DR. PAUL A JAMES MD
NPI 1366438947
Family Medicine in Seattle, WA

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
314 NE THORNTON PL, SEATTLE, WA 98125(206) 520-2300 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, May 19, 2017 (2 updates tracked since 2017).

About Dr. Paul A James Md NPPES

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

DR. PAUL A JAMES MD (NPI 1366438947) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD60727661) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1984).

NPPES Registry Identity

NPI1366438947
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL A JAMESCredential: MD
Location Address314 NE THORNTON PLSeattle, WA 98125-9000
Mailing AddressPo Box 50095Seattle, WA 98145 · (206) 543-6420
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1984
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1366438947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD60727661
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

314 NE THORNTON PL, Seattle, WA 98125

Other Identifiers 1

Medicaid1366438947WA

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. Paul A James 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 ID7719080696
PECOS Enrollment IDI20170608001873
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
82 services72 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.
64 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 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.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98125 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
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.

Counselor (Mental Health)
314 NE THORNTON PL
SEATTLE, WA 98125
Family Medicine
314 NE THORNTON PL
SEATTLE, WA 98125
Family Medicine
314 NE THORNTON PL
SEATTLE, WA 98125
Family Medicine
314 NE THORNTON PL
SEATTLE, WA 98125
Family Medicine
314 NE THORNTON PL
SEATTLE, WA 98125
Family Medicine
314 NE THORNTON PL
SEATTLE, WA 98125
Family Medicine
314 NE THORNTON PL
SEATTLE, WA 98125
Family Medicine
314 NE THORNTON PL
SEATTLE, WA 98125

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 Paul James's NPI number?

The NPI number for Paul James is 1366438947. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Paul James located?

Paul James practices at 314 NE Thornton Pl, Seattle, WA 98125. The listed phone number is (206) 520-2300.

What is Paul James's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul James enrolled in Medicare?

Yes. Paul 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 Paul James accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Paul 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.

When was this NPI record last updated?

The NPPES record for Paul James was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.