JAMES M CAWTHORNE DPM
NPI 1467430009
Podiatrist in North Charleston, SC

Q: What is James Cawthorne's NPI number?

The NPI number for James Cawthorne is 1467430009. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is James Cawthorne's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for James Cawthorne was last updated on November 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 January 04, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

3471 W MONTAGUE AVE, NORTH CHARLESTON, SC 29418(843) 553-2235(843) 553-2275 Get Directions Write a Review

NPPES record last updated: November 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About James M Cawthorne Dpm NPPES

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

JAMES M CAWTHORNE DPM (NPI 1467430009) is an individual podiatrist in North Charleston, South Carolina, licensed in South Carolina (78) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1977).

NPPES Registry Identity

NPI1467430009

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameJAMES M CAWTHORNECredential: DPM

Location Address3471 W MONTAGUE AVENorth Charleston, SC 29418-5938

Mailing Address1730 Saint Julian PlColumbia, SC 29204-2410 · (803) 256-6776 · Fax (803) 256-6778

Phone(843) 553-2235

Fax(843) 553-2275

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 1977

Enumeration DateJanuary 4, 2006

Last NPPES UpdateNovember 29, 2013

✔ NPI 1467430009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in SC · 78

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3471 W MONTAGUE AVE, North Charleston, SC 29418

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINT23647SC

Medicare OSCAR/certificationT236478922SC

Medicare ID-Type Unspecified3507SC

MedicaidPD0788SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

James M Cawthorne Dpm 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 ID4385749548

PECOS Enrollment IDI20100212000579

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 12

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 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.

437 services209 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

369 services173 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less 11305

This is a procedure where a small skin growth on the scalp, neck, hands, or feet, measuring 0.5 cm or less, is carefully removed. The process involves shaving off the growth layer by layer to ensure complete removal. It's a safe and common practice.

150 services79 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.

110 services110 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm 11308

This procedure involves the careful removal of a skin growth larger than 2.0 cm, located on the scalp, neck, hands, or feet. The area is first numbed, then the growth is gently shaved off. This is a safe, routine process to ensure skin health.

71 services32 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

51 services42 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

36 services29 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

27 services11 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.

22 services18 patients

Biopsy of fingernail or toenail 11755

A biopsy of a fingernail or toenail is a medical procedure where a small piece of your nail or the tissue under it is removed for testing. This can help diagnose conditions like infections or skin diseases. The area is numbed for your comfort during the process.

21 services19 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

20 services18 patients

Removal of skin of fingernail or toenail 11765

This procedure, called a nail avulsion, involves the removal of a fingernail or toenail's skin, usually due to an infection, injury, or abnormal growth. It's performed under local anesthesia to minimize discomfort, and promotes healthy nail regrowth and healing.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29418 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

75/100

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

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier12 claims24 services$54.55 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 2

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

DR. DANIELLE LATRICE WISE PHARMD

Pharmacist

3471 W MONTAGUE AVE
NORTH CHARLESTON, SC 29418

Dorchester County (843) 531-5187

STRIDE PHARMACY

Pharmacy (Community/Retail Pharmacy)

3471 W MONTAGUE AVE
NORTH CHARLESTON, SC 29418

Dorchester County (803) 256-6776

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 Cawthorne's NPI number?

The NPI number for James Cawthorne is 1467430009. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is James Cawthorne located?

James Cawthorne practices at 3471 W Montague Ave, North Charleston, SC 29418. The listed phone number is (843) 553-2235.

What is James Cawthorne's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is James Cawthorne enrolled in Medicare?

Yes. James Cawthorne 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 Cawthorne accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list James Cawthorne 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 Cawthorne was last updated on November 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.