DR. JAMES KAPPENMAN M.D.
NPI 1235369604
Obstetrics & Gynecology in Fargo, ND

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
2400 32ND AVE S, FARGO, ND 58103(701) 234-8880 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Kappenman M.d. NPPES

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

DR. JAMES KAPPENMAN M.D. (NPI 1235369604) is an individual obstetrics & gynecology provider in Fargo, North Dakota, licensed in North Dakota (12846) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Creighton University School Of Medicine (2009).

NPPES Registry Identity

NPI1235369604
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES KAPPENMANCredential: M.D.
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (701) 234-2000
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2009
Enumeration DateJuly 20, 2009
Last NPPES UpdateDecember 3, 2019
NPI 1235369604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in ND · 12846 Licensed in NE · 6101
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2400 32ND AVE S, Fargo, ND 58103

Other Identifiers 1

Medicaid18296ND

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 Kappenman 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 ID2769626670
PECOS Enrollment IDI20130916000342, I20140929001413
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services19 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103

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 Kappenman's NPI number?

The NPI number for James Kappenman is 1235369604. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is James Kappenman located?

James Kappenman practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-8880.

What is James Kappenman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Kappenman enrolled in Medicare?

Yes. James Kappenman 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 Kappenman accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list James Kappenman 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 Kappenman affiliated with any hospitals?

According to CMS data, James Kappenman is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for James Kappenman was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.