Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES MILES SYLVESTER M.D.
NPI 1366698961
Family Medicine in Denham Springs, LA

Q: What is James Sylvester's NPI number?

The NPI number for James Sylvester is 1366698961. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Q: What is James Sylvester's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Sylvester was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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 August 14, 2008PECOS Enrolled

55.44/100

CMS Quality Rating

8352 LAFAYETTE ST, DENHAM SPRINGS, LA 70726(225) 937-5294 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2026, Jul 21, 2022, Jul 17, 2017 (3 updates tracked since 2017).

On this page

About Dr. James Miles Sylvester M.d. NPPES

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

DR. JAMES MILES SYLVESTER M.D. (NPI 1366698961) is an individual family medicine provider in Denham Springs, Louisiana, licensed in Louisiana (09178R) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366698961

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES MILES SYLVESTERCredential: M.D.

Location Address8352 LAFAYETTE STDenham Springs, LA 70726-6264

Mailing Address8352 Lafayette StDenham Springs, LA 70726-6264 · (225) 937-5294

Phone(225) 937-5294

Sole ProprietorYes

Enumeration DateAugust 14, 2008

Last NPPES UpdateJune 21, 20263 updates tracked since enumeration

✔ NPI 1366698961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 09178R

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.

8352 LAFAYETTE ST, Denham Springs, LA 70726

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Miles Sylvester M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

21 services21 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70726 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

55.44/100

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

Scored as part of a group practice

Quality

49.55

Improvement Activities

Cost

43.96

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 Sylvester's NPI number?

The NPI number for James Sylvester is 1366698961. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Where is James Sylvester located?

James Sylvester practices at 8352 Lafayette St, Denham Springs, LA 70726. The listed phone number is (225) 937-5294.

What is James Sylvester's specialty?

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

Is James Sylvester enrolled in Medicare?

Yes. James Sylvester is registered in the Medicare PECOS enrollment system.

What insurance does James Sylvester accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of Texas list James Sylvester 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 Sylvester was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.