JIM E DAULTON JR.
NPI 1538717319
Physician Assistant in Flagstaff, AZ

Active since August 26, 2019PECOS EnrolledAccepts Medicare Assignment
82.49/100
CMS Quality Rating
1485 N TURQUOISE DR STE 200, FLAGSTAFF, AZ 86001(928) 774-7757(928) 774-7767 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2021, Aug 26, 2019 (2 updates tracked since 2019).

About Jim E Daulton Jr. NPPES

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

JIM E DAULTON JR. (NPI 1538717319) is an individual physician assistant in Flagstaff, Arizona, licensed in Arizona (8578) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1538717319
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJIM E DAULTON JR.
Location Address1485 N TURQUOISE DR STE 200Flagstaff, AZ 86001-2000
Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (866) 974-2673 · Fax (866) 939-2673
Fax(928) 774-7767
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 26, 2019
Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
NPI 1538717319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 8578
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.

1485 N TURQUOISE DR STE 200, Flagstaff, AZ 86001

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

Jim E Daulton Jr. 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 ID6709281306
PECOS Enrollment IDI20210819002651
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 2024 & 2026 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.
24 services23 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 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.
18 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

82.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.09
Promoting Interoperability100
Improvement Activities40
Cost68.54

Other Providers at the Same Location NPPES 6

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

Orthopaedic Surgery
1485 N TURQUOISE DR STE 200
FLAGSTAFF, AZ 86001
Orthopaedic Surgery (Hand Surgery)
1485 N TURQUOISE DR STE 200
FLAGSTAFF, AZ 86001
Durable Medical Equipment & Medical Supplies
1485 N TURQUOISE DR STE 200
FLAGSTAFF, AZ 86001
Physician Assistant
1485 N TURQUOISE DR STE 200
FLAGSTAFF, AZ 86001
Physician Assistant
1485 N TURQUOISE DR STE 200
FLAGSTAFF, AZ 86001
Orthopaedic Surgery
1485 N TURQUOISE DR STE 200
FLAGSTAFF, AZ 86001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538717319, enumerated as an "individual" on August 26, 2019.

The provider is located at 1485 N TURQUOISE DR STE 200 FLAGSTAFF, AZ 86001 and the phone number is (928) 774-7757.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.