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

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: October 18, 2026.

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
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

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

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.

Medicare Billing Reassignments

4

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

Family Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Emergency Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
General Practice
564 W BROAD ST, SUITE 2
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hazleton Professional Services
  • 305 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
400 N 17TH ST STE 300
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 296 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 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
Quality76.91
Promoting Interoperability87
Improvement Activities40
Cost61.81

Other Providers at the Same Location NPPES 10

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

Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Surgery
171 RED HORSE RD
POTTSVILLE, PA 17901
Physician Assistant
171 RED HORSE RD
POTTSVILLE, PA 17901
Nurse Practitioner (Family)
171 RED HORSE RD
POTTSVILLE, PA 17901
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Advanced Practice Midwife
171 RED HORSE RD
POTTSVILLE, PA 17901

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 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.

Where is James Xenophon located?

James Xenophon practices at 171 Red Horse Rd, Pottsville, PA 17901. The listed phone number is (570) 628-2229.

What is James Xenophon's specialty?

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

Is James Xenophon enrolled in Medicare?

Yes. James Xenophon 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 Xenophon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Xenophon reassigns Medicare benefits to 4 organizations: Lehigh Valley Physician Group (Pottsville, PA), Schuylkill Health System Medical Group, Inc. (Pottsville, PA), Lehigh Valley Physician Group (Hazleton, PA) and Valley Health Partners Community Health Center (Allentown, PA). 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 Xenophon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Xenophon affiliated with any hospitals?

According to CMS data, James Xenophon is affiliated with Schuylkill Medical Center - South Jackson Street.

When was this NPI record last updated?

The NPPES record for James Xenophon was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.