DR. JAMES L OGRODOWSKI MD
NPI 1366443491
Internal Medicine - Nephrology in Las Vegas, NV

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
65.65/100
CMS Quality Rating
1294 S JONES BLVD, LAS VEGAS, NV 89146(702) 877-1887(702) 877-4536 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James L Ogrodowski Md NPPES

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

DR. JAMES L OGRODOWSKI MD (NPI 1366443491) is an individual nephrology provider in Las Vegas, Nevada, licensed in Nevada (27415) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1986).

NPPES Registry Identity

NPI1366443491
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JAMES L OGRODOWSKICredential: MD
Location Address1294 S JONES BLVDLas Vegas, NV 89146-1284
Mailing Address1294 S Jones BlvdLas Vegas, NV 89146-1284 · (702) 877-1887 · Fax (702) 877-4536
Fax(702) 877-4536
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1986
Enumeration DateAugust 10, 2005
Last NPPES UpdateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1366443491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NV · 27415
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedSpecialistTaxonomy 174400000X · License 23651 (TN)
1294 S JONES BLVD, Las Vegas, NV 89146

Accepted Insurance

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. James L Ogrodowski 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 ID7911067269
PECOS Enrollment IDI20250416001571
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 Reassignments

2

Medicare enrollment records show James Ogrodowski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
1294 S JONES BLVD
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • 74 clinicians in this Medicare group
Specialist
7650 DANNAHER DR STE 200
Powell, TN 37849
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group

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 15

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
342 services199 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.
293 services91 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.
286 services187 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
234 services27 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.
180 services98 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
151 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89146 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

65.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality44.6
Promoting Interoperability100
Improvement Activities0
Cost74.24

Reported Quality Measures

Controlling High Blood Pressure
59%371 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%159 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%1,233 patients4/55-star benchmark: 100%
e-Prescribing
98%671 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%475 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%628 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 465 patients
0%465 patients
Provide Patients Electronic Access to Their Health Information
100%630 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 484 patients
Patients totalRate: 0% · 484 patients
0%484 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims1,007 services$0.28 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,800 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims3,570 services$0.60 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers22 claims4,620 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers23 claims23 services$18.13 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers41 claims46 services$11.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Nephrology)
1294 S JONES BLVD
LAS VEGAS, NV 89146
Internal Medicine (Nephrology)
1294 S JONES BLVD
LAS VEGAS, NV 89146
Nurse Practitioner
1294 S JONES BLVD
LAS VEGAS, NV 89146
Nurse Practitioner
1294 S JONES BLVD
LAS VEGAS, NV 89146
Internal Medicine (Nephrology)
1294 S JONES BLVD
LAS VEGAS, NV 89146
Internal Medicine (Nephrology)
1294 S JONES BLVD
LAS VEGAS, NV 89146
Nurse Practitioner (Family)
1294 S JONES BLVD
LAS VEGAS, NV 89146
Nurse Practitioner (Acute Care)
1294 S JONES BLVD
LAS VEGAS, NV 89146

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 Ogrodowski's NPI number?

The NPI number for James Ogrodowski is 1366443491. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is James Ogrodowski located?

James Ogrodowski practices at 1294 S Jones Blvd, Las Vegas, NV 89146. The listed phone number is (702) 877-1887.

What is James Ogrodowski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is James Ogrodowski enrolled in Medicare?

Yes. James Ogrodowski 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 organizations bill Medicare for James Ogrodowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ogrodowski reassigns Medicare benefits to 2 organizations: Nephrology & Endocrine Associates Inc (Las Vegas, NV) and Renal Medical Associates PC (Powell, TN). Each 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 James Ogrodowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ogrodowski accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list James Ogrodowski 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 James Ogrodowski was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.