JAMES DRAKE
NPI 1427582378
Surgery in Spruce Pine, NC

Q: What is James Drake's NPI number?

The NPI number for James Drake is 1427582378. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Q: What is James Drake's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Drake was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 April 18, 2017PECOS EnrolledAccepts Medicare Assignment

96.6/100

CMS Quality Rating

125 HOSPITAL DR, SPRUCE PINE, NC 28777(828) 765-4201 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 9, 2025, Aug 23, 2023, Apr 18, 2017 (3 updates tracked since 2017).

On this page

About James Drake NPPES

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

JAMES DRAKE (NPI 1427582378) is an individual surgery provider in Spruce Pine, North Carolina, licensed in Wisconsin (85496) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Janesville, and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1427582378

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES DRAKE

Location Address125 HOSPITAL DRSpruce Pine, NC 28777-3035

Mailing Address125 Hospital DrSpruce Pine, NC 28777-3035 · (828) 765-4201

Phone(828) 765-4201

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2017

Enumeration DateApril 18, 2017

Last NPPES UpdateJune 9, 20253 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1427582378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in WI · 85496✔ Licensed in NC · 2023-01594

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

125 HOSPITAL DR, Spruce Pine, NC 28777

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Secondary Practice Location 1

Location 13200 E Racine StJanesville, WI 53546-2343 · Phone (608) 371-8000 · Fax (608) 371-8929

Other Identifiers 1

Medicaid1427582378WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Dean Health Plan and more.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

James Drake 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 ID5092072066

PECOS Enrollment IDI20250508000098

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

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

Mh Mission Hospital Mcdowell, Lllp

14 mi

Rural Health

387 US 70 W
Marion, NC 28752

Reassigned Medicare billing, North Carolina enrollment
57 clinicians in this Medicare group

NPI 1619443827 (828) 659-5000

The Monroe Clinic, Inc.

614 mi

Specialist

515 22ND AVE
Monroe, WI 53566

Reassigned Medicare billing, Wisconsin enrollment
376 clinicians in this Medicare group

NPI 1386720548 (608) 324-2770

Dean Health Systems, Inc

629 mi

Allergy & Immunology

1211 FISH HATCHERY RD
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
1,377 clinicians in this Medicare group

NPI 1053358846 (608) 252-8000

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 3

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.

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.

22 services22 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

15 services15 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520208

Location3400 East Racine StreetJanesville, WI 53546 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28777 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.

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.

96.6/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

MISSION HOSPITALS, INC.

Genetic Counselor, MS

125 HOSPITAL DR
SPRUCE PINE, NC 28777

Mitchell County (828) 766-3025

MISSION HOSPITAL INC.

Pediatrics

125 HOSPITAL DR
SPRUCE PINE, NC 28777

Mitchell County (828) 765-4201

MICHAEL DAMICO

Physician Assistant

125 HOSPITAL DR
SPRUCE PINE, NC 28777

Mitchell County (772) 468-4551

MR. TIMOTHY SCOTT HOLCOMB PA

Physician Assistant

125 HOSPITAL DR, BLUE RIDGE REGIONAL HOSPITAL
SPRUCE PINE, NC 28777

Mitchell County (828) 766-3755

MR. JASON DANIEL MCLOTT CRNA

Nurse Anesthetist, Certified Registered

125 HOSPITAL DR
SPRUCE PINE, NC 28777

Mitchell County (828) 765-4201

BLUE RIDGE REGIONAL HOSPITAL, INC

Emergency Medicine

125 HOSPITAL DR
SPRUCE PINE, NC 28777

Mitchell County (828) 765-4201

MISSION MEDICAL ASSOCIATES INC

Psychiatry & Neurology (Psychiatry)

125 HOSPITAL DR
SPRUCE PINE, NC 28777

Mitchell County (828) 765-4201

CANCER CARE OF WNC

Internal Medicine (Hematology & Oncology)

125 HOSPITAL DR
SPRUCE PINE, NC 28777

Mitchell County (828) 253-4262

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 Drake's NPI number?

The NPI number for James Drake is 1427582378. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is James Drake located?

James Drake practices at 125 Hospital Dr, Spruce Pine, NC 28777. The listed phone number is (828) 765-4201.

What is James Drake's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Drake enrolled in Medicare?

Yes. James Drake 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 Drake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Drake reassigns Medicare benefits to 3 organizations: Mh Mission Hospital Mcdowell, Lllp (Marion, NC), The Monroe Clinic, Inc. (Monroe, WI) and Dean Health Systems, Inc (Madison, WI). 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 Drake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Drake accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list James Drake 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 Drake affiliated with any hospitals?

According to CMS data, James Drake is affiliated with Ssm Health St Mary's Hospital - Janesville.

When was this NPI record last updated?

The NPPES record for James Drake was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.