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DR. JAMES PRICE COLVARD D.O.
NPI 1225312432
Family Medicine in Vestavia Hills, AL

Active since October 06, 2011PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
200 MONTGOMERY HWY STE 100, VESTAVIA HILLS, AL 35216(205) 212-6655(205) 212-6656 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 7, 2022, Mar 1, 2018 (2 updates tracked since 2018).

About Dr. James Price Colvard D.o. NPPES

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

DR. JAMES PRICE COLVARD D.O. (NPI 1225312432) is an individual family medicine provider in Vestavia Hills, Alabama, licensed in Alabama (DO.1195) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1225312432
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES PRICE COLVARDCredential: D.O.
Location Address200 MONTGOMERY HWY STE 100Vestavia Hills, AL 35216-1892
Mailing Address200 Montgomery Hwy Ste 100Vestavia Hills, AL 35216-1892 · (205) 212-6655 · Fax (205) 212-6656
Phone(205) 212-6655
Fax(205) 212-6656
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2009
Enumeration DateOctober 6, 2011
Last NPPES UpdateFebruary 7, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1225312432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · DO.1195
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 MONTGOMERY HWY STE 100, Vestavia Hills, AL 35216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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 Price Colvard D.o. 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 ID5597939744
PECOS Enrollment IDI20111128000251
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 Reassignments

2

Medicare enrollment records show James Colvard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vincentian Physician Services LLC
3.8 mi
Family Medicine
810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 263 clinicians in this Medicare group
NPI 1851698310 (205) 930-2346
Baptist Health Centers, LLC
40 mi
Family Medicine
47344 US HIGHWAY 78
Lincoln, AL 35096
  • Reassigned Medicare billing, Alabama enrollment
  • 430 clinicians in this Medicare group
NPI 1770547804 (205) 763-7848

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 11

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.
244 services166 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
162 services162 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.
94 services70 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
56 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
51 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35216 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
17 suppliers59 claims139 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers26 claims32 services$1.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$72.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers38 claims41 services$189.46 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 2

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

ABBY HEWITT NP
Nurse Practitioner (Family)
200 MONTGOMERY HWY STE 100
VESTAVIA HILLS, AL 35216
Jefferson County (205) 212-6655
ST. VINCENT'S ORTHOPEDICS, PC
Durable Medical Equipment & Medical Supplies
200 MONTGOMERY HWY STE 100
VESTAVIA HILLS, AL 35216
Jefferson County (205) 933-7838

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 Colvard's NPI number?

The NPI number for James Colvard is 1225312432. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is James Colvard located?

James Colvard practices at 200 Montgomery Hwy Ste 100, Vestavia Hills, AL 35216. The listed phone number is (205) 212-6655.

What is James Colvard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Colvard enrolled in Medicare?

Yes. James Colvard 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 Colvard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Colvard reassigns Medicare benefits to 2 organizations: Vincentian Physician Services LLC (Birmingham, AL) and Baptist Health Centers, LLC (Lincoln, AL). 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 Colvard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Colvard accept?

Health plans from Blue Cross and Blue Shield of Alabama list James Colvard 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 Colvard was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.