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DR. JAMES DAVID BRANCH MD
NPI 1538147061
Ophthalmology in Winston-salem, NC

Active since January 05, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 34D1031349 · Waiver
224 TOWN RUN LN, WINSTON-SALEM, NC 27101(336) 723-0748(336) 721-4711 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James David Branch Md NPPES

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

DR. JAMES DAVID BRANCH MD (NPI 1538147061) is an individual ophthalmology provider in Winston-salem, North Carolina, licensed in North Carolina (NC21915) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 5, 2026, and is affiliated with Novant Health Forsyth Medical Center.

NPPES Registry Identity

NPI1538147061
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAMES DAVID BRANCHCredential: MD
Location Address224 TOWN RUN LNWinston-salem, NC 27101-3911
Mailing Address224 Town Run LnWinston-salem, NC 27101-3911 · (336) 723-0748 · Fax (336) 721-4711
Phone(336) 723-0748
Fax(336) 721-4711
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 1973
Enumeration DateJanuary 5, 2006
Last NPPES UpdateMarch 24, 2008
✔ NPI 1538147061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · NC21915
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
224 TOWN RUN LN, Winston-salem, NC 27101
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Other Identifiers 7

Other17800NC · Blue Cross And Blue Shiel
Medicare UPINC80923NC
Medicare PIN201841NC
Medicaid8917800NC
Medicare NSC0593340001NC
Medicare PIN201841DNC
Medicare PIN201841CNC

Accepted Insurance

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

Dr. James David Branch 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 ID3274665633
PECOS Enrollment IDI20100720000868
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1031349

James D Branch MD · Winston Salem, NC
Active · expires Aug 5, 2026
CLIA Number34D1031349
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorJames D. Branch MD
Laboratory Phone(336) 723-0748
Laboratory LocationJames D Branch MD224 Town Run Lane, Winston Salem, NC 27101
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.
125 services86 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.
89 services48 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
56 services51 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
46 services46 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
28 services26 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27101 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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%214 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%276 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%777 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%357 patients4/55-star benchmark: 95%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%226 patients5/55-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.

Other Providers at the Same Location NPPES

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

EYEWEAR UNLIMITED OPTICAL SHOP
Eyewear Supplier
224 TOWN RUN LN
WINSTON SALEM, NC 27101
Forsyth County (336) 723-0748

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 Branch's NPI number?

The NPI number for James Branch is 1538147061. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is James Branch located?

James Branch practices at 224 Town Run Ln, Winston-Salem, NC 27101. The listed phone number is (336) 723-0748.

What is James Branch's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Branch enrolled in Medicare?

Yes. James Branch 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.

Does James Branch hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1031349) is associated with this NPI, valid through August 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does James Branch accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 3 other insurers list James Branch 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 Branch affiliated with any hospitals?

According to CMS data, James Branch is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for James Branch was last updated on March 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.