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DR. ALAINA J JAMES MD, PHD
NPI 1366502320
Dermatology in Ambridge, PA

Active since December 11, 2006Opted out of Medicare · through Jan 1, 2028
77.5/100
CMS Quality Rating
549 MERCHANT ST, AMBRIDGE, PA 15003(412) 550-0595(412) 520-7740 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 12, 2023, Mar 25, 2021 (2 updates tracked since 2021).

About Dr. Alaina J James Md, Phd NPPES

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

DR. ALAINA J JAMES MD, PHD (NPI 1366502320) is an individual dermatology provider in Ambridge, Pennsylvania, licensed in Pennsylvania (MD) and active in the NPI registry since December 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and is a graduate of Baylor College Of Medicine (2003).

NPPES Registry Identity

NPI1366502320
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. ALAINA J JAMESCredential: MD, PHD
Location Address549 MERCHANT STAmbridge, PA 15003-2464
Mailing Address509 Glen Mitchell RdSewickley, PA 15143-2017 · (848) 702-2843
Phone(412) 550-0595
Fax(412) 520-7740
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2003
Enumeration DateDecember 11, 2006
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1366502320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PA · MD
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
549 MERCHANT ST, Ambridge, PA 15003
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Alaina J James Md, Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15003 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES

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

SKIN MIND HEALTH
Dermatology
549 MERCHANT ST
AMBRIDGE, PA 15003
Beaver County (412) 550-0595

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 Alaina James's NPI number?

The NPI number for Alaina James is 1366502320. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Alaina James located?

Alaina James practices at 549 Merchant St, Ambridge, PA 15003. The listed phone number is (412) 550-0595.

What is Alaina James's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Alaina James enrolled in Medicare?

No. Alaina James has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alaina James was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.