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DR. JAMES THOMAS PAWLOWSKI MD
NPI 1225063142
Psychiatry & Neurology - Psychiatry in Wilmington, NC

Active since July 11, 2006PECOS Enrolled
4306 FORWALT PL, WILMINGTON, NC 28409(910) 622-0206 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Thomas Pawlowski Md NPPES

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

DR. JAMES THOMAS PAWLOWSKI MD (NPI 1225063142) is an individual psychiatry provider in Wilmington, North Carolina, licensed in North Carolina (36795) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1989).

NPPES Registry Identity

NPI1225063142
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JAMES THOMAS PAWLOWSKICredential: MD
Location Address4306 FORWALT PLWilmington, NC 28409-8175
Mailing Address4306 Forwalt PlWilmington, NC 28409-8175 · (910) 622-0206
Phone(910) 622-0206
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1989
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1225063142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 36795
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4306 FORWALT PL, Wilmington, NC 28409
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Other Identifiers 1

Medicaid8966228NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Thomas Pawlowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759396989
PECOS Enrollment IDI20060214000698
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 Pawlowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

James T Pawlowski PC
Same address
Psychiatry
4306 FORWALT PL
Wilmington, NC 28409
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1700089703 (910) 251-1976

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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
452 services93 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.
416 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28409 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES

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

JAMES T PAWLOWSKI PC
Psychiatry & Neurology (Psychiatry)
4306 FORWALT PL
WILMINGTON, NC 28409
New Hanover County (910) 251-1976

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 Pawlowski's NPI number?

The NPI number for James Pawlowski is 1225063142. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is James Pawlowski located?

James Pawlowski practices at 4306 Forwalt Pl, Wilmington, NC 28409. The listed phone number is (910) 622-0206.

What is James Pawlowski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Pawlowski enrolled in Medicare?

Yes. James Pawlowski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Pawlowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pawlowski reassigns Medicare benefits to James T Pawlowski PC (Wilmington, NC). 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 Pawlowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pawlowski accept?

Health plans from Blue Cross and Blue Shield of NC list James Pawlowski 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.

When was this NPI record last updated?

The NPPES record for James Pawlowski was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.