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DR. JAMES NICHOLAS PAPPAS M.D.
NPI 1457332025
Orthopaedic Surgery in Reno, NV

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
91.59/100
CMS Quality Rating
10381 DOUBLE R BLVD, RENO, NV 89521(775) 322-1200(775) 322-1241 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James Nicholas Pappas M.d. NPPES

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

DR. JAMES NICHOLAS PAPPAS M.D. (NPI 1457332025) is an individual orthopaedic surgery provider in Reno, Nevada, licensed in Nevada (6627) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (1986).

NPPES Registry Identity

NPI1457332025
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES NICHOLAS PAPPASCredential: M.D.
Location Address10381 DOUBLE R BLVDReno, NV 89521-5991
Mailing Address2102 Idaho StElko, NV 89801-2340 · (775) 322-1200 · Fax (775) 322-1241
Phone(775) 322-1200
Fax(775) 322-1241
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1986
Enumeration DateNovember 9, 2005
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1457332025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NV · 6627✔ Licensed in TN · MD0000023692✔ Licensed in CA · G070303
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.
10381 DOUBLE R BLVD, Reno, NV 89521
Open in Google Maps ↗

Other Identifiers 2

OtherXPY166000CA · Medical Pin
Medicaid20-16513NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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

Dr. James Nicholas Pappas M.d. 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 ID6204924400
PECOS Enrollment IDI20100406000052
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

2

Medicare enrollment records show James Pappas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

James J Lynch MD Ltd
5.4 mi
Specialist
9480 DOUBLE DIAMOND PKWY STE 200
Reno, NV 89521
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: James J Lynch M D Ltd
  • 83 clinicians in this Medicare group
NPI 1285649608 (775) 348-8800
Community Health Allied Medical Providers - Pappas PLLC
232 mi
Surgery
2102 IDAHO STREET
Elko, NV 89801
  • Reassigned Medicare billing, Nevada enrollment
  • 14 clinicians in this Medicare group
NPI 1316785041 (775) 389-5778

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89521 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

91.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.05
Promoting Interoperability96.88
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
15%155 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
98%573 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%59 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%317 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%569 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 202 patients
Patients screened: 96% · 202 patients
100%32 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
91%229 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 68 patients
Patients totalRate: 0% · 68 patients
0%68 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 6

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

JAMES J LYNCH MD LTD
Durable Medical Equipment & Medical Supplies
10381 DOUBLE R BLVD
RENO, NV 89521
Storey County (775) 348-8800
MS. KIMBERLY ANN POPE CRNP
Nurse Practitioner (Family)
10381 DOUBLE R BLVD
RENO, NV 89521
Storey County (775) 348-8800
JAMES PAPPAS MD LTD
Orthopaedic Surgery
10381 DOUBLE R BLVD
RENO, NV 89521
Storey County (775) 322-1200
LISA KATHLEEN HAMMARGREN-KUYKENDALL APN
Nurse Practitioner (Family)
10381 DOUBLE R BLVD
RENO, NV 89521
Storey County (775) 348-8800
DR. WAQAAR AHMAD M.D.
Radiology (Vascular & Interventional Radiology)
10381 DOUBLE R BLVD
RENO, NV 89521
Storey County (775) 348-8800
MR. ADAM PAUL SLAMOWITZ PA-C
Physician Assistant (Medical)
10381 DOUBLE R BLVD
RENO, NV 89521
Storey County (775) 348-8800

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 Pappas's NPI number?

The NPI number for James Pappas is 1457332025. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is James Pappas located?

James Pappas practices at 10381 Double R Blvd, Reno, NV 89521. The listed phone number is (775) 322-1200.

What is James Pappas's specialty?

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

Is James Pappas enrolled in Medicare?

Yes. James Pappas 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 Pappas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pappas reassigns Medicare benefits to 2 organizations: James J Lynch MD Ltd (Reno, NV) and Community Health Allied Medical Providers - Pappas PLLC (Elko, NV). 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 Pappas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pappas accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list James Pappas 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.

When was this NPI record last updated?

The NPPES record for James Pappas was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.