DR. JAMES M WILSON M.D.
NPI 1184627317
Internal Medicine - Rheumatology in Rock Hill, SC

Q: What is James Wilson's NPI number?

The NPI number for James Wilson is 1184627317. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is James Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for James Wilson was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

744 ARDEN LN, SUITE 225, ROCK HILL, SC 29732(803) 329-1660(803) 329-4118 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2020, Sep 30, 2016 (2 updates tracked since 2016).

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About Dr. James M Wilson M.d. NPPES

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

DR. JAMES M WILSON M.D. (NPI 1184627317) is an individual rheumatology provider in Rock Hill, South Carolina, licensed in South Carolina (MD17962) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Ohio State University College Of Medicine (1985).

NPPES Registry Identity

NPI1184627317

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. JAMES M WILSONCredential: M.D.

Location Address744 ARDEN LN, SUITE 225Rock Hill, SC 29732-2984

Mailing Address744 Arden Ln, Suite 225Rock Hill, SC 29732-2984 · (803) 329-1660 · Fax (803) 329-4118

Phone(803) 329-1660

Fax(803) 329-4118

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1985

Enumeration DateMay 23, 2005

Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration

NPPES CertifiedOctober 21, 2020

✔ NPI 1184627317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in SC · MD17962

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedSpecialistTaxonomy 174400000X · License 01456 (NC), 17962 (SC)

744 ARDEN LN, Rock Hill, SC 29732

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Other Identifiers 4

Other88169NC · Blue Cross Blue Shield

MedicaidSC179620SC

Other1184627317SC · Blue Cross Blue Shield

MedicaidNC8988169NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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 M Wilson 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 ID9032280227

PECOS Enrollment IDI20100226000306

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 21

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.

Injection, tocilizumab, 1 mg J3262

Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.

40,360 services11 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

25,200 services273 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

21,365 services28 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

3,590 services13 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.

791 services479 patients

Measurement of antibody for assessment of autoimmune disorder, any method 86235

This procedure measures the level of specific antibodies in your body to assess if you have an autoimmune disorder. Antibodies are proteins your immune system produces. In autoimmune disorders, these antibodies mistakenly attack your own cells. This test helps identify such conditions.

735 services101 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

715 services104 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

433 services277 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

352 services65 patients

Analysis of substance using immunoassay technique, multiple step method 83516

This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.

274 services134 patients

Rheumatoid factor level 86431

The Rheumatoid Factor Level test is a blood test that helps detect the presence of Rheumatoid Factor (RF), a protein produced by your immune system. High RF levels often indicate autoimmune diseases like rheumatoid arthritis. The test involves a simple blood draw and lab analysis.

138 services135 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

134 services126 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

107 services19 patients

Measurement of dna antibody, native or double stranded 86225

The measurement of DNA antibody, native or double stranded, is a blood test that helps detect autoimmune disorders, such as lupus. It identifies if your body is producing antibodies against its own DNA, which can indicate an overactive immune response.

105 services101 patients

Measurement of dna antibody, single stranded 86226

The measurement of single-stranded DNA antibodies is a blood test. It is conducted to detect autoantibodies that might be present in your body, which can indicate certain autoimmune disorders. This test helps in diagnosing and monitoring these conditions.

105 services101 patients

Measurement of antibody for rheumatoid arthritis assessment 86200

This procedure measures the level of certain antibodies in your blood. These antibodies can be higher in people with rheumatoid arthritis, a condition causing joint inflammation. The test helps in diagnosing or monitoring the disease.

96 services95 patients

Measurement of antibody for assessment of autoimmune disorder, titer 86039

This test measures the level of specific antibodies in your blood, which can help in the diagnosis of autoimmune disorders. A titer refers to the concentration of antibodies. High titers can indicate an active autoimmune disease.

76 services75 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

63 services63 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

33 services30 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.

21 services21 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420002

Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%766 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

84%461 patients4/55-star benchmark: 91%

Falls: Screening for Future Fall Risk

100%743 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 978 patients

Patients screened: 100% · 978 patients

100%98 patients5/55-star benchmark: 100%

Rheumatoid Arthritis (RA): Functional Status Assessment

100%300 patients5/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

100%544 patients5/55-star benchmark: 100%

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.

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Other Providers at the Same Location NPPES 6

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

MYO M NWE MD

Internal Medicine

744 ARDEN LN, #100
ROCK HILL, SC 29732

York County (803) 325-2236

EAR NOSE THROAT & AUDIOLOGY ASSOCIATES

Otolaryngology

744 ARDEN LN, SUITE 200
ROCK HILL, SC 29732

York County (803) 328-3686

THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA

Specialist

744 ARDEN LN, SUITE 225
ROCK HILL, SC 29732

York County (803) 329-1660

MCW DENTISTRY

Dentist (General Practice)

744 ARDEN LN, SUITE 150
ROCK HILL, SC 29732

York County (803) 980-7645

DR. DAVID A BURACK MD

Internal Medicine (Rheumatology)

744 ARDEN LN, SUITE 225
ROCK HILL, SC 29732

York County (803) 329-1660

ACE MEDICAL GROUP PLLC

Internal Medicine

744 ARDEN LN, #100
ROCK HILL, SC 29732

York County (803) 325-2236

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 Wilson's NPI number?

The NPI number for James Wilson is 1184627317. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is James Wilson located?

James Wilson practices at 744 Arden Ln Suite 225, Rock Hill, SC 29732. The listed phone number is (803) 329-1660.

What is James Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is James Wilson enrolled in Medicare?

Yes. James Wilson 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 Wilson accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list James Wilson 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 Wilson affiliated with any hospitals?

According to CMS data, James Wilson is affiliated with Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for James Wilson was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.