DR. KELLY MICHAEL JAMES
NPI 1366428302
Surgery in Independence, MO

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
93.28/100
CMS Quality Rating
19101 E VALLEY VIEW PKWY, SUITE B, INDEPENDENCE, MO 64055(816) 254-9292(816) 795-8996 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Michael James NPPES

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

DR. KELLY MICHAEL JAMES (NPI 1366428302) is an individual surgery provider in Independence, Missouri, licensed in Missouri (MD104164) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Centerpoint Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1987).

NPPES Registry Identity

NPI1366428302
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KELLY MICHAEL JAMES
Location Address19101 E VALLEY VIEW PKWY, SUITE BIndependence, MO 64055-6904
Mailing Address19101 E Valley View Pkwy, Suite BIndependence, MO 64055-6904 · (816) 254-9292 · Fax (816) 795-8996
Fax(816) 795-8996
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1987
Enumeration DateDecember 21, 2005
Last NPPES UpdateMay 2, 2011
NPI 1366428302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MO · MD104164
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

19101 E VALLEY VIEW PKWY, Independence, MO 64055

Other Identifiers 4

Medicare ID-Type Unspecified2145471MO
Other19543010MO · Blue Cross-blue Shield
Medicaid206857203MO
Medicare UPINF616332MO

Accepted 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

Dr. Kelly Michael James 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 ID143227843
PECOS Enrollment IDI20120114000046
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 9

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
185 services43 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
153 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
148 services61 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.
55 services32 patients
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.
54 services50 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
45 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipProprietary
CMS Certification Number260190
Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64055 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

93.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.13
Improvement Activities40
Cost90.53

Other Providers at the Same Location NPPES 12

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

Surgery
19101 E VALLEY VIEW PKWY, SUITE B
INDEPENDENCE, MO 64055
Chiropractor (Radiology)
19101 E VALLEY VIEW PKWY, SUITE J.
INDEPENDENCE, MO 64055
Ophthalmology
19101 E VALLEY VIEW PKWY, SUITE D
INDEPENDENCE, MO 64055
Surgery
19101 E VALLEY VIEW PKWY, SUITE B
INDEPENDENCE, MO 64055
Chiropractor (Radiology)
19101 E VALLEY VIEW PKWY, SUITE J
INDEPENDENCE, MO 64055
Ophthalmology
19101 E VALLEY VIEW PKWY, SUITE D
INDEPENDENCE, MO 64055
Clinic/Center (Primary Care)
19101 E VALLEY VIEW PKWY, SUITE D
INDEPENDENCE, MO 64055
Physician Assistant (Medical)
19101 E VALLEY VIEW PKWY
INDEPENDENCE, MO 64055

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 Kelly James's NPI number?

The NPI number for Kelly James is 1366428302. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Kelly James located?

Kelly James practices at 19101 E Valley View Pkwy Suite B, Independence, MO 64055. The listed phone number is (816) 254-9292.

What is Kelly James's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kelly James enrolled in Medicare?

Yes. Kelly 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.

What insurance does Kelly James accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Kelly James 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 Kelly James affiliated with any hospitals?

According to CMS data, Kelly James is affiliated with Centerpoint Medical Center, North Kansas City Hospital and Lee's Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly James was last updated on May 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.