DR. JAMES MARSHALL OELSEN MD
NPI 1487009379
Urology in Concord, NC

Q: What is James Oelsen's NPI number?

The NPI number for James Oelsen is 1487009379. It was assigned to this individual provider in the NPPES registry on April 27, 2016. The provider is also known as Dr. James Marshall Oelsen MD.

Q: What is James Oelsen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for James Oelsen was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 27, 2016PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

1085 NE GATEWAY CT NE, CONCORD, NC 28025(704) 707-2200(704) 707-2203 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 1, 2022, Nov 16, 2021 (2 updates tracked since 2021).

On this page

About Dr. James Marshall Oelsen Md NPPES

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

DR. JAMES MARSHALL OELSEN MD (NPI 1487009379) is an individual urology provider in Concord, North Carolina, licensed in North Carolina (304712) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Medical University Of South Carolina College Of Medicine (2016).

NPPES Registry Identity

NPI1487009379

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. JAMES MARSHALL OELSENCredential: MD

Location Address1085 NE GATEWAY CT NEConcord, NC 28025-2406

Mailing Address1518 E 3rd St Ste 250Charlotte, NC 28204-3192 · (704) 248-3400 · Fax (704) 337-8387

Phone(704) 707-2200

Fax(704) 707-2203

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2016

Enumeration DateApril 27, 2016

Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2022

✔ NPI 1487009379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NC · 304712

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedSpecialistTaxonomy 174400000X · License 304712 (NC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1085 NE GATEWAY CT NE, Concord, NC 28025

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Other Names 1

Professional Name (2)Dr. James Marshall Oelsen Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 Marshall Oelsen 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 ID42500308

PECOS Enrollment IDI20210806000934

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 Oelsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stone Institute Of The Carolinas LLC

15 mi

Urology

215 SOUTH MAIN STREET, SU 201
Davidson, NC 28036

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

NPI 1457377954 (800) 822-5525

Urology Specialists Of The Carolinas PLLC

21 mi

Urology

325 HAWTHORNE LN STE 300
Charlotte, NC 28204

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

NPI 1669404208 (704) 372-5180

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 17

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.

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

347 services206 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

298 services215 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.

254 services172 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.

215 services158 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

90 services80 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

84 services76 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

79 services73 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.

68 services68 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.

46 services46 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

25 services14 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

23 services19 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

22 services18 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

20 services20 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

19 services16 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

17 services16 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

13 services11 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340119

Location301 Yadkin StAlbemarle, NC 28001 · Stanly County

Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340166

Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340183

Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

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.

95.35/100

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

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

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.

THOMAS CARY CAMERON MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1085 NE GATEWAY CT NE, STE 330
CONCORD, NC 28025

Cabarrus County (704) 403-8320

MARK E. BRAUN MD

Internal Medicine

1085 NE GATEWAY CT NE, STE 200
CONCORD, NC 28025

Cabarrus County (704) 403-8650

JAMES A. HOLT MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1085 NE GATEWAY CT NE, STE 330
CONCORD, NC 28025

Cabarrus County (704) 403-8320

LAURA ANN LEVIN MD

Pediatrics

1085 NE GATEWAY CT NE, STE 290
CONCORD, NC 28025

Cabarrus County (704) 403-4650

TONY L. WALDEN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1085 NE GATEWAY CT NE, STE 330
CONCORD, NC 28025

Cabarrus County (704) 403-8320

CHS PHARMACY SERVICES, INC.

Pharmacy (Community/Retail Pharmacy)

1085 NE GATEWAY CT NE, STE 190
CONCORD, NC 28025

Cabarrus County (704) 403-8680

JALAL ZEYAD EL-AKAWI MD

Internal Medicine

1085 NE GATEWAY CT NE, STE 330
CONCORD, NC 28025

Cabarrus County (704) 403-8320

CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

Otolaryngology

1085 NE GATEWAY CT NE, SUITE 100
CONCORD, NC 28025

Cabarrus County (704) 782-2166

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 Oelsen's NPI number?

The NPI number for James Oelsen is 1487009379. It was assigned to this individual provider in the NPPES registry on April 27, 2016. The provider is also known as Dr. James Marshall Oelsen MD.

Where is James Oelsen located?

James Oelsen practices at 1085 NE Gateway Ct NE, Concord, NC 28025. The listed phone number is (704) 707-2200.

What is James Oelsen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Oelsen enrolled in Medicare?

Yes. James Oelsen 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 Oelsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Oelsen reassigns Medicare benefits to 2 organizations: Stone Institute Of The Carolinas LLC (Davidson, NC) and Urology Specialists Of The Carolinas PLLC (Charlotte, NC). 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 Oelsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Oelsen accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer list James Oelsen 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 Oelsen affiliated with any hospitals?

According to CMS data, James Oelsen is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health, Stanly Regional Medical Center, Atrium Health University City and Novant Health Huntersville Medical Center.

When was this NPI record last updated?

The NPPES record for James Oelsen was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.