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JAMES M SWITZER MD
NPI 1316965775
Radiology - Diagnostic Radiology in Pontiac, MI

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
461 W HURON STREET, PONTIAC, MI 48341(248) 857-7515(248) 857-7524 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James M Switzer Md NPPES

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

JAMES M SWITZER MD (NPI 1316965775) is an individual diagnostic radiology provider in Pontiac, Michigan, licensed in Michigan (043737) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and is a graduate of Wayne State University School Of Medicine (1976).

NPPES Registry Identity

NPI1316965775
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJAMES M SWITZERCredential: MD
Location Address461 W HURON STREETPontiac, MI 48341-1601
Mailing AddressPo Box 77000, Dept 160901Detroit, MI 48277-1609 · (248) 857-7515 · Fax (734) 677-7407
Phone(248) 857-7515
Fax(248) 857-7524
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1976
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 23, 2011
✔ NPI 1316965775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 043737
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
461 W HURON STREET, Pontiac, MI 48341
Open in Google Maps ↗

Other Identifiers 10

OtherN96750004MI · Medicare
Other0E01133MI · Bcbs Group Pin
OtherCI8050MI · Medicare Rr Group
Medicare UPINB48624
Medicare ID-Type UnspecifiedF34966011MI
Medicare PINFH562ZFL
Other4626572MI · Medicaid
Medicare PIN0M74500MI
Medicaid4442637FL
OtherP00971388FL · Rxr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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 M Switzer 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 ID8224004650
PECOS Enrollment IDI20110927000480
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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
52 services52 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
72%29 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
97%242 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%114 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
94%64 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

OAKLAND PHYSICIANS MEDICAL CENTER, LLC
General Acute Care Hospital
461 W HURON STREET
PONTIAC, MI 48341
Oakland County (248) 857-7200
KHALID & ASSOCIATES MD PC
Radiology (Diagnostic Radiology)
461 W HURON STREET
PONTIAC, MI 48341
Oakland County (248) 857-7515

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 Switzer's NPI number?

The NPI number for James Switzer is 1316965775. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is James Switzer located?

James Switzer practices at 461 W Huron Street, Pontiac, MI 48341. The listed phone number is (248) 857-7515.

What is James Switzer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Switzer enrolled in Medicare?

Yes. James Switzer 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 Switzer accept?

Health plans from Oscar Health Maintenance Organization of Florida list James Switzer 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 Switzer affiliated with any hospitals?

According to CMS data, James Switzer is affiliated with Hca Florida Highlands Hospital and Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for James Switzer was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.