JAMES W KIRBY III PA-C
NPI 1295220168
Physician Assistant in High Point, NC

Q: What is James Kirby's NPI number?

The NPI number for James Kirby is 1295220168. It was assigned to this individual provider in the NPPES registry on June 24, 2018.

Q: What is James Kirby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for James Kirby was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 June 24, 2018PECOS EnrolledAccepts Medicare Assignment

601 N ELM ST, HIGH POINT, NC 27262(336) 781-2485 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Feb 25, 2019, Jun 24, 2018 (3 updates tracked since 2018).

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About James W Kirby Iii Pa-c NPPES

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

JAMES W KIRBY III PA-C (NPI 1295220168) is an individual physician assistant in High Point, North Carolina, licensed in North Carolina (0010-08172) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and maintains a secondary practice location in Lenoir.

NPPES Registry Identity

NPI1295220168

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJAMES W KIRBY IIICredential: PA-C

Location Address601 N ELM STHigh Point, NC 27262-4331

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255 · Fax (336) 716-3202

Phone(336) 781-2485

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJune 24, 2018

Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1295220168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-08172

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

601 N ELM ST, High Point, NC 27262

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Secondary Practice Location 1

Location 1321 Mulberry St SWLenoir, NC 28645-5720 · Phone (828) 757-5504 · Fax (828) 757-5225

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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 W Kirby Iii Pa-c 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 ID7517217987

PECOS Enrollment IDI20180905002376

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340041

Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County

Emergency services

Watauga Medical Center

Acute Care Hospitals · Boone, NC

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340051

Location336 Deerfield RoadBoone, NC 28607 · Watauga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27262 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers11 claims11 services$14.79 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers11 claims11 services$71.79 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 20

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

DR. GRACE CATHERINE DANBY MD

Emergency Medicine