JAMES B KNOX MD
NPI 1386691178
Surgery - Vascular Surgery in Falmouth, MA

Q: What is James Knox's NPI number?

The NPI number for James Knox is 1386691178. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is James Knox's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for James Knox was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 May 27, 2006PECOS EnrolledAccepts Medicare Assignment

79.84/100

CMS Quality Rating

90 TER HEUN DRIVE, SUITE 300, FALMOUTH, MA 02540(508) 540-0604(508) 457-0129 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About James B Knox Md NPPES

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

JAMES B KNOX MD (NPI 1386691178) is an individual vascular surgery provider in Falmouth, Massachusetts, licensed in Massachusetts (70748) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Duke University School Of Medicine (1984).

NPPES Registry Identity

NPI1386691178

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameJAMES B KNOXCredential: MD

Location Address90 TER HEUN DRIVE, SUITE 300Falmouth, MA 02540

Mailing Address90 Ter Heun Drive, Suite 300Falmouth, MA 02540 · (508) 540-0604 · Fax (508) 457-0129

Phone(508) 540-0604

Fax(508) 457-0129

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1984

Enumeration DateMay 27, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1386691178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MA · 70748

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

90 TER HEUN DRIVE, Falmouth, MA 02540

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Other Identifiers 18

Other2275979Aetna

Other770002390Tricare

Other000000029986MA · Boston Medical Center

Other1386691178MA · Unicare

Other11084407Caqh #

Other1386691178MA · Great West Healthcare

Other3700007United Health

Other770002390MA · Medicare Id

OtherB20948501Cigna

OtherKNA29564Medicare

Other70748MA · Ma License

Other1386691178MA · Network Health

OtherMK0379796AMa Cds

Other0000262Neighborhood Health Plan

Medicaid3055841MA

Other730507Tufts

OtherE42314Hph

OtherJ09055Bcbs

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

James B Knox 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 ID8921184532

PECOS Enrollment IDI20080606000436

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 20

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.

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.

326 services58 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.

307 services240 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

158 services142 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.

157 services97 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

128 services128 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

123 services50 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

122 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

106 services52 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

64 services64 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

61 services58 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

46 services42 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

39 services39 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

25 services25 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

23 services20 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

22 services21 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

22 services22 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

20 services18 patients

Laser destruction of incompetent vein of arm or leg using imaging guidance 36478

Laser destruction of an incompetent vein is a non-invasive procedure where a laser is used to seal off a malfunctioning vein in the arm or leg. The process is guided by imaging technology to ensure precision and effectiveness. This helps alleviate symptoms like pain and swelling.

16 services15 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

15 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220012

Location27 Park StreetHyannis, MA 02601 · Barnstable County

Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220135

Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County

Emergency services

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number221300

LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02540 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

79.84/100

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

Scored as part of a group practice

Quality

63.36

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

3 suppliers20 claims1,080 services$0.10 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

2 suppliers18 claims1,626 services$0.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

3 suppliers22 claims2,691 services$0.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

GEORGE CHRISTMAN JR. MD

Internal Medicine (Cardiovascular Disease)

90 TER HEUN DRIVE, SUITE 300
FALMOUTH, MA 02540

Barnstable County (508) 540-0604

MRS. SHARON ANN REIF N.P.

Nurse Practitioner

90 TER HEUN DRIVE, SUITE 300
FALMOUTH, MA 02540

Barnstable County (508) 540-0604

DAVID RALPH URBACH MD

Internal Medicine (Cardiovascular Disease)

90 TER HEUN DRIVE, SUITE 300
FALMOUTH, MA 02540

Barnstable County (508) 540-0604

JENNIFER H LADNER MD

Internal Medicine (Cardiovascular Disease)

90 TER HEUN DRIVE, SUITE 300
FALMOUTH, MA 02540

Barnstable County (508) 540-0604

MICHELLE F COSTA D.O.

Internal Medicine (Rheumatology)

90 TER HEUN DRIVE, SUITE 101
FALMOUTH, MA 02540

Barnstable County (508) 495-7160

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 Knox's NPI number?

The NPI number for James Knox is 1386691178. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is James Knox located?

James Knox practices at 90 Ter Heun Drive Suite 300, Falmouth, MA 02540. The listed phone number is (508) 540-0604.

What is James Knox's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is James Knox enrolled in Medicare?

Yes. James Knox 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.

Is James Knox affiliated with any hospitals?

According to CMS data, James Knox is affiliated with Cape Cod Hospital, Falmouth Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for James Knox was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.