DR. JAMES J MCGOVERN M.D.
NPI 1184620205
Pediatrics - Pediatric Cardiology in Asheville, NC

Q: What is James Mcgovern's NPI number?

The NPI number for James Mcgovern is 1184620205. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Q: What is James Mcgovern's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for James Mcgovern was last updated on January 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5 VANDERBILT PARK DR, ASHEVILLE, NC 28803(828) 274-6000(828) 225-4637 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2022, Feb 25, 2016 (2 updates tracked since 2016).

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About Dr. James J Mcgovern M.d. NPPES

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

DR. JAMES J MCGOVERN M.D. (NPI 1184620205) is an individual pediatric cardiology provider in Asheville, North Carolina, licensed in North Carolina (9701053) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Ohio State University College Of Medicine (1990).

NPPES Registry Identity

NPI1184620205

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. JAMES J MCGOVERNCredential: M.D.

Location Address5 VANDERBILT PARK DRAsheville, NC 28803-1700

Mailing AddressPo Box 602381Charlotte, NC 28260-2381 · (828) 274-6000 · Fax (828) 225-4637

Phone(828) 274-6000

Fax(828) 225-4637

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1990

Enumeration DateJune 23, 2005

Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration

✔ NPI 1184620205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in NC · 9701053

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 9701053 (NC)

5 VANDERBILT PARK DR, Asheville, NC 28803

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 J Mcgovern 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 ID9032123690

PECOS Enrollment IDI20060202000733

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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

49 services32 patients

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.

48 services27 patients

Ultrasound of heart for congenital defect 93303

An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.

25 services24 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

25 services24 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

19 services19 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

19 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

ERIN MIELE FOSTER PA-C

Physician Assistant

5 VANDERBILT PARK DR, ASHEVILLE CARDIOLOGY ASSOCIATES
ASHEVILLE, NC 28803

Buncombe County (828) 274-6000

DR. WADE H SAUNDERS III M.D.

Internal Medicine (Cardiovascular Disease)