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JAMES FISH M.D., FACEP
NPI 1316964885
Emergency Medicine in Gloucester, VA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
7519 HOSPITAL DR, GLOUCESTER, VA 23061(757) 594-2000 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Fish M.d., Facep NPPES

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

JAMES FISH M.D., FACEP (NPI 1316964885) is an individual emergency medicine provider in Gloucester, Virginia, licensed in Virginia (0101-029550) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Eastern Virginia Medical School (1977).

NPPES Registry Identity

NPI1316964885
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES FISHCredential: M.D., FACEP
Location Address7519 HOSPITAL DRGloucester, VA 23061-4178
Mailing AddressPo Box 601789Charlotte, NC 28260-1789 · (866) 916-5259 · Fax (231) 922-4030
Phone(757) 594-2000
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1977
Enumeration DateJuly 17, 2006
Last NPPES UpdateMay 30, 2008
✔ NPI 1316964885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101-029550
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.
7519 HOSPITAL DR, Gloucester, VA 23061
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Other Identifiers 7

Medicare PIN013725R71
Medicare UPINC47728
Medicaid1316964885VA
Medicare PIN930001346VA
Medicare PIN930001323VA
Medicare PINP00404960
Medicaid005821835VA

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 Fish M.d., Facep 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 ID5092815191
PECOS Enrollment IDI20070702000445
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 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.

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.
78 services77 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
60 services60 patients
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.
39 services39 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23061 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

ANNABEL BRITTON MSN, CFNP
Nurse Practitioner
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Gloucester County (804) 693-8800
ROBERT DAVID CROSS MD
Hospitalist
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Gloucester County (804) 693-8800
BRADLEY BRIAN HENDRICKS D.O.
Hospitalist
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Gloucester County (804) 693-8800
EDWARD CALE HENDRICKS M.D.
Anesthesiology
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Gloucester County (703) 295-9360
LISA JONES
Nurse Practitioner (Acute Care)
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Gloucester County (804) 693-8800
JACKSON DEEN PA
Physician Assistant
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Gloucester County (804) 693-8899
RIVERSIDE PHYSICIAN SERVICES INC
Hospitalist
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Gloucester County (804) 693-8800
GREGORY BASS M.D.
Emergency Medicine
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Gloucester County (804) 693-8800

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 Fish's NPI number?

The NPI number for James Fish is 1316964885. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is James Fish located?

James Fish practices at 7519 Hospital Dr, Gloucester, VA 23061. The listed phone number is (757) 594-2000.

What is James Fish's specialty?

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

Is James Fish enrolled in Medicare?

Yes. James Fish 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 Fish affiliated with any hospitals?

According to CMS data, James Fish is affiliated with Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Fish was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.