DR. JAMES DAVID SCARLES M.D.
NPI 1194710269
Internal Medicine in Mystic, CT

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating
200 SANDY HOLLOW RD, MYSTIC, CT 06355(860) 572-8911(860) 572-7758 Get Directions Write a Review

NPPES record last updated: December 22, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1194710269
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES DAVID SCARLESCredential: M.D.
Location Address200 SANDY HOLLOW RDMystic, CT 06355-1720
Mailing Address200 Sandy Hollow RdMystic, CT 06355-1720 · (860) 572-8911 · Fax (860) 572-7758
Fax(860) 572-7758
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1988
Enumeration DateSeptember 15, 2005
Last NPPES UpdateDecember 22, 2009
NPI 1194710269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 031487
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

200 SANDY HOLLOW RD, Mystic, CT 06355

Other Identifiers 2

Medicare PIN110003897CT
Medicare UPINE77540CT

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 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.

PECOS PAC ID8123214400
PECOS Enrollment IDI20110215000153
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 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.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.51
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims55 services$6.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Ophthalmology
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355

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.

When was this NPI record last updated?

The NPPES record for James Scarles was last updated on December 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.