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DR. JAMES R. GOSSAGE MD
NPI 1295845634
Internal Medicine - Pulmonary Disease in Augusta, GA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
1499 WALTON WAY STE 1400, ATTN: L. HATHAWAY, AUGUSTA, GA 30901(706) 721-4501(706) 721-1459 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James R. Gossage Md NPPES

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

DR. JAMES R. GOSSAGE MD (NPI 1295845634) is an individual pulmonary disease provider in Augusta, Georgia, licensed in Georgia (038782) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Pulte Medical College - Nlg (1984).

NPPES Registry Identity

NPI1295845634
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JAMES R. GOSSAGECredential: MD
Location Address1499 WALTON WAY STE 1400, ATTN: L. HATHAWAYAugusta, GA 30901-2603
Mailing Address1499 Walton Way Ste 1400, Attn: L. HathawayAugusta, GA 30901-2603 · (706) 721-4501 · Fax (706) 721-1459
Phone(706) 721-4501
Fax(706) 721-1459
Sole ProprietorNo
Medical School CMSPulte Medical College - NlgGraduated 1984
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 26, 2014
✔ NPI 1295845634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in GA · 038782
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1499 WALTON WAY STE 1400, Augusta, GA 30901
Open in Google Maps ↗

Other Identifiers 4

Medicaid000619066AGA
Medicare ID-Type Unspecified81BBBBLGA · Ga Medicare #
Medicare UPINE90256
MedicaidG38782SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., 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

Dr. James R. Gossage Md 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 ID4587728647
PECOS Enrollment IDI20090204000340
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.

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.
26 services16 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.
18 services16 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers38 claims68 services$15.84 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers44 claims520 services$32.07 avg. paid by Medicare
Injection, epoprostenol, 0.5 mg J1325
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier34 claims2,820 services$12.83 avg. paid by Medicare
Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) K0455
DME-Other DME · category DE000N
2 suppliers20 claims20 services$251.70 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

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

DR. KAREN C PANZITTA M.D.
Radiology (Diagnostic Radiology)
1499 WALTON WAY STE 1400, PHYSICIANS PRACTICE GROUP
AUGUSTA, GA 30901
Richmond County (706) 724-6100

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 Gossage's NPI number?

The NPI number for James Gossage is 1295845634. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is James Gossage located?

James Gossage practices at 1499 Walton Way Ste 1400 Attn: L. Hathaway, Augusta, GA 30901. The listed phone number is (706) 721-4501.

What is James Gossage's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Gossage enrolled in Medicare?

Yes. James Gossage 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 Gossage accept?

Health plans from Alliant Health Plans, Inc. and UnitedHealthcare list James Gossage 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 Gossage affiliated with any hospitals?

According to CMS data, James Gossage is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for James Gossage was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.