JAMES C XENOPHON MD
NPI 1265430334
Obstetrics & Gynecology in Pottsville, PA

Q: What is James Xenophon's NPI number?

The NPI number for James Xenophon is 1265430334. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is James Xenophon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Xenophon was last updated on March 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment

79.95/100

CMS Quality Rating

171 RED HORSE RD, POTTSVILLE, PA 17901(570) 628-2229(570) 516-9212 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James C Xenophon Md NPPES

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

JAMES C XENOPHON MD (NPI 1265430334) is an individual obstetrics & gynecology provider in Pottsville, Pennsylvania, licensed in Pennsylvania (MD426232) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1984).

NPPES Registry Identity

NPI1265430334

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJAMES C XENOPHONCredential: MD

Location Address171 RED HORSE RDPottsville, PA 17901-9119

Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-4500

Phone(570) 628-2229

Fax(570) 516-9212

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1984

Enumeration DateJuly 12, 2005

Last NPPES UpdateMarch 27, 2019

✔ NPI 1265430334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in PA · MD426232

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.

171 RED HORSE RD, Pottsville, PA 17901

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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

James C Xenophon 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 ID143265553

PECOS Enrollment IDI20050627000520

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

35 services35 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.

30 services22 patients

Hospital Affiliations CMS Care Compare

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390030

Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

79.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.91

Promoting Interoperability

Improvement Activities

Cost

61.81

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Other Providers at the Same Location NPPES 9

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

COMPREHENSIVE WOMEN'S HEALTH SERVICES, P.C.

Obstetrics & Gynecology