MARK J JAMES
NPI 1275509390
Emergency Medicine in Colorado Springs, CO

Q: 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.

Q: What is Mark James's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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.

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1400 E BOULDER ST, COLORADO SPRINGS, CO 80909(719) 365-6820(303) 306-7753 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1275509390

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMARK J JAMES

Location Address1400 E BOULDER STColorado Springs, CO 80909-5533

Mailing AddressP.o. Box 173891Denver, CO 80217-9294 · (303) 306-7783 · Fax (303) 306-7753

Phone(719) 365-6820

Fax(303) 306-7753

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateFebruary 28, 2006

Last NPPES UpdateJuly 30, 2013

✔ NPI 1275509390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CO · 36091

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1400 E BOULDER ST, Colorado Springs, CO 80909

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Other Names 1

Professional Name (2)Mark James Md

Other Identifiers 4

Medicare UPING37018CO

Medicaid01360916CO

Medicare PINC531828CO

Medicare PINCO300131CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Health Plan of North Carolina, Inc.Insurance ›

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

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.

PECOS PAC ID4183611577

PECOS Enrollment IDI20140929002821

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

150 services143 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

72 services68 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

52 services51 patients

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, MN

OwnershipGovernment - Local

CMS Certification Number241351

Location101 Caring WayRedwood Falls, MN 56283 · Redwood County

Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340143

Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County

Emergency services Birthing friendly

Physician 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.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

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

Scored as part of a group practice

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.

ERIC WU M.D.

Emergency Medicine