DR. SCOTT EDWARD JAMES MD, PHD
NPI 1326347576
Internal Medicine - Hematology in Duarte, CA

Active since March 26, 2011PECOS EnrolledAccepts Medicare Assignment
79.03/100
CMS Quality Rating
1500 DUARTE RD, DUARTE, CA 91010(626) 256-4673 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Scott Edward James Md, Phd NPPES

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

DR. SCOTT EDWARD JAMES MD, PHD (NPI 1326347576) is an individual hematology provider in Duarte, California, licensed in California (C195096) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2011).

NPPES Registry Identity

NPI1326347576
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameDR. SCOTT EDWARD JAMESCredential: MD, PHD
Location Address1500 DUARTE RDDuarte, CA 91010-3012
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2011
Enumeration DateMarch 26, 2011
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1326347576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in CA · C195096
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 273857-1 (NY)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License C195096 (CA)
1500 DUARTE RD, Duarte, CA 91010

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. Scott Edward James Md, Phd 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 ID1254605066
PECOS Enrollment IDI20240613000984
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

79.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.44
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 DUARTE RD
DUARTE, CA 91010
Pharmacist
1500 DUARTE RD
DUARTE, CA 91010
Radiology (Diagnostic Radiology)
1500 DUARTE RD
DUARTE, CA 91010
Radiology (Radiation Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Surgery (Surgical Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Surgery
1500 DUARTE RD
DUARTE, CA 91010
Anesthesiology
1500 DUARTE RD
DUARTE, CA 91010
Pathology (Hematology)
1500 DUARTE RD
DUARTE, CA 91010

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 Scott James's NPI number?

The NPI number for Scott James is 1326347576. It was assigned to this individual provider in the NPPES registry on March 26, 2011.

Where is Scott James located?

Scott James practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 256-4673.

What is Scott James's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Scott James enrolled in Medicare?

Yes. Scott James 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.

When was this NPI record last updated?

The NPPES record for Scott James was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.