DR. JAISON JAMES M.D.
NPI 1255594818
Orthopaedic Surgery in Martinez, CA

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1815 ARNOLD DR, MARTINEZ, CA 94553(510) 962-8969(510) 962-8923 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jaison James M.d. NPPES

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

DR. JAISON JAMES M.D. (NPI 1255594818) is an individual orthopaedic surgery provider in Martinez, California, licensed in California (A110648) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Antioch, and is a graduate of Albany Medical College Of Union University (2005).

NPPES Registry Identity

NPI1255594818
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAISON JAMESCredential: M.D.
Location Address1815 ARNOLD DRMartinez, CA 94553-4219
Mailing Address63 Fox CtMartinez, CA 94553-9680 · (925) 360-2777
Fax(510) 962-8923
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2005
Enumeration DateJuly 3, 2008
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
NPI 1255594818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in CA · A110648 Licensed in NY · 258964
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1815 ARNOLD DR, Martinez, CA 94553

Secondary Practice Location 1

Location 14053 Lone Tree WayAntioch, CA 94531-6210 · Phone (510) 204-1844

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. Jaison James 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 ID547385114
PECOS Enrollment IDI20100920000654
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 9

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, 30-39 minutes 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.
32 services19 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
New patient office or other outpatient visit, 45-59 minutes 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.
17 services17 patients
Removal of entire shoulder joint lining using an endoscope 29821
This procedure involves the use of an endoscope, a small camera, to view and remove the lining of your shoulder joint. It's typically done to alleviate pain or discomfort caused by conditions like arthritis or inflammation.
15 services15 patients
Limited removal of abnormal shoulder joint tissue using endoscope 29822
This procedure involves the use of a tiny camera, known as an endoscope, to examine and remove abnormal tissue in the shoulder joint. It's a minimally invasive method, which means it requires smaller incisions, reducing recovery time and discomfort.
15 services15 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94553 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$114.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Ophthalmology
1815 ARNOLD DR
MARTINEZ, CA 94553
Ophthalmology
1815 ARNOLD DR
MARTINEZ, CA 94553
Surgery
1815 ARNOLD DR
MARTINEZ, CA 94553
Plastic Surgery
1815 ARNOLD DR
MARTINEZ, CA 94553
Clinic/Center (Ambulatory Surgical)
1815 ARNOLD DR
MARTINEZ, CA 94553
Nurse Practitioner (Family)
1815 ARNOLD DR
MARTINEZ, CA 94553
Clinic/Center (Ambulatory Surgical)
1815 ARNOLD DR
MARTINEZ, CA 94553
Orthopaedic Surgery
1815 ARNOLD DR
MARTINEZ, CA 94553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255594818, enumerated as an "individual" on July 03, 2008.

The provider is located at 1815 ARNOLD DR MARTINEZ, CA 94553 and the phone number is (510) 962-8969.

Orthopaedic Surgery with taxonomy code 207X00000X.