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JAMES BRIAN COTTON
NPI 1306200803
Emergency Medicine in Albuquerque, NM

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
93.11/100
CMS Quality Rating
MSC 11 6025 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-5062(505) 272-6003 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2023, Sep 22, 2021 (2 updates tracked since 2021).

About James Brian Cotton NPPES

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

JAMES BRIAN COTTON (NPI 1306200803) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in Oregon (MD205988) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of University Of California, San Francisco School Of Medicine (2016).

NPPES Registry Identity

NPI1306200803
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES BRIAN COTTON
Location AddressMSC 11 6025 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc 11 6025 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-5062 · Fax (505) 272-6003
Phone(505) 272-5062
Fax(505) 272-6003
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateJanuary 30, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
✔ NPI 1306200803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OR · MD205988✔ Licensed in NM · MD2018-0854
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MSC 11 6025 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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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 Brian Cotton 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 ID6406149699
PECOS Enrollment IDI20190628000038
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services22 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

93.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.14
Promoting Interoperability100
Improvement Activities40
Cost78.74

Other Providers at the Same Location NPPES 3

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

JOHN GURULE MD
Student in an Organized Health Care Education/Training Program
MSC 11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
MATTHEW DONALD GUNDERSON MD
Emergency Medicine (Pediatric Emergency Medicine)
MSC 11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
CARLENE SCHLEISMAN
Emergency Medicine
MSC 11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062

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 Cotton's NPI number?

The NPI number for James Cotton is 1306200803. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is James Cotton located?

James Cotton practices at Msc 11 6025 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is James Cotton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Cotton enrolled in Medicare?

Yes. James Cotton 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.

Is James Cotton affiliated with any hospitals?

According to CMS data, James Cotton is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for James Cotton was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.