JAMES MARK MARCOUILLIER PA-C
NPI 1508411323
Physician Assistant in Lynchburg, VA

Q: What is James Marcouillier's NPI number?

The NPI number for James Marcouillier is 1508411323. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Q: What is James Marcouillier's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since August 08, 2019PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

2410 ATHERHOLT RD, LYNCHBURG, VA 24501(434) 200-5252 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About James Mark Marcouillier Pa-c NPPES

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

JAMES MARK MARCOUILLIER PA-C (NPI 1508411323) is an individual physician assistant in Lynchburg, Virginia and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Sentara Halifax Regional Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508411323

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJAMES MARK MARCOUILLIERCredential: PA-C

Location Address2410 ATHERHOLT RDLynchburg, VA 24501-2148

Mailing Address1083 Column Way Apt 301Forest, VA 24551-1888 · (978) 846-4106

Phone(434) 200-5252

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 8, 2019

✔ NPI 1508411323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2410 ATHERHOLT RD, Lynchburg, VA 24501

Open in Google Maps ↗

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 Mark Marcouillier Pa-c 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 ID5799119467

PECOS Enrollment IDI20200106001814

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 4

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.

112 services93 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

34 services28 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.

21 services19 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490013

Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County

Emergency services

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490021

Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County

Emergency services Birthing friendly

Centra Bedford Memorial Hospital

Acute Care Hospitals · Bedford, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490088

Location1613 Oakwood StreetBedford, VA 24523 · Bedford County

Emergency services

Centra Southside Community Hospital, Inc

Acute Care Hospitals · Farmville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490090

Location800 Oak StreetFarmville, VA 23901 · Prince Edward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

94.07/100

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

Scored through an Alternative Payment Model

Quality

86.44

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.

ARIC JORDAN MORAN MD

Internal Medicine (Cardiovascular Disease)