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

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: July 26, 2026.

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
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

Other Identifiers 2

Medicare UPING66517MD
Medicare ID-Type Unspecified566M877FMD

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 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.

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

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
Quality84.53
Promoting Interoperability100
Improvement Activities40

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.

Dermatology
5233 KING AVE, SUITE 204
BALTIMORE, MD 21237
Surgery (Vascular Surgery)
5233 KING AVE, SUITE 208
BALTIMORE, MD 21237
Physical Therapist
5233 KING AVE
ROSEDALE, MD 21237
Nurse Anesthetist, Certified Registered
5233 KING AVE, STE 208
BALTIMORE, MD 21237
Surgery (Vascular Surgery)
5233 KING AVE, SUITE 208
BALTIMORE, MD 21237
Internal Medicine (Hematology & Oncology)
5233 KING AVE, SUITE 308
BALTIMORE, MD 21237
Surgery (Vascular Surgery)
5233 KING AVE, SUITE 208
BALTIMORE, MD 21237
Surgery (Vascular Surgery)
5233 KING AVE, SUITE 104
ROSEDALE, MD 21237

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.

When was this NPI record last updated?

The NPPES record for James Poulton was last updated on May 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.