DR. JAMES M SCANLON MD
NPI 1265528319
Surgery in Naples, FL

Q: What is James Scanlon's NPI number?

The NPI number for James Scanlon is 1265528319. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is James Scanlon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Scanlon was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

130 9TH ST N, SUITE 120, NAPLES, FL 34102(239) 649-0550(239) 649-1785 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. James M Scanlon Md NPPES

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

DR. JAMES M SCANLON MD (NPI 1265528319) is an individual surgery provider in Naples, Florida, licensed in Florida (ME105132) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of George Washington University School Of Medicine (2000).

NPPES Registry Identity

NPI1265528319

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JAMES M SCANLONCredential: MD

Location Address130 9TH ST N, SUITE 120Naples, FL 34102-6224

Mailing Address130 9th St N, Suite 120Naples, FL 34102-6224 · (239) 649-0550 · Fax (239) 649-1785

Phone(239) 649-0550

Fax(239) 649-1785

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 2000

Enumeration DateOctober 5, 2006

Last NPPES UpdateNovember 14, 2013

✔ NPI 1265528319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME105132

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

130 9TH ST N, Naples, FL 34102

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Other Identifiers 3

Medicare PINCR987FL

Medicare UPINI69468MD

Medicare PIN131952ZATUMD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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 M Scanlon 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 ID4183726268

PECOS Enrollment IDI20100202000810

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

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

Naples Vascular Specialists LLC

0.2 mi

Vascular Surgery

130 9TH ST N STE 120
Naples, FL 34102

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1659710556 (239) 649-0550

Cardiothoracic & Vascular Surgical Associates PA

287 mi

Surgery

1824 KING ST STE 200
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
102 clinicians in this Medicare group

NPI 1245111335 (850) 479-1805

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 20

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.

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.

555 services476 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

226 services224 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

137 services122 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

131 services131 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

108 services85 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

104 services23 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

88 services82 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

73 services63 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

69 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.

56 services56 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

53 services52 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

42 services42 patients

Ultrasound of one side of head and neck blood flow 93882

An ultrasound of one side of the head and neck blood flow is a non-invasive procedure that uses sound waves to create images of blood vessels. It helps identify any blockages or abnormalities in blood flow, aiding in early detection of potential health issues.

35 services34 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

29 services25 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

27 services23 patients

Laser destruction of incompetent vein of arm or leg using imaging guidance 36478

Laser destruction of an incompetent vein is a non-invasive procedure where a laser is used to seal off a malfunctioning vein in the arm or leg. The process is guided by imaging technology to ensure precision and effectiveness. This helps alleviate symptoms like pain and swelling.

18 services15 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

16 services16 patients

Ultrasonic guidance for blood vessel access 76937

14 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100179

Location3625 University Blvd SJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34102 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

75/100

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

Individually scored

Other Providers at the Same Location NPPES

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

MS. CARRIE ELIZABETH PEARSON PA-C

Physician Assistant (Surgical)

130 9TH ST N, SUITE 120
NAPLES, FL 34102

Collier County (239) 649-0550

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 Scanlon's NPI number?

The NPI number for James Scanlon is 1265528319. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is James Scanlon located?

James Scanlon practices at 130 9th St N Suite 120, Naples, FL 34102. The listed phone number is (239) 649-0550.

What is James Scanlon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Scanlon enrolled in Medicare?

Yes. James Scanlon 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 Scanlon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Scanlon reassigns Medicare benefits to 2 organizations: Naples Vascular Specialists LLC (Naples, FL) and Cardiothoracic & Vascular Surgical Associates PA (Jacksonville, FL). 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 Scanlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Scanlon accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list James Scanlon 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 Scanlon affiliated with any hospitals?

According to CMS data, James Scanlon is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Baptist Medical Center Beaches and Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Scanlon was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.