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DR. JAMES S EVANS M.D.
NPI 1295721413
Internal Medicine - Rheumatology in Tucson, AZ

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
2102 N COUNTRY CLUB RD STE 3, TUCSON, AZ 85716(520) 420-2250(520) 420-2251 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James S Evans M.d. NPPES

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

DR. JAMES S EVANS M.D. (NPI 1295721413) is an individual rheumatology provider in Tucson, Arizona, licensed in Arizona (23902) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1993).

NPPES Registry Identity

NPI1295721413
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JAMES S EVANSCredential: M.D.
Location Address2102 N COUNTRY CLUB RD STE 3Tucson, AZ 85716-2856
Mailing Address5055 E Broadway Blvd, Suite A-100Tucson, AZ 85711-3640 · (520) 327-0460 · Fax (520) 795-0225
Phone(520) 420-2250
Fax(520) 420-2251
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1993
Enumeration DateSeptember 22, 2005
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1295721413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in AZ · 23902
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2102 N COUNTRY CLUB RD STE 3, Tucson, AZ 85716
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Other Identifiers 3

Medicaid493974AZ
OtherZ127485AZ · Ptan
Other23902AZ · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.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

Dr. James S Evans 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 ID648267294
PECOS Enrollment IDI20040427000846
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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Evans reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmc Medical Network
2.8 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Tmcone
2.8 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 196 clinicians in this Medicare group
NPI 1467310417 (520) 324-2308
Arizona Community Physicians PC
3.0 mi
Internal Medicine
5055 E BROADWAY BLVD, SUITE A100
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 264 clinicians in this Medicare group
NPI 1205871076 (520) 327-0460

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 4

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 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.
429 services206 patients
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.
187 services140 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services34 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85716 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES

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

DR. LINDA A KARL MD
Internal Medicine (Rheumatology)
2102 N COUNTRY CLUB RD STE 3, ARTHRITIS ASSOCIATES
TUCSON, AZ 85716
Pima County (520) 721-5316

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 Evans's NPI number?

The NPI number for James Evans is 1295721413. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is James Evans located?

James Evans practices at 2102 N Country Club Rd Ste 3, Tucson, AZ 85716. The listed phone number is (520) 420-2250.

What is James Evans's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is James Evans enrolled in Medicare?

Yes. James Evans 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 James Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Evans reassigns Medicare benefits to 3 organizations: Tmc Medical Network (Tucson, AZ), Tmcone (Tucson, AZ) and Arizona Community Physicians PC (Tucson, AZ). 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 James Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Evans accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list James Evans 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.

When was this NPI record last updated?

The NPPES record for James Evans was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.