JAMES GRAHAM UNDERHILL DPM
NPI 1275859498
Podiatrist - Foot & Ankle Surgery in Pollocksville, NC

Active since April 13, 2010PECOS EnrolledAccepts Medicare Assignment
47.59/100
CMS Quality Rating
137 MEDICAL LN, POLLOCKSVILLE, NC 28573(252) 633-1010(252) 224-3071 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Graham Underhill Dpm NPPES

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

JAMES GRAHAM UNDERHILL DPM (NPI 1275859498) is an individual foot & ankle surgery provider in Pollocksville, North Carolina, licensed in North Carolina (596) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of Temple University School Of Medicine (2010).

NPPES Registry Identity

NPI1275859498
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJAMES GRAHAM UNDERHILLCredential: DPM
Location Address137 MEDICAL LNPollocksville, NC 28573-8200
Mailing AddressPo Box 896206Charlotte, NC 28289-6206 · (252) 633-1010 · Fax (252) 224-3071
Fax(252) 224-3071
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2010
Enumeration DateApril 13, 2010
Last NPPES UpdateMarch 17, 2017
NPI 1275859498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NC · 596
137 MEDICAL LN, Pollocksville, NC 28573

Accepted 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

James Graham Underhill Dpm 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 ID5193964997
PECOS Enrollment IDI20130626000445
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 11

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.
821 services388 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.
274 services169 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
248 services139 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.
135 services135 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services33 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
91 services67 patients

Hospital Affiliations CMS Care Compare

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

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.

47.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.48
Promoting Interoperability0
Improvement Activities40
Cost65.16

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
5 suppliers22 claims44 services$58.19 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
3 suppliers21 claims121 services$37.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Pulmonary Disease)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Internal Medicine (Endocrinology, Diabetes & Metabolism)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Internal Medicine (Endocrinology, Diabetes & Metabolism)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Internal Medicine
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Nurse Practitioner (Family)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Internal Medicine
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Physician Assistant
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Psychiatry & Neurology (Neurology)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573

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 Underhill's NPI number?

The NPI number for James Underhill is 1275859498. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is James Underhill located?

James Underhill practices at 137 Medical Ln, Pollocksville, NC 28573. The listed phone number is (252) 633-1010.

What is James Underhill's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is James Underhill enrolled in Medicare?

Yes. James Underhill 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.

What insurance does James Underhill accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list James Underhill 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 Underhill affiliated with any hospitals?

According to CMS data, James Underhill is affiliated with Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for James Underhill was last updated on March 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.