DR. JAMES HILTON POWERS MD
NPI 1255960316
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lexington, MA

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
1 MAGUIRE RD, LEXINGTON, MA 02421(781) 860-1700 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2025, Apr 2, 2020 (2 updates tracked since 2020).

About Dr. James Hilton Powers Md NPPES

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

DR. JAMES HILTON POWERS MD (NPI 1255960316) is an individual child & adolescent psychiatry provider in Lexington, Massachusetts, licensed in Massachusetts (1014194) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Duke University School Of Medicine (2020).

NPPES Registry Identity

NPI1255960316
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JAMES HILTON POWERSCredential: MD
Location Address1 MAGUIRE RDLexington, MA 02421-3114
Mailing Address346 Congress St Unit 108Boston, MA 02210-1268 · (617) 686-9235
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1255960316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MA · 1014194
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1 MAGUIRE RD, Lexington, MA 02421

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. James Hilton Powers Md 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 ID6305359514
PECOS Enrollment IDI20250701002413
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

2

Medicare enrollment records show James Powers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 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.

Hospital Affiliations CMS Care Compare

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

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

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.

Psychologist
1 MAGUIRE RD
LEXINGTON, MA 02421
Pediatrics
1 MAGUIRE RD, LURIE CENTER FOR AUTISM
LEXINGTON, MA 02421
Psychologist
1 MAGUIRE RD
LEXINGTON, MA 02421
Social Worker (Clinical)
1 MAGUIRE RD
LEXINGTON, MA 02421
Psychiatry & Neurology (Psychiatry)
1 MAGUIRE RD
LEXINGTON, MA 02421
Speech-Language Pathologist
1 MAGUIRE RD
LEXINGTON, MA 02421
Clinic/Center (Developmental Disabilities)
1 MAGUIRE RD
LEXINGTON, MA 02421
Psychologist
1 MAGUIRE RD
LEXINGTON, MA 02421

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 Powers's NPI number?

The NPI number for James Powers is 1255960316. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is James Powers located?

James Powers practices at 1 Maguire Rd, Lexington, MA 02421. The listed phone number is (781) 860-1700.

What is James Powers's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is James Powers enrolled in Medicare?

Yes. James Powers 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 James Powers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Powers reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 James Powers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Powers accept?

Health plans from Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list James Powers 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 Powers affiliated with any hospitals?

According to CMS data, James Powers is affiliated with Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for James Powers was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.