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JAMES FRANK BETHEA MD
NPI 1396705679
Orthopaedic Surgery in Winston Salem, NC

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
200 ROBINHOOD MEDICAL PLZ, WINSTON SALEM, NC 27106(336) 718-7950 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jun 15, 2017 (2 updates tracked since 2017).

About James Frank Bethea Md NPPES

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

JAMES FRANK BETHEA MD (NPI 1396705679) is an individual orthopaedic surgery provider in Winston Salem, North Carolina, licensed in North Carolina (2017-00751) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396705679
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES FRANK BETHEACredential: MD
Location Address200 ROBINHOOD MEDICAL PLZWinston Salem, NC 27106
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (843) 792-6200
Phone(336) 718-7950
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1977
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 4, 20182 updates tracked since enumeration
✔ NPI 1396705679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NC · 2017-00751✔ Licensed in SC · 8938
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
200 ROBINHOOD MEDICAL PLZ, Winston Salem, NC 27106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1171 Ashley AveCharleston, SC 29425-8908 · Phone (843) 792-1414
Location 26909 Prosperity Church RdHuntersville, NC 28078-6698 · Phone (704) 316-1830

Other Identifiers 2

MedicaidGP3452SC
Other721523779SC · Ein

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 Frank Bethea 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 ID7214849645
PECOS Enrollment IDI20100817000849
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 8

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,008 services15 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.
226 services152 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
198 services131 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.
185 services159 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.
108 services108 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.
50 services50 patients

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27106 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 19

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

THOMAS CLARK KELLAM
Family Medicine (Sports Medicine)
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
ZACHARY W SANDBULTE MD
Family Medicine (Sports Medicine)
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
KATHRYN LEE BATTLE PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
BRADLEY STEVEN TAYLOR PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
RICHARD KOHLSTADT GODINE PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
BRETT MATTHEW ANDERSON PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON-SALEM, NC 27106
Forsyth County (336) 718-7950
PHILLIP ROSS MASON M.D.
Orthopaedic Surgery
200 ROBINHOOD MEDICAL PLZ, 4204 DOCTORS OFFICE TOWER
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
TARA ELIZABETH MCKENZIE PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950

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 Bethea's NPI number?

The NPI number for James Bethea is 1396705679. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is James Bethea located?

James Bethea practices at 200 Robinhood Medical Plz, Winston Salem, NC 27106. The listed phone number is (336) 718-7950.

What is James Bethea's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Bethea enrolled in Medicare?

Yes. James Bethea 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.

What insurance does James Bethea accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list James Bethea 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.

Is James Bethea affiliated with any hospitals?

According to CMS data, James Bethea is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for James Bethea was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.