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JAMES E SCALIA JR. PA-C
NPI 1295875649
Physician Assistant in Beaver, OK

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
86.84/100
CMS Quality Rating
718 AVENUE A, BEAVER, OK 73932(580) 625-3477(580) 625-3562 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2026, May 14, 2024, Feb 14, 2023 (3 updates tracked since 2023).

About James E Scalia Jr. Pa-c NPPES

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

JAMES E SCALIA JR. PA-C (NPI 1295875649) is an individual physician assistant in Beaver, Oklahoma and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Southwest Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1295875649
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES E SCALIA JR.Credential: PA-C
Location Address718 AVENUE ABeaver, OK 73932-3101
Mailing Address718 Avenue ABeaver, OK 73932-3101 · (580) 625-3477 · Fax (580) 625-3562
Phone(580) 625-3477
Fax(580) 625-3562
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1295875649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
718 AVENUE A, Beaver, OK 73932
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 E Scalia Jr. 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 ID4880670322
PECOS Enrollment IDI20250225003461
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.
89 services26 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.
81 services34 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.
28 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Southwest Medical Center

Acute Care Hospitals · Liberal, KS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170068
Location315 West 15th StreetLiberal, KS 67901 · Seward County
Emergency services Birthing friendly

Beaver County Memorial Hospital

Critical Access Hospitals · Beaver, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371322
Location212 East 8th StreetBeaver, OK 73932 · Beaver County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73932 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

86.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.29
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. GARY MATHEWS MD
Family Medicine
718 AVENUE A
BEAVER, OK 73932
Beaver County (580) 625-3477
MRS. SUSAN DANIELLE TRIPPET ARNP
Nurse Practitioner (Family)
718 AVENUE A
BEAVER, OK 73932
Beaver County (580) 625-3477
LYNNETTA FAYE STOUT APRN-CNP
Nurse Practitioner (Family)
718 AVENUE A
BEAVER, OK 73932
Beaver County (580) 625-3477
MRS. ASHLEY NICOLE JOHNSTON APRN
Nurse Practitioner (Family)
718 AVENUE A
BEAVER, OK 73932
Beaver County (580) 625-3477

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 Scalia's NPI number?

The NPI number for James Scalia is 1295875649. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is James Scalia located?

James Scalia practices at 718 Avenue A, Beaver, OK 73932. The listed phone number is (580) 625-3477.

What is James Scalia's specialty?

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

Is James Scalia enrolled in Medicare?

Yes. James Scalia 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 Scalia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list James Scalia 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 Scalia affiliated with any hospitals?

According to CMS data, James Scalia is affiliated with Southwest Medical Center and Beaver County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Scalia was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.