MARK J JAMES
NPI 1275509390
Emergency Medicine in Colorado Springs, CO
About Mark J James NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK J JAMES (NPI 1275509390) is an individual emergency medicine provider in Colorado Springs, Colorado, licensed in Colorado (36091) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Centracare - Redwood, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
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
Mark J James 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.
Medicare Billing Reassignments
7Medicare enrollment records show Mark James reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montevideo, MN 56265
- Reassigned Medicare billing, Minnesota enrollment
- 149 clinicians in this Medicare group
Redwood Falls, MN 56283
- Reassigned Medicare billing, Minnesota enrollment
- 122 clinicians in this Medicare group
Elkin, NC 28621
- Reassigned Medicare billing, North Carolina enrollment
- 96 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 159 clinicians in this Medicare group
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 158 clinicians in this Medicare group
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 152 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Centracare - Redwood
Critical Access Hospitals · Redwood Falls, MNCatawba Valley Medical Center
Acute Care Hospitals · Hickory, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
COLORADO SPRINGS, CO 80909
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 Mark James's NPI number?
The NPI number for Mark James is 1275509390. It was assigned to this individual provider in the NPPES registry on February 28, 2006. The provider is also known as Mark James MD.
Where is Mark James located?
Mark James practices at 1400 E Boulder St, Colorado Springs, CO 80909. The listed phone number is (719) 365-6820.
What is Mark James's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mark James enrolled in Medicare?
Yes. Mark James 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 Mark James's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark James reassigns Medicare benefits to 7 organizations: Ccm Health (Montevideo, MN), Carris Health - Redwood LLC (Redwood Falls, MN), Yadkin Emergency Physicians, PLLC (Elkin, NC), Wake Forest Emergency Providers (Statesville, NC), Tanglewood Park Physicians, PLLC (Clemmons, NC) and 2 more organizations, listed in the Medicare section above. 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 Mark James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark James accept?
Health plans from Oscar Health Plan of North Carolina, Inc and Sanford Health Plan list Mark James 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 Mark James affiliated with any hospitals?
According to CMS data, Mark James is affiliated with Centracare - Redwood and Catawba Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Mark James was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mark J James · NPI 1275509390
Emergency Medicine physician in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since February 28, 2006.
## Identity
- **NPI:** 1275509390 (Entity type: Individual)
- **Enumerated:** February 28, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 36091 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 E BOULDER ST, Colorado Springs, CO 80909-5533
- **Phone:** (719) 365-6820 · **Fax:** (303) 306-7753
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Ccm Health (NPI 1275057978, Montevideo, MN); Carris Health - Redwood LLC (NPI 1194206748, Redwood Falls, MN); Yadkin Emergency Physicians, PLLC (NPI 1417443771, Elkin, NC); Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC); Tanglewood Park Physicians, PLLC (NPI 1093286379, Clemmons, NC); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** July 30, 2013
- **Other identifiers:** Medicare UPIN G37018 (CO); Medicaid 01360916 (CO); Medicare PIN C531828 (CO); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1275509390) · Data from the CMS NPPES public registry.