JAMES EDWARD MEADE MD
NPI 1528065257
Family Medicine - Sports Medicine in Watertown, WI

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
92.19/100
CMS Quality Rating
134 HOSPITAL DR, WATERTOWN, WI 53098(920) 261-6500(920) 261-6107 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Edward Meade Md NPPES

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

JAMES EDWARD MEADE MD (NPI 1528065257) is an individual sports medicine provider in Watertown, Wisconsin, licensed in Wisconsin (33913) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1988).

NPPES Registry Identity

NPI1528065257
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJAMES EDWARD MEADECredential: MD
Location Address134 HOSPITAL DRWatertown, WI 53098-3304
Mailing Address134 Hospital DrWatertown, WI 53098-3304 · (920) 261-6500 · Fax (920) 261-6107
Fax(920) 261-6107
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1988
Enumeration DateJuly 7, 2005
Last NPPES UpdateMay 8, 2020
NPPES CertifiedMay 8, 2020
NPI 1528065257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in WI · 33913
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
134 HOSPITAL DR, Watertown, WI 53098

Other Identifiers 1

Medicaid32457300WI

Accepted 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 Edward Meade 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 ID7517863277
PECOS Enrollment IDI20101105000329
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 21

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.
500 services266 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
468 services285 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
382 services251 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
291 services211 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.
277 services163 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
234 services234 patients

Hospital Affiliations CMS Care Compare 3

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53098 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

92.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost73.99

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%331 patients
Advance Care Plan
94%631 patients4/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
96%27 patients4/55-star benchmark: 100%
Breast Cancer Screening
73%507 patients4/55-star benchmark: 93%
Cervical Cancer Screening
57%926 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
52%328 patients
Closing the Referral Loop: Receipt of Specialist Report
50%394 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
56%1,363 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
81%861 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
44%332 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
14%332 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
90%6,741 patients4/55-star benchmark: 100%
e-Prescribing
100%2,695 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
79%597 patients4/55-star benchmark: 100%
HIV Screening
2%2,320 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
40%2,750 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
35%2,039 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%3,624 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 2,402 patients
Patients screened: 95% · 2,402 patients
49%395 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%1,603 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%1,049 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 613 patients
Patients totalRate: 9% · 644 patients
8%644 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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers30 claims71 services$6.89 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$4.97 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims13 services$36.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$111.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers13 claims840 services$0.70 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers34 claims35 services$151.89 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 7

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

Nurse Practitioner (Family)
134 HOSPITAL DR
WATERTOWN, WI 53098
Pediatrics
134 HOSPITAL DR
WATERTOWN, WI 53098
Nurse Practitioner (Pediatrics)
134 HOSPITAL DR
WATERTOWN, WI 53098
Pediatrics
134 HOSPITAL DR
WATERTOWN, WI 53098
Clinic/Center (Multi-Specialty)
134 HOSPITAL DR
WATERTOWN, WI 53098
Pediatrics
134 HOSPITAL DR
WATERTOWN, WI 53098
Nurse Practitioner (Family)
134 HOSPITAL DR
WATERTOWN, WI 53098

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 Meade's NPI number?

The NPI number for James Meade is 1528065257. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is James Meade located?

James Meade practices at 134 Hospital Dr, Watertown, WI 53098. The listed phone number is (920) 261-6500.

What is James Meade's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is James Meade enrolled in Medicare?

Yes. James Meade 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 Meade accept?

Health plans from CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans, Network Health and Quartz and 1 other insurer list James Meade 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 Meade affiliated with any hospitals?

According to CMS data, James Meade is affiliated with Waukesha Memorial Hospital, Oconomowoc Memorial Hospital and Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Meade was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.