DR. JAMES P GRIFFITH M.D.
NPI 1285731513
Internal Medicine in Charleston, WV

Q: What is James Griffith's NPI number?

The NPI number for James Griffith is 1285731513. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is James Griffith's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for James Griffith was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 20, 2006PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304(304) 720-7305(304) 720-7310 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Jan 7, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Dr. James P Griffith M.d. NPPES

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

DR. JAMES P GRIFFITH M.D. (NPI 1285731513) is an individual internal medicine provider in Charleston, West Virginia, licensed in West Virginia (13235) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285731513

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAMES P GRIFFITHCredential: M.D.

Location Address3100 MACCORKLE AVE SE STE 205Charleston, WV 25304-1228

Mailing Address3100 Maccorkle Ave Se Ste 205Charleston, WV 25304-1228 · (304) 720-7305 · Fax (304) 720-7310

Phone(304) 720-7305

Fax(304) 720-7310

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1985

Enumeration DateSeptember 20, 2006

Last NPPES UpdateApril 6, 20225 updates tracked since enumeration

NPPES CertifiedApril 6, 2022

✔ NPI 1285731513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WV · 13235

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 13235 (WV)

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 13235 (WV)

3100 MACCORKLE AVE SE STE 205, Charleston, WV 25304

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13200 MacCorkle Ave SE Fl 5Charleston, WV 25304-1227 · Phone (304) 388-1000 · Fax (304) 388-1041

Location 23200 MacCorkle Ave SE Fl 4Charleston, WV 25304-1227 · Phone (304) 388-5590 · Fax (304) 388-8238

Other Identifiers 2

Medicaid3810002209WV

Medicaid0116149000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. James P Griffith M.d. 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 ID840224069

PECOS Enrollment IDI20050927000020

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 6

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.

62 services35 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.

58 services35 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

35 services15 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.

22 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

90.11/100

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

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

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.

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