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DR. JAMES C FERLMANN M.D.
NPI 1558369371
Surgery - Plastic and Reconstructive Surgery in Gilbert, AZ

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
4915 E BASELINE RD STE 104, GILBERT, AZ 85234(480) 616-0676(480) 546-5369 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 29, 2021, Feb 5, 2019, Jul 7, 2017 (3 updates tracked since 2017).

About Dr. James C Ferlmann M.d. NPPES

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

DR. JAMES C FERLMANN M.D. (NPI 1558369371) is an individual plastic and reconstructive surgery provider in Gilbert, Arizona, licensed in Arizona (56396) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1558369371
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JAMES C FERLMANNCredential: M.D.
Location Address4915 E BASELINE RD STE 104Gilbert, AZ 85234-2966
Mailing AddressPo Box 29650, Dept 880392Phoenix, AZ 85038 · (480) 626-1746 · Fax (480) 626-2690
Phone(480) 616-0676
Fax(480) 546-5369
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1987
Enumeration DateJuly 14, 2005
Last NPPES UpdateApril 29, 20213 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1558369371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in AZ · 56396✔ Licensed in IL · 036-079730
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4915 E BASELINE RD STE 104, Gilbert, AZ 85234
Open in Google Maps ↗

Secondary Practice Location 1

Location 16036 N 19th Ave Ste 204Phoenix, AZ 85015-2104 · Phone (480) 616-0676 · Fax (480) 546-5369

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Moda Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James C Ferlmann M.d. 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 ID3577623057
PECOS Enrollment IDI20081114000218, I20250321001532
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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Ferlmann reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yadwinder S Dhillon MD PC
8.7 mi
Family Medicine
1450 S DOBSON RD STE B122
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 10 clinicians in this Medicare group
NPI 1295964781 (480) 580-2001
Advanced Minimally Invasive Surgical
21 mi
Surgery
202 E EARLL DR STE 360
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 78 clinicians in this Medicare group
NPI 1295056919 (480) 788-5621
Healogics Specialty Physicians Of Arizona LLC
176 mi
Undersea and Hyperbaric Medicine
2460 S PARKVIEW LOOP STE 205
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
NPI 1417327107 (928) 336-2030
Healogics Specialty Physicians Of Missouri, LLC
1,006 mi
Undersea and Hyperbaric Medicine
1905 W 32ND ST STE 103
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 22 clinicians in this Medicare group
NPI 1528468311 (904) 446-3451
Healogics Specialty Physicians Of Illinois, LLC
1,261 mi
Undersea and Hyperbaric Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Illinois enrollment
  • 39 clinicians in this Medicare group
NPI 1215355110 (616) 433-7066

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
82 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

WOMEN'S MEDICAL GROUP OF TEMPE
Specialist
4915 E BASELINE RD STE 104
GILBERT, AZ 85234
Maricopa County (480) 632-2004
AOM INFUSION CENTERS OF ARIZONA PC
Clinic/Center (Infusion Therapy)
4915 E BASELINE RD STE 104
GILBERT, AZ 85234
Maricopa County (817) 361-7699
ADVANCED WOUND INSTITUTE, LLC
Clinic/Center (Multi-Specialty)
4915 E BASELINE RD STE 104
GILBERT, AZ 85234
Maricopa County (480) 616-0672
KELSEY RESLER NP
Nurse Practitioner (Adult Health)
4915 E BASELINE RD STE 104
GILBERT, AZ 85234
Maricopa County (480) 616-0676

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 Ferlmann's NPI number?

The NPI number for James Ferlmann is 1558369371. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is James Ferlmann located?

James Ferlmann practices at 4915 E Baseline Rd Ste 104, Gilbert, AZ 85234. The listed phone number is (480) 616-0676.

What is James Ferlmann's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is James Ferlmann enrolled in Medicare?

Yes. James Ferlmann 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.

Which organizations bill Medicare for James Ferlmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ferlmann reassigns Medicare benefits to 5 organizations: Yadwinder S Dhillon MD PC (Mesa, AZ), Advanced Minimally Invasive Surgical (Phoenix, AZ), Healogics Specialty Physicians Of Arizona LLC (Yuma, AZ), Healogics Specialty Physicians Of Missouri, LLC (Joplin, MO) and Healogics Specialty Physicians Of Illinois, LLC (Alton, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Ferlmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ferlmann accept?

Health plans from Anthem Blue Cross and Blue Shield, Moda Health Plan, Inc. and UnitedHealthcare list James Ferlmann 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 Ferlmann affiliated with any hospitals?

According to CMS data, James Ferlmann is affiliated with Alton Memorial Hospital, Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for James Ferlmann was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.