DR. JAMES DAVID SCARLES M.D.
NPI 1194710269
Internal Medicine in Mystic, CT
About Dr. James David Scarles M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES DAVID SCARLES M.D. (NPI 1194710269) is an individual internal medicine provider in Mystic, Connecticut, licensed in Connecticut (031487) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. James David Scarles 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Scarles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 747 clinicians in this Medicare group
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- 468 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Scarles's NPI number?
The NPI number for James Scarles is 1194710269. It was assigned to this individual provider in the NPPES registry on September 15, 2005.
Where is James Scarles located?
James Scarles practices at 200 Sandy Hollow Rd, Mystic, CT 06355. The listed phone number is (860) 572-8911.
What is James Scarles's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is James Scarles enrolled in Medicare?
Yes. James Scarles 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 organizations bill Medicare for James Scarles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Scarles reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and Cornell Scott Hill Health Corporation (New Haven, CT). Each 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 Scarles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for James Scarles was last updated on December 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. James David Scarles, M.D. · NPI 1194710269
Internal Medicine physician in Mystic, Connecticut. Individual provider, active in the CMS NPPES registry since September 15, 2005.
## Identity
- **NPI:** 1194710269 (Entity type: Individual)
- **Enumerated:** September 15, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 031487 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 SANDY HOLLOW RD, Mystic, CT 06355-1720
- **Phone:** (860) 572-8911 · **Fax:** (860) 572-7758
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hartford Healthcare Medical Group, Inc (NPI 1043561301, Wethersfield, CT); Cornell Scott Hill Health Corporation (NPI 1902921380, New Haven, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 1988
## Record status
- **NPPES last updated:** December 22, 2009
- **Other identifiers:** Medicare PIN 110003897 (CT); Medicare UPIN E77540 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1194710269) · Data from the CMS NPPES public registry.