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DR. JAMES R PORTER JR. M.D.
NPI 1215989546
Urology in Seattle, WA

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
1101 MADISON ST, SUITE 1400, SEATTLE, WA 98104(206) 386-6266(206) 622-1052 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2021, Mar 17, 2018, Dec 13, 2017 (3 updates tracked since 2017).

About Dr. James R Porter Jr. M.d. NPPES

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

DR. JAMES R PORTER JR. M.D. (NPI 1215989546) is an individual urology provider in Seattle, Washington, licensed in Washington (MD00030361) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1215989546
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JAMES R PORTER JR.Credential: M.D.
Location Address1101 MADISON ST, SUITE 1400Seattle, WA 98104-1306
Mailing Address1101 Madison St, Suite 1400Seattle, WA 98104-1306 · (206) 386-6266 · Fax (206) 622-1052
Phone(206) 386-6266
Fax(206) 622-1052
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1990
Enumeration DateMay 16, 2006
Last NPPES UpdateJune 22, 20213 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1215989546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in WA · MD00030361✔ Licensed in NV · 17336
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1101 MADISON ST, Seattle, WA 98104
Open in Google Maps ↗

Secondary Practice Location 1

Location 13530 E Flamingo Rd Ste 105Las Vegas, NV 89121-5091 · Phone (855) 847-5571

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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 R Porter Jr. 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 ID941242481
PECOS Enrollment IDI20050525000604
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.

Medicare Billing Reassignment

Medicare enrollment records show James Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swedish Health Services
0.4 mi
Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
NPI 1689612954 (206) 320-2700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.
82 services70 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.
61 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services32 patients
Surgical removal of prostate and surrounding lymph nodes using an endoscope 55866
This is a minimally invasive procedure where a small camera (endoscope) is used to remove a gland located in the lower body and nearby small filtering structures. It's done to prevent the spread of unwanted cells and improve overall health.
25 services25 patients
Partial removal of kidney using an endoscope 50543
This procedure, also known as partial nephrectomy, involves the use of an endoscope to remove a portion of your kidney. It's typically done to treat kidney disease or remove a small tumor. The endoscope, a thin tube with a camera, allows the surgeon to see and operate without making a large incision.
19 services19 patients
Removal of lymph nodes of both sides of pelvis using an endoscope 38571
This procedure involves using a small camera (endoscope) to view and remove lymph nodes from both sides of your lower torso. Lymph nodes help filter harmful substances from the body. The procedure is done to prevent the spread of certain conditions.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
54%69 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
86%616 patients5/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
69%29 patients3/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%573 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
79%1,019 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
30%851 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%379 patients4/55-star benchmark: 90%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
49%851 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
28%851 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 379 patients
1%379 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%851 patients
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.

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.

KAREN L. BOHMKE MD
Obstetrics & Gynecology
1101 MADISON ST, #1150
SEATTLE, WA 98104
King County (206) 386-3400
DR. TED M ZOLLMAN MD
Ophthalmology
1101 MADISON ST, STE. 600
SEATTLE, WA 98104
King County (206) 215-2020
PETER S HESSLEIN MD
Pediatrics (Pediatric Cardiology)
1101 MADISON ST, STE 800
SEATTLE, WA 98104
King County (206) 215-2700
MRS. DESIREE ROSE CONNELLY CNM
Midwife
1101 MADISON ST, SUITE 950
SEATTLE, WA 98104
King County (206) 988-2080
MARY A. WEMPLE M.D.
Internal Medicine (Rheumatology)
1101 MADISON ST, SUITE 301
SEATTLE, WA 98104
King County (206) 505-1101
ERIC BRANDON PONG MD
Surgery
1101 MADISON ST
SEATTLE, WA 98104
King County (253) 363-7493
STEVEN STANOS JR. DO
Physical Medicine & Rehabilitation (Pain Medicine)
1101 MADISON ST, SUITE 200
SEATTLE, WA 98104
King County (206) 386-2013
AESTHETIC ASSOCIATES INC P S
Clinic/Center (Ambulatory Surgical)
1101 MADISON ST, SUITE 1280
SEATTLE, WA 98104
King County (206) 624-6200

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 Porter's NPI number?

The NPI number for James Porter is 1215989546. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is James Porter located?

James Porter practices at 1101 Madison St Suite 1400, Seattle, WA 98104. The listed phone number is (206) 386-6266.

What is James Porter's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Porter enrolled in Medicare?

Yes. James Porter 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 organization bills Medicare for James Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Porter reassigns Medicare benefits to Swedish Health Services (Seattle, WA). The 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 Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Porter accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list James Porter 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 Porter affiliated with any hospitals?

According to CMS data, James Porter is affiliated with Swedish Medical Center, Olympic Medical Center and Jefferson Healthcare.

When was this NPI record last updated?

The NPPES record for James Porter was last updated on June 22, 2021. 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.