DR. JAMES CARLOS RAPLEY M.D.
NPI 1235399973
Psychiatry & Neurology - Psychiatry in Norfolk, VA

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
825 FAIRFAX AVE STE 710, NORFOLK, VA 23507(757) 446-5888 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2020, Jul 14, 2020 (2 updates tracked since 2020).

About Dr. James Carlos Rapley M.d. NPPES

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

DR. JAMES CARLOS RAPLEY M.D. (NPI 1235399973) is an individual psychiatry provider in Norfolk, Virginia, licensed in Virginia (0101246305) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Harvard Medical School (2008).

NPPES Registry Identity

NPI1235399973
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JAMES CARLOS RAPLEYCredential: M.D.
Location Address825 FAIRFAX AVE STE 710Norfolk, VA 23507-1914
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2008
Enumeration DateJune 16, 2008
Last NPPES UpdateDecember 30, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
NPI 1235399973 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 VA · 0101246305
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.

825 FAIRFAX AVE STE 710, Norfolk, VA 23507

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 Carlos Rapley 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 ID4789823253
PECOS Enrollment IDI20200721002841
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
113 services24 patients
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.
73 services15 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.
54 services18 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.
35 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services17 patients

Hospital Affiliations CMS Care Compare

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.31
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.

Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE STE 710, EVMS DEPT OF PSYCHIATRY & BEHAVIORAL SCIENCES
NORFOLK, VA 23507
Psychologist (Clinical)
825 FAIRFAX AVE STE 710
NORFOLK, VA 23507
Psychologist (Clinical)
825 FAIRFAX AVE STE 710
NORFOLK, VA 23507
Counselor (Professional)
825 FAIRFAX AVE STE 710
NORFOLK, VA 23507
Psychiatry & Neurology (Psychiatry)
825 FAIRFAX AVE STE 710
NORFOLK, VA 23507
Psychiatry & Neurology (Psychiatry)
825 FAIRFAX AVE STE 710
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE STE 710
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE STE 710
NORFOLK, VA 23507

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235399973, enumerated as an "individual" on June 16, 2008.

The provider is located at 825 FAIRFAX AVE STE 710 NORFOLK, VA 23507 and the phone number is (757) 446-5888.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.

James Rapley is affiliated with: SENTARA NORFOLK GENERAL HOSPITAL.