DR. JAMES MATTHEW MAHER M.D.
NPI 1235334145
Internal Medicine - Cardiovascular Disease in Rock Hill, SC

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment
76.39/100
CMS Quality Rating
196 CARDIOLOGY DR, ROCK HILL, SC 29732(803) 324-5135(803) 324-8161 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, May 9, 2024, May 20, 2021 (3 updates tracked since 2021).

About Dr. James Matthew Maher M.d. NPPES

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

DR. JAMES MATTHEW MAHER M.D. (NPI 1235334145) is an individual cardiovascular disease provider in Rock Hill, South Carolina, licensed in South Carolina (82486) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1235334145
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JAMES MATTHEW MAHERCredential: M.D.
Location Address196 CARDIOLOGY DRRock Hill, SC 29732-1174
Mailing Address196 Cardiology DrRock Hill, SC 29732-1174 · (803) 324-5135 · Fax (803) 324-8161
Fax(803) 324-8161
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 19, 2007
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1235334145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in SC · 82486
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X · License 82486 (SC)
196 CARDIOLOGY DR, Rock Hill, SC 29732

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

Dr. James Matthew Maher 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 ID840357182
PECOS Enrollment IDI20190917003704
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 37

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.
986 services476 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
980 services243 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
443 services199 patients
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555
Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
384 services191 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
374 services366 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
354 services49 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

76.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.23
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Cardiovascular Disease)
196 CARDIOLOGY DR
ROCK HILL, SC 29732
Nurse Practitioner (Gerontology)
196 CARDIOLOGY DR
ROCK HILL, SC 29732
Internal Medicine (Cardiovascular Disease)
196 CARDIOLOGY DR
ROCK HILL, SC 29732
Internal Medicine (Clinical Cardiac Electrophysiology)
196 CARDIOLOGY DR
ROCK HILL, SC 29732
Internal Medicine (Cardiovascular Disease)
196 CARDIOLOGY DR
ROCK HILL, SC 29732
Internal Medicine (Cardiovascular Disease)
196 CARDIOLOGY DR
ROCK HILL, SC 29732
Nurse Practitioner
196 CARDIOLOGY DR
ROCK HILL, SC 29732
Internal Medicine (Cardiovascular Disease)
196 CARDIOLOGY DR
ROCK HILL, SC 29732

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 Maher's NPI number?

The NPI number for James Maher is 1235334145. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is James Maher located?

James Maher practices at 196 Cardiology Dr, Rock Hill, SC 29732. The listed phone number is (803) 324-5135.

What is James Maher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Maher enrolled in Medicare?

Yes. James Maher 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 Maher accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list James Maher 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 Maher affiliated with any hospitals?

According to CMS data, James Maher is affiliated with Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for James Maher was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.