JAMES M HOTALING MD
NPI 1235249509
Urology in Seattle, WA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
1959 NE PACIFIC ST, C212, BOX 356340, SEATTLE, WA 98195(206) 543-0065 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2021, May 6, 2021 (2 updates tracked since 2021).

About James M Hotaling Md NPPES

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

JAMES M HOTALING MD (NPI 1235249509) is an individual urology provider in Seattle, Washington, licensed in Utah (8638628-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Duke University School Of Medicine (2006).

NPPES Registry Identity

NPI1235249509
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJAMES M HOTALINGCredential: MD
Location Address1959 NE PACIFIC ST, C212, BOX 356340Seattle, WA 98195-6340
Mailing Address1959 Ne Pacific St, C212, Box 356340Seattle, WA 98195-6340
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2006
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
NPI 1235249509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in UT · 8638628-1205
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.
Also ListedSurgeryTaxonomy 208600000X · License ML20008532 (WA)
1959 NE PACIFIC ST, Seattle, WA 98195

Accepted Insurance

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

James M Hotaling Md 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 ID9638303068
PECOS Enrollment IDI20131017001534, I20211116000361
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.

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.

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.
14 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

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 Hotaling's NPI number?

The NPI number for James Hotaling is 1235249509. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is James Hotaling located?

James Hotaling practices at 1959 NE Pacific St C212, Box 356340, Seattle, WA 98195. The listed phone number is (206) 543-0065.

What is James Hotaling's specialty?

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

Is James Hotaling enrolled in Medicare?

Yes. James Hotaling 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.

What insurance does James Hotaling accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Utah and 2 other insurers list James Hotaling 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 Hotaling affiliated with any hospitals?

According to CMS data, James Hotaling is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for James Hotaling was last updated on October 19, 2021. 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.