platts-mills located?

James Platts-mills practices at Hospital Drive 5th Dr, Charlottesville, VA 22908. The listed phone number is (434) 982-1700.

What is James Platts-mills's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Platts-mills enrolled in Medicare?

Yes. James Platts-mills 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.

Which organization bills Medicare for James Platts-mills's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Platts-mills reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Platts-mills's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Platts-mills accept?

Health plans from Oscar Health list James Platts-mills 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 Platts-mills affiliated with any hospitals?

According to CMS data, James Platts-mills is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for James Platts-mills was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.