JAMES ABBOTT MD
NPI 1518490283
Dermatology in Ketchum, ID

Q: What is James Abbott's NPI number?

The NPI number for James Abbott is 1518490283. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Q: What is James Abbott's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for James Abbott was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 09, 2017PECOS EnrolledAccepts Medicare Assignment

94.3/100

CMS Quality Rating

100 HOSPITAL DR, SUITE 201, KETCHUM, ID 83340(208) 725-2171(208) 725-2015 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2025, May 14, 2025, Aug 29, 2022 and 1 more (4 updates tracked since 2018).

On this page

About James Abbott Md NPPES

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

JAMES ABBOTT MD (NPI 1518490283) is an individual dermatology provider in Ketchum, Idaho, licensed in Idaho (1871360) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with St Luke's Wood River Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518490283

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameJAMES ABBOTTCredential: MD

Location Address100 HOSPITAL DR, SUITE 201Ketchum, ID 83340

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 725-2171

Fax(208) 725-2015

Sole ProprietorYes

Medical School CMSDrexel University College Of MedicineGraduated 2017

Enumeration DateApril 9, 2017

Last NPPES UpdateNovember 12, 20254 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1518490283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in ID · 1871360✔ Licensed in MT · MED-PHYS-LIC-109898✔ Licensed in UT · 10955715-1205

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License MED-PHYS-LIC-109898 (MT)

100 HOSPITAL DR, Ketchum, ID 83340

Open in Google Maps ↗

Secondary Practice Locations 2

Location 130 N 1900 E Rm 4A330Salt Lake City, UT 84132-0002 · Phone (801) 581-2121

Location 22825 8th Ave NBillings, MT 59101-0909 · Phone (406) 238-2500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., Mountain Health CO-OP.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 Abbott 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 ID9537412192

PECOS Enrollment IDI20220711003200, I20251107004069

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 34

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

2,236 services1,542 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,663 services250 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

342 services292 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.

295 services257 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.

240 services184 patients

Destruction of precancer skin growth, 2-14 growths 17003

223 services33 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

208 services182 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

203 services185 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

170 services90 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

169 services111 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

125 services106 patients

Antibody evaluation, each additional single antibody stain procedure 88350

An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.

104 services26 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

102 services68 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

96 services86 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.

77 services77 patients

Destruction of precancer skin growth, 1 growth 17000

53 services46 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

47 services39 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

35 services35 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

35 services28 patients

Biopsy of related skin growth, first growth 11102

34 services31 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

31 services28 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

31 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

31 services31 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm 17261

This procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.

27 services23 patients

Antibody evaluation, initial single antibody stain procedure 88346

An antibody evaluation, initial single antibody stain procedure is a laboratory test. It's designed to identify specific proteins, or antibodies, in your body. This can help diagnose certain conditions or monitor your immune system's response to treatments. The procedure involves staining a single type of antibody for detection.

26 services26 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

23 services21 patients

Destruction of skin growth, 1-14 growths 17110

22 services21 patients

Biopsy of related skin growth, each additional growth 11103

21 services12 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.

21 services21 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

20 services14 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 17281

This procedure involves the removal of cancerous skin growths on the face, ears, eyelids, nose, lips, or mouth that are between 0.6-1.0 cm in size. The goal is to eliminate cancer cells, preventing further spread and promoting health.

20 services14 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 17272

This procedure involves the removal of a cancerous skin growth measuring 1.1-2.0 cm, located on the scalp, neck, hands, or feet. The process may involve techniques like surgery, laser, or cryotherapy. The aim is to eliminate the cancer cells and prevent further spread.

19 services16 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

18 services18 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 17271

This procedure involves the removal of a small cancerous skin growth, between 0.6 to 1.0 cm, located on the scalp, neck, hands, or feet. The aim is to eliminate the cancerous cells and prevent their spread. The treatment is done in a safe, controlled environment.

18 services14 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131323

Location100 Hospital DriveKetchum, ID 83340 · Blaine County

Emergency services Birthing friendly

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Sidney Health Center

Critical Access Hospitals · Sidney, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number271344

Location216 14th Ave SWSidney, MT 59270 · Richland County

Emergency services Birthing friendly

Hot Springs County Memorial Hospital

Critical Access Hospitals · Thermopolis, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531304

Location150 East ArapahoeThermopolis, WY 82443 · Hot Springs County

Emergency services

Powell Valley Hospital

Critical Access Hospitals · Powell, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531310

Location777 Avenue HPowell, WY 82435 · Park County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83340 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

94.3/100

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

Scored through an Alternative Payment Model

Quality

85.58

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

SYNAPS CORP

Nurse Anesthetist, Certified Registered

100 HOSPITAL DR
KETCHUM, ID 83340

Blaine County (208) 406-1727

CAITLIN FERRY M.S., CCC-SLP

Speech-Language Pathologist

100 HOSPITAL DR
KETCHUM, ID 83340

Blaine County (208) 727-8800

ROYAL MCCLURE MD

Internal Medicine

100 HOSPITAL DR, STE 201
KETCHUM, ID 83340

Blaine County (208) 727-8888

DR. HADI BHURGRI MD

Internal Medicine (Gastroenterology)

100 HOSPITAL DR
KETCHUM, ID 83340

Blaine County (208) 727-8888

SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA

Clinic/Center (Medical Specialty)

100 HOSPITAL DR, SUITE 107
KETCHUM, ID 83340

Blaine County (208) 622-3311

JAMES CLEVELAND CRNA

Nurse Anesthetist, Certified Registered

100 HOSPITAL DR
KETCHUM, ID 83340

Blaine County (208) 727-8800

SIARRA WALKER OTR/L, OTD, ATC

Occupational Therapist

100 HOSPITAL DR, SUITE 104
KETCHUM, ID 83340

Blaine County (208) 727-8253

ST LUKES WOOD RIVER MEDICAL CENTER LTD

Medicare Defined Swing Bed Unit

100 HOSPITAL DR
KETCHUM, ID 83340

Blaine County (208) 788-2222

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 Abbott's NPI number?

The NPI number for James Abbott is 1518490283. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Where is James Abbott located?

James Abbott practices at 100 Hospital Dr Suite 201, Ketchum, ID 83340. The listed phone number is (208) 725-2171.

What is James Abbott's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is James Abbott enrolled in Medicare?

Yes. James Abbott 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 Abbott accept?

Health plans from Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc. and Mountain Health CO-OP list James Abbott 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 Abbott affiliated with any hospitals?

According to CMS data, James Abbott is affiliated with St Luke's Wood River Medical Center, Billings Clinic, Sidney Health Center, Hot Springs County Memorial Hospital and Powell Valley Hospital.

When was this NPI record last updated?

The NPPES record for James Abbott was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.