JAMES KEVIN POULTON MD
NPI 1407845779
Dermatology - Procedural Dermatology in Baltimore, MD

Q: What is James Poulton's NPI number?

The NPI number for James Poulton is 1407845779. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is James Poulton's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Q: When was this NPI record last updated?

The NPPES record for James Poulton was last updated on May 24, 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.

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment

91.49/100

CMS Quality Rating

5233 KING AVE, STE 204, BALTIMORE, MD 21237(410) 574-3100(410) 574-3710 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About James Kevin Poulton Md NPPES

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

JAMES KEVIN POULTON MD (NPI 1407845779) is an individual procedural dermatology provider in Baltimore, Maryland, licensed in Maryland (DOO46190) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1991).

NPPES Registry Identity

NPI1407845779

Entity TypeIndividualMale

Primary Taxonomy207NS0135X

Provider Legal NameJAMES KEVIN POULTONCredential: MD

Location Address5233 KING AVE, STE 204Baltimore, MD 21237-4003

Mailing Address5233 King Ave, Ste 204Baltimore, MD 21237-4003 · (410) 574-3100 · Fax (410) 574-3710

Phone(410) 574-3100

Fax(410) 574-3710

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1991

Enumeration DateOctober 19, 2005

Last NPPES UpdateMay 24, 2016

✔ NPI 1407845779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in MD · DOO46190

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

5233 KING AVE, Baltimore, MD 21237

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Other Identifiers 2

Medicare UPING66517MD

Medicare ID-Type Unspecified566M877FMD

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

James Kevin Poulton 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 ID4385624253

PECOS Enrollment IDI20110405000997

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 Reassignment

Medicare enrollment records show James Poulton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Drs Poulton & Smith LLC

Same address

Dermatology

5233 KING AVE, SUITE 204
Baltimore, MD 21237

Reassigned Medicare billing, Maryland enrollment
3 clinicians in this Medicare group

NPI 1043410905 (410) 574-3100

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 33

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,974 services450 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.

1,575 services1,096 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

1,030 services716 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

656 services561 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.

438 services351 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

431 services383 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.

299 services279 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

219 services144 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.

181 services181 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

112 services97 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

90 services90 patients

Removal of skin tag, 1-15 skin tags 11200

Skin tag removal is a simple procedure where small, benign growths on the skin are carefully removed. This can be achieved through several methods such as freezing, burning, or cutting off the skin tags. The process is quick, typically painless with local anesthesia, and aids in skin smoothness.

59 services57 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

45 services40 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

39 services37 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

37 services33 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

36 services23 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

33 services31 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

33 services26 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031

This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.

33 services32 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

30 services21 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm 12042

This is a procedure to mend a moderate wound between 2.6-7.5 cm on your neck, hands, or feet. It involves cleaning the wound, removing any damaged tissue, and stitching it back together to promote healing and minimize scarring.

30 services28 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.

29 services29 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642

This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.

27 services25 patients

Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm 11604

This procedure involves removing a cancerous skin growth measuring 3.1-4.0 cm on the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The wound is stitched for healing. Regular follow-ups ensure complete removal and recovery.

25 services24 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm 11643

This procedure involves the careful removal of a cancerous growth on the face, ears, eyelids, nose, lips, or mouth that measures between 2.1 to 3.0 cm. The goal is to eliminate the cancer while preserving surrounding healthy tissue.

25 services23 patients

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm 11623

This procedure involves removing a cancerous growth on the scalp, neck, hands, or feet that measures between 2.1 and 3.0 cm. The process includes numbing the area, excising the growth, and then stitching the wound for healing. The aim is to eliminate cancer cells and prevent spread.

21 services21 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051

This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.

15 services15 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

15 services13 patients

Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm 11404

This procedure involves the removal of a noncancerous skin growth on your body, arms, or legs that measures between 3.1 and 4.0 cm. The growth is carefully cut away and the area is then cleaned and bandaged to promote healing.

14 services13 patients

Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm 11403

This is a procedure where a noncancerous skin growth, sized 2.1-3.0 cm, on the body, arms, or legs is removed. It's typically done under local anesthesia. The process involves cutting out the growth and stitching the skin back together. The aim is to eliminate discomfort and prevent potential health issues.

12 services12 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

12 services11 patients

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm 11624

This procedure involves the surgical removal of a cancerous growth on the scalp, neck, hands, or feet. The size of the growth is between 3.1 and 4.0 cm. The aim is to eliminate the cancer and prevent its spread. This is done under local or general anesthesia.

11 services11 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm 12053

This procedure involves the repair of a medium-sized wound (5.1-7.5 cm) on the face, ears, eyelids, nose, lips, or mouth. It's more complex than a simple stitch-up, often requiring layered stitches to ensure proper healing and minimize scarring.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21237 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

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.

91.49/100

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

Individually scored

Quality

84.53

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

100%6,307 patients5/55-star benchmark: 100%

Melanoma: Coordination of Care

100%29 patients

Provide Patients Electronic Access to Their Health Information

100%1,720 patients5/55-star benchmark: 100%

Psoriasis: Clinical Response to Systemic Medications

100%64 patients

Psoriasis: Screening for Psoriatic Arthritis

100%293 patients5/55-star benchmark: 100%

Skin Cancer: Biopsy Reporting Time - Clinician to Patient

100%300 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

DRS POULTON & SMITH LLC

Dermatology

5233 KING AVE, SUITE 204
BALTIMORE, MD 21237

Baltimore County (410) 574-3100

WHITE SQUARE VASCULAR SURGERY PA

Surgery (Vascular Surgery)

5233 KING AVE, SUITE 208
BALTIMORE, MD 21237

Baltimore County (410) 918-1525

JAY LYNN SANTOS

Physical Therapist

5233 KING AVE
ROSEDALE, MD 21237

Baltimore County (443) 847-1665

MATTHEW BELZAK

Nurse Anesthetist, Certified Registered

5233 KING AVE, STE 208
BALTIMORE, MD 21237

Baltimore County (410) 294-6323

AHMAD M. ABU-GHAIDA M.D.

Surgery (Vascular Surgery)

5233 KING AVE, SUITE 208
BALTIMORE, MD 21237

Baltimore County (410) 918-1525

HUZEFA F BAHRAIN D.O.

Internal Medicine (Hematology & Oncology)

5233 KING AVE, SUITE 308
BALTIMORE, MD 21237

Baltimore County (410) 780-4050

OMAR HAMDALLAH M.D.

Surgery (Vascular Surgery)

5233 KING AVE, SUITE 208
BALTIMORE, MD 21237

Baltimore County (410) 918-1525

SAMER SAIEDY MD FRANKLIN LLC

Surgery (Vascular Surgery)

5233 KING AVE, SUITE 104
ROSEDALE, MD 21237

Baltimore County (410) 825-4530

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 Poulton's NPI number?

The NPI number for James Poulton is 1407845779. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is James Poulton located?

James Poulton practices at 5233 King Ave Ste 204, Baltimore, MD 21237. The listed phone number is (410) 574-3100.

What is James Poulton's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is James Poulton enrolled in Medicare?

Yes. James Poulton 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 organization bills Medicare for James Poulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Poulton reassigns Medicare benefits to Drs Poulton & Smith LLC (Baltimore, MD). The 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 Poulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Poulton was last updated on May 24, 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.