DR. HAYLEY RYAN JAMES M.D.
NPI 1356882542
Ophthalmology - Retina Specialist in Charlottesville, VA

Q: What is Hayley James's NPI number?

The NPI number for Hayley James is 1356882542. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Q: What is Hayley James's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Hayley James was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

600 PETER JEFFERSON PKWY STE 350, CHARLOTTESVILLE, VA 22911(434) 978-2040(434) 978-2041 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2025, Oct 6, 2023, Jun 14, 2021 and 3 more (6 updates tracked since 2017).

On this page

About Dr. Hayley Ryan James M.d. NPPES

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

DR. HAYLEY RYAN JAMES M.D. (NPI 1356882542) is an individual retina specialist in Charlottesville, Virginia, licensed in Virginia (010127736) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Sentara Martha Jefferson Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356882542

Entity TypeIndividualFemale

Primary Taxonomy207WX0107X

Provider Legal NameDR. HAYLEY RYAN JAMESCredential: M.D.

Location Address600 PETER JEFFERSON PKWY STE 350Charlottesville, VA 22911-8836

Mailing Address600 Peter Jefferson Pkwy Ste 350Charlottesville, VA 22911-8836 · (434) 978-2040 · Fax (434) 978-2040

Phone(434) 978-2040

Fax(434) 978-2041

Sole ProprietorYes

Medical School CMSEastern Virginia Medical SchoolGraduated 2017

Enumeration DateMarch 20, 2017

Last NPPES UpdateJune 25, 20256 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1356882542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in VA · 010127736

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 55571 (KY), TP139 (KY), 0101277236 (VA)

600 PETER JEFFERSON PKWY STE 350, Charlottesville, VA 22911

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1663 Lifecore DrFishersville, VA 22939-2368 · Phone (540) 949-9080 · Fax (434) 978-2041

Location 21001 Research Park Blvd Ste 420Charlottesville, VA 22911-5848 · Phone (434) 474-2020 · Fax (434) 474-2021

Other Identifiers 2

Medicaid7100745950KY

Medicaid0444622OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hayley Ryan James M.d. 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 ID6608146360

PECOS Enrollment IDI20230531001624

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.

Medicare Billing Reassignment

Medicare enrollment records show Hayley James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia Retina Consultants, Plc

Same address

Retina Specialist

600 PETER JEFFERSON PKWY STE 350
Charlottesville, VA 22911

Reassigned Medicare billing, Virginia enrollment
3 clinicians in this Medicare group

NPI 1700976834 (434) 978-2040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

13,980 services69 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,307 services449 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

843 services414 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

798 services84 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

674 services156 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

386 services242 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.

262 services142 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

174 services174 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

146 services110 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

108 services108 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

89 services79 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

53 services39 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

47 services36 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

34 services34 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.

32 services30 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

24 services18 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

24 services18 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

21 services20 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

18 services18 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

17 services16 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina 67113

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

14 services12 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490077

Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES

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

VIRGINIA RETINA CONSULTANTS, PLC

Ophthalmology (Retina Specialist)

600 PETER JEFFERSON PKWY STE 350
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 978-2040

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 Hayley James's NPI number?

The NPI number for Hayley James is 1356882542. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Hayley James located?

Hayley James practices at 600 Peter Jefferson Pkwy Ste 350, Charlottesville, VA 22911. The listed phone number is (434) 978-2040.

What is Hayley James's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Hayley James enrolled in Medicare?

Yes. Hayley 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.

Which organization bills Medicare for Hayley James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayley James reassigns Medicare benefits to Virginia Retina Consultants, Plc (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hayley James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hayley James affiliated with any hospitals?

According to CMS data, Hayley James is affiliated with Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Hayley James was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.