DR. JOHN T JAMES D.O.
NPI 1255303962
Radiology - Diagnostic Radiology in Phoenix, AZ

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
19829 N 27TH AVE, PHOENIX, AZ 85027(623) 978-5720 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John T James D.o. NPPES

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

DR. JOHN T JAMES D.O. (NPI 1255303962) is an individual diagnostic radiology provider in Phoenix, Arizona, licensed in Arizona (2290) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wickenburg, and is a graduate of University Of Washington School Of Medicine.

NPPES Registry Identity

NPI1255303962
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JOHN T JAMESCredential: D.O.
Location Address19829 N 27TH AVEPhoenix, AZ 85027-4001
Mailing AddressPo Box 27340Phoenix, AZ 85061-7340 · (602) 943-9200 · Fax (602) 216-3000
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of Medicine
Enumeration DateFebruary 6, 2006
Last NPPES UpdateApril 26, 2024
NPPES CertifiedApril 26, 2024
✔ NPI 1255303962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AZ · 2290
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
19829 N 27TH AVE, Phoenix, AZ 85027

Secondary Practice Location 1

Location 1520 Rose LnWickenburg, AZ 85390-1447 · Phone (928) 668-1803 · Fax (928) 684-2434

Other Identifiers 5

Other300039293AZ · Railroad Medicare
Other1Z7086AZ · Health Net Of Az
Medicaid285636AZ
OtherAZ0221810AZ · Bcbsaz
OtherXTE004940AZ · Medi-cal Medicaid

Accepted 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. John T James 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 ID244137859
PECOS Enrollment IDI20060425000523
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

4

Medicare enrollment records show John James reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1955 W FRYE RD
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 28 clinicians in this Medicare group
Critical Access
520 ROSE LN
Wickenburg, AZ 85390
  • Reassigned Medicare billing, Arizona enrollment
  • 80 clinicians in this Medicare group
Critical Access
901 W REX ALLEN DR
Willcox, AZ 85643
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group

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 18

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
155 services154 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
103 services101 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
99 services99 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
60 services60 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
34 services34 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85027 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
23%558 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
64%53 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospitalist
19829 N 27TH AVE
PHOENIX, AZ 85027
Hospitalist
19829 N 27TH AVE, HOSPITALIST OFFICE
PHOENIX, AZ 85027
Radiology (Diagnostic Radiology)
19829 N 27TH AVE
PHOENIX, AZ 85027
Hospitalist
19829 N 27TH AVE
PHOENIX, AZ 85027
Nurse Practitioner
19829 N 27TH AVE
PHOENIX, AZ 85027
Radiology (Diagnostic Radiology)
19829 N 27TH AVE
PHOENIX, AZ 85027
Emergency Medicine
19829 N 27TH AVE
PHOENIX, AZ 85027
Radiology (Diagnostic Radiology)
19829 N 27TH AVE
PHOENIX, AZ 85027

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 John James's NPI number?

The NPI number for John James is 1255303962. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is John James located?

John James practices at 19829 N 27th Ave, Phoenix, AZ 85027. The listed phone number is (623) 978-5720.

What is John James's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John James enrolled in Medicare?

Yes. John James 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 John James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John James reassigns Medicare benefits to 4 organizations: East Valley Radiology Associates PLLC (Chandler, AZ), Community Hospital Association, Inc. (Wickenburg, AZ), Northern Cochise Community Hospital Inc (Willcox, AZ) and City Of Hope Medical Group Of Georgia LLC (Newnan, GA). 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 John James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John James accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list John James 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 John James was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.