DR. JAMES EATON MD NPI 1205826120
Radiology - Diagnostic Radiology in Aurora, CO

Individual Male Years of Experience 22 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About DR. JAMES EATON MD

James Eaton is a provider established in Aurora, Colorado and his medical specialization is Radiology with a focus in diagnostic radiology with more than 22 years of experience. He graduated from Vanderbilt University School Of Medicine in 2001. The NPI number of James Eaton is 1205826120 and was assigned on October 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 12460 (HI). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1205826120
Provider NameDR. JAMES EATON MD
Provider Location Address12605 E 16TH AVE AURORA, CO 80045
Provider Mailing AddressPO BOX 876 AURORA, CO 80040
GenderMale
NPI Entity TypeIndividual
Medical School NameVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2001
Is Sole Proprietor?No
Enumeration Date10-21-2005
Last Update Date10-04-2011

James Eaton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

James Eaton is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Prov Sacred Hrt Med Ctr & Childs Hosp., Kadlec Regional Medical Center, St. Patrick Hospital, Providence St Mary Medical Center and Providence Holy Family Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: . The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.01 for a new patient copayment and $18.75 for an established patient copayment.



Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.12460
License StateHI
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. JAMES EATON MD
12605 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 848-0000

Get Directions


Mailing Address

DR. JAMES EATON MD
PO BOX 876
AURORA, CO
ZIP 80040
Phone: (303) 493-7000


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7618152323
PECOS Enrollment IDI20180104001863, I20180417002574
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 80045 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$60.06 $181 $92.04
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.01 $45.25 $23.01
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.98 $148.2 $75
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.74 $37.05 $18.75

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. James Eaton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PROV SACRED HRT MED CTR & CHILDS HOSP.101 WEST 8TH AVENUE
SPOKANE, WA 99204
(509) 474-3040Acute Care Hospitals500054
KADLEC REGIONAL MEDICAL CENTER888 SWIFT BLVD
RICHLAND, WA 99352
(509) 946-4611Acute Care Hospitals500058
ST. PATRICK HOSPITAL500 W BROADWAY
MISSOULA, MT 59806
(406) 543-7271Acute Care Hospitals270014
PROVIDENCE ST MARY MEDICAL CENTER401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 522-5900Acute Care Hospitals500002
PROVIDENCE HOLY FAMILY HOSPITAL5633 NORTH LIDGERWOOD
SPOKANE, WA 99208
(509) 482-2450Acute Care Hospitals500077

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205826120
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051621214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 6 + 2 + 1 + 2 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1205826120 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992701411 ELIZABETH CERIMELE CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1700884541 RUTH E PARKER CNM
Individual
Advanced Practice Midwife12605 E 16TH AVE UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
(720) 848-0000
1710987698 JESSICA ANDERSON CNM
Individual
Advanced Practice Midwife12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1932190782DR. ROY M WILSON M.D.
Individual
Ophthalmology12605 E 16TH AVE UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
(720) 848-0000
1972594190 ERIN WELCH MD
Individual
Dermatology12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1437130101 NEKO UPSON CNM
Individual
Advanced Practice Midwife12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1346222114DR. ANGELA M DAVIES M.D.
Individual
Internal Medicine (Hematology & Oncology)12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1013993526 MICHAEL JOBIN MD
Individual
Emergency Medicine12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1740266964 TODD GUTH MD
Individual
Emergency Medicine12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1831169952 JAVIER WAKSMAN MD
Individual
Internal Medicine12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1285605535 MONICA WAZIRI CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1215903174 KENNETH TYLER MD
Individual
Psychiatry & Neurology (Clinical Neurophysiology)12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1831166701 DANIEL MERRICK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1730157942 DONNA LILLY CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1861453128 SARAH CHILTON MD
Individual
Radiology (Body Imaging)12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1609838770 BETTYANN HEPPLER CNM
Individual
Advanced Practice Midwife12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1659334324 KATHLEEN MITCHELL CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1568426070 PRISCILLA NODINE CNM
Individual
Advanced Practice Midwife12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1386600237DR. RICHARD ZANE MD
Individual
Emergency Medicine12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1760449607MS. CHERYL A MCGINNIS CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. James Eaton Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.