DR. JAMES F WITKO MD, FCCP
NPI 1427018829
Internal Medicine - Pulmonary Disease in South Boston, VA

Q: What is James Witko's NPI number?

The NPI number for James Witko is 1427018829. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is James Witko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for James Witko was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 March 28, 2006PECOS EnrolledAccepts Medicare Assignment

85.64/100

CMS Quality Rating

2210 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 575-5864(434) 575-8929 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. James F Witko Md, Fccp NPPES

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

DR. JAMES F WITKO MD, FCCP (NPI 1427018829) is an individual pulmonary disease provider in South Boston, Virginia, licensed in Virginia (0101042054) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Halifax Regional Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1427018829

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. JAMES F WITKOCredential: MD, FCCP

Location Address2210 WILBORN AVESouth Boston, VA 24592-1630

Mailing Address2210 Wilborn AveSouth Boston, VA 24592-1630 · (434) 575-5864 · Fax (434) 575-8929

Phone(434) 575-5864

Fax(434) 575-8929

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateMarch 28, 2006

Last NPPES UpdateJanuary 4, 2008

✔ NPI 1427018829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in VA · 0101042054

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

2210 WILBORN AVE, South Boston, VA 24592

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Other Identifiers 6

Other2317122NC · Medicare Group #

Other88661NC · Bc/bs Of Nc Provider #

Medicare UPINC47465VA

Medicaid890556GNC

Other032654VA · Anthem Bc Provider #

Medicare ID-Type Unspecified2202594ANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

Dr. James F Witko Md, Fccp 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 ID547290256

PECOS Enrollment IDI20050812000502

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.

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

1,757 services453 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.

989 services549 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

505 services249 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

395 services333 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

346 services178 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

230 services185 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

201 services191 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

124 services59 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.

103 services95 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.

80 services66 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

60 services56 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

50 services50 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

45 services41 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

44 services42 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

39 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services26 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

26 services24 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.

21 services21 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

18 services18 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490013

Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County

Emergency services

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

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.

85.64/100

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

Individually scored

Quality

91.74

Promoting Interoperability

Improvement Activities

Cost

Reported Quality Measures

Advance Care Plan

64%1,926 patients3/55-star benchmark: 100%

e-Prescribing

99%372 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

93%1,108 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 1,309 patients

Patients screened: 100% · 1,309 patients

98%292 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

46%836 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87%211 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,155 patients

Patients totalRate: 1% · 1,158 patients

1%1,158 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 38

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

Sterile water/saline, 500 ml A4217

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims324 services$2.75 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers214 claims214 services$42.00 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

3 suppliers11 claims335 services$4.49 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

3 suppliers11 claims44 services$3.71 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

7 suppliers69 claims149 services$1.66 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

7 suppliers36 claims36 services$19.83 avg. paid by Medicare

Large volume nebulizer, disposable, unfilled, used with aerosol compressor A7007

DME-Other DME · category DE000N

3 suppliers11 claims42 services$3.69 avg. paid by Medicare

Water collection device, used with large volume nebulizer A7012

DME-Other DME · category DE000N

3 suppliers11 claims24 services$2.84 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

6 suppliers180 claims180 services$108.49 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers189 claims440 services$41.19 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers72 claims377 services$24.94 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

8 suppliers49 claims275 services$16.22 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

11 suppliers113 claims113 services$67.98 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers174 claims174 services$22.95 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers39 claims39 services$20.95 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

9 suppliers253 claims1,413 services$2.68 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

4 suppliers29 claims29 services$8.22 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

8 suppliers106 claims106 services$13.63 avg. paid by Medicare

Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each A7521

DME-Orthotic Devices · category DF000N

2 suppliers11 claims11 services$45.50 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers240 claims249 services$21.43 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

2 suppliers12 claims12 services$921.58 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers31 claims31 services$126.28 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

1 supplier21 claims23 services$270.83 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers17 claims17 services$185.71 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers25 claims30 services$17.29 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers112 claims116 services$7.88 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers139 claims144 services$45.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers300 claims309 services$111.80 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers35 claims35 services$37.13 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers124 claims6,750 services$4.64 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers15 claims900 services$6.80 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

10 suppliers138 claims24,381 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers80 claims6,000 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers124 claims6,870 services$0.81 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

1 supplier17 claims630 services$0.15 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers31 claims162,750 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

10 suppliers329 claims329 services$24.70 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 12

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

ALEXIS LEIGH COLEMAN PA

Physician Assistant (Medical)

2210 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (941) 740-1946

JOSEPH MICHAEL COMPTON

Physician Assistant

2210 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 575-5864

MRS. SHARON PALAMAR PA

Internal Medicine

2210 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (703) 863-3755

DR. CHAD MICHAEL HENRY M.D.

Internal Medicine

2210 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 517-3827

DR. JONATHAN M LENZEN MD, FCCP

Internal Medicine (Critical Care Medicine)

2210 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 575-5864

DR. PAWANJIT SINGH SARNA M.D

Internal Medicine (Pulmonary Disease)

2210 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 575-5864

NICHOLAS ROBERT HALL PA

Physician Assistant (Medical)

2210 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 575-5864

MR. ALEXANDER GARY PATTON PA-C

Physician Assistant (Medical)

2210 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 575-5864

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 Witko's NPI number?

The NPI number for James Witko is 1427018829. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is James Witko located?

James Witko practices at 2210 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 575-5864.

What is James Witko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Witko enrolled in Medicare?

Yes. James Witko 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 Witko accept?

Health plans from AmeriHealth Caritas Next list James Witko 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 Witko affiliated with any hospitals?

According to CMS data, James Witko is affiliated with Sentara Halifax Regional Hospital and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for James Witko was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.