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DR. JAMES C REDINGTON MD
NPI 1457410557
Internal Medicine - Nephrology in N Kansas City, MO

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
2790 CLAY EDWARDS DR, SUITE 410, N KANSAS CITY, MO 64116(816) 474-9353(816) 474-3627 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. James C Redington Md NPPES

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

DR. JAMES C REDINGTON MD (NPI 1457410557) is an individual nephrology provider in N Kansas City, Missouri, licensed in Missouri (MD100080) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with North Kansas City Hospital, and is a graduate of Saint Louis University School Of Medicine (1986).

NPPES Registry Identity

NPI1457410557
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JAMES C REDINGTONCredential: MD
Location Address2790 CLAY EDWARDS DR, SUITE 410N Kansas City, MO 64116-3276
Mailing Address2790 Clay Edwards Dr, Suite 410N Kansas City, MO 64116-3276 · (816) 474-9353 · Fax (816) 474-3627
Phone(816) 474-9353
Fax(816) 474-3627
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1986
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1457410557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in MO · MD100080✔ Licensed in KS · 0423997
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2790 CLAY EDWARDS DR, N Kansas City, MO 64116
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF18404

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter of Oklahoma 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

Dr. James C Redington 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 ID5496793796
PECOS Enrollment IDI20050418001208, I20111116000506
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 Redington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Associates MD PA
Same address
Specialist
2790 CLAY EDWARDS DR, SUITE 410
North Kansas City, MO 64116
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 21 clinicians in this Medicare group
NPI 1578696506 (816) 474-9353

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 5

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.

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.
401 services265 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.
366 services109 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.
93 services82 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.
62 services62 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
36 services18 patients

Hospital Affiliations CMS Care Compare 5

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

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County
Emergency services Birthing friendly

Hedrick Medical Center

Critical Access Hospitals · Chillicothe, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261321
Location2799 North Washington StreetChillicothe, MO 64601 · Livingston County
Emergency services

Excelsior Springs Hospital

Critical Access Hospitals · Excelsior Springs, MO
OwnershipGovernment - Local
CMS Certification Number261322
Location1700 Rainbow BoulevardExcelsior Springs, MO 64024 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%535 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%587 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 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers15 claims3,030 services$0.28 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,740 services$0.99 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims13 services$17.55 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers17 claims17 services$11.16 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 20

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

APRIL D PATTEN ANP
Registered Nurse (Critical Care Medicine)
2790 CLAY EDWARDS DR, SUITE 510
N KANSAS CITY, MO 64116
Clay County (816) 842-3353
MERITAS HEALTH CORPORATION
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116
Clay County (816) 472-5157
DR. MICHAEL NEIL FINE DPM
Podiatrist
2790 CLAY EDWARDS DR, SUITE 570
N KANSAS CITY, MO 64116
Clay County (816) 455-8900
DR. RAJYA L MALAY MD
Internal Medicine (Cardiovascular Disease)
2790 CLAY EDWARDS DR, SUITE 520
NORTH KANSAS CITY, MO 64116
Clay County (816) 221-6750
DR. GREGORY L. BARNHILL D.O.
Orthopaedic Surgery
2790 CLAY EDWARDS DR, SUITE #650
NORTH KANSAS CITY, MO 64116
Clay County (816) 559-6500
JANESE B SURBER APRN
Nurse Practitioner
2790 CLAY EDWARDS DR, STE 1230
NORTH KANSAS CITY, MO 64116
Clay County (816) 214-9300
TESSA WEIGEL
Nurse Practitioner (Family)
2790 CLAY EDWARDS DR, SUITE 410
NORTH KANSAS CITY, MO 64116
Clay County (816) 474-9353
JAY GORDON ROBINSON MD
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116
Clay County (816) 472-5157

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 Redington's NPI number?

The NPI number for James Redington is 1457410557. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is James Redington located?

James Redington practices at 2790 Clay Edwards Dr Suite 410, N Kansas City, MO 64116. The listed phone number is (816) 474-9353.

What is James Redington's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is James Redington enrolled in Medicare?

Yes. James Redington 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 Redington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Redington reassigns Medicare benefits to Nephrology Associates MD PA (North Kansas City, MO). 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 Redington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Redington accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City and 2 other insurers list James Redington 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 Redington affiliated with any hospitals?

According to CMS data, James Redington is affiliated with North Kansas City Hospital, St Lukes Hospital Of Kansas City, New Liberty Hospital District, Hedrick Medical Center and Excelsior Springs Hospital.

When was this NPI record last updated?

The NPPES record for James Redington was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.