DR. JAMES WALTON M.D.
NPI 1386934594
Radiology - Diagnostic Radiology in Aurora, CO

Active since April 10, 2011PECOS EnrolledAccepts Medicare Assignment
83.41/100
CMS Quality Rating
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Walton M.d. NPPES

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

DR. JAMES WALTON M.D. (NPI 1386934594) is an individual diagnostic radiology provider in Aurora, Colorado, licensed in Colorado (DR.0056694) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2011).

NPPES Registry Identity

NPI1386934594
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JAMES WALTONCredential: M.D.
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2011
Enumeration DateApril 10, 2011
Last NPPES UpdateMay 26, 2016
✔ NPI 1386934594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CO · DR.0056694
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
12605 E 16TH AVE, Aurora, CO 80045

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 Walton M.d. 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 ID1355589391
PECOS Enrollment IDI20160910000196
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

3

Medicare enrollment records show James Walton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
5589 ARGONNE ST
Denver, CO 80249
  • Reassigned Medicare billing, Colorado enrollment
  • 320 clinicians in this Medicare group
Diagnostic Radiology
1400 E BOULDER ST
Colorado Springs, CO 80909
  • Reassigned Medicare billing, Colorado enrollment
  • 54 clinicians in this Medicare group
Obstetrics & Gynecology
106 BLANCA AVE
Alamosa, CO 81101
  • Reassigned Medicare billing, Colorado enrollment
  • 203 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 70

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
14,189 services154 patients
Injection, gadobenate dimeglumine (multihance), per ml A9577
Gadobenate Dimeglumine (MultiHance) is a contrast agent used in MRI scans. Injected into your body, it helps to enhance the quality of the images captured during the scan. It aids in highlighting differences between normal and abnormal tissues, making diagnosis easier and more accurate.
1,087 services68 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
401 services359 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
251 services235 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
130 services118 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
127 services122 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

83.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost42.13

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.

Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045

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 Walton's NPI number?

The NPI number for James Walton is 1386934594. It was assigned to this individual provider in the NPPES registry on April 10, 2011.

Where is James Walton located?

James Walton practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is James Walton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Walton enrolled in Medicare?

Yes. James Walton 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 Walton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Walton reassigns Medicare benefits to 3 organizations: Uchealth Imaging Services, LLC (Denver, CO), Radiology & Imaging Consultants PC (Colorado Springs, CO) and Lutheran Hospital Association Of The San Luis Valley (Alamosa, CO). 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 Walton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Walton accept?

Health plans from Select Health list James Walton 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 Walton was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.