JAMES G PELTON
NPI 1558449918
Radiology - Radiation Oncology in Bellingham, WA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
3301 SQUALICUM PKWY, BELLINGHAM, WA 98225(360) 788-8222(360) 788-7759 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James G Pelton NPPES

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

JAMES G PELTON (NPI 1558449918) is an individual radiation oncology provider in Bellingham, Washington, licensed in Washington (MD00020032) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Bellevue.

NPPES Registry Identity

NPI1558449918
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameJAMES G PELTON
Location Address3301 SQUALICUM PKWYBellingham, WA 98225-1919
Mailing Address1115 Se 164th Ave Dept 358Vancouver, WA 98683-8004 · (360) 729-1412 · Fax (360) 729-3025
Fax(360) 788-7759
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1981
Enumeration DateNovember 2, 2006
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1558449918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in WA · MD00020032
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
3301 SQUALICUM PKWY, Bellingham, WA 98225

Secondary Practice Location 1

Location 11135 116th Ave NE, Suite 160Bellevue, WA 98004-4623 · Phone (425) 688-5289

Other Identifiers 2

Other5876Internal Id-motor Vehicle Id
Medicaid1251404WA

Accepted 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

James G Pelton 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 ID8426189606
PECOS Enrollment IDI20100702000223
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 Pelton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2901 SQUALICUM PKWY
Bellingham, WA 98225
  • Reassigned Medicare billing, Washington enrollment
  • 390 clinicians in this Medicare group
Critical Access
2000 HOSPITAL DR
Sedro Woolley, WA 98284
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1548698806 (Washington)
  • 76 clinicians in this Medicare group
Family Medicine
1909 214TH ST SE, SUITE 110
Bothell, WA 98021
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
Specialist
1750 112TH AVE NE, SUITE A101
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 566 clinicians in this Medicare group
Family Medicine
222 STATE AVE N
Kent, WA 98030
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group

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 3

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
68 services23 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.
16 services16 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98225 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

Registered Nurse (Infusion Therapy)
3301 SQUALICUM PKWY
BELLINGHAM, WA 98225
Registered Nurse
3301 SQUALICUM PKWY
BELLINGHAM, WA 98225
Radiology (Radiation Oncology)
3301 SQUALICUM PKWY
BELLINGHAM, WA 98225
Internal Medicine (Hematology & Oncology)
3301 SQUALICUM PKWY
BELLINGHAM, WA 98225
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3301 SQUALICUM PKWY
BELLINGHAM, WA 98225
Registered Nurse (Oncology)
3301 SQUALICUM PKWY
BELLINGHAM, WA 98225
Internal Medicine (Medical Oncology)
3301 SQUALICUM PKWY
BELLINGHAM, WA 98225
Registered Nurse (Oncology)
3301 SQUALICUM PKWY
BELLINGHAM, WA 98225

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 Pelton's NPI number?

The NPI number for James Pelton is 1558449918. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is James Pelton located?

James Pelton practices at 3301 Squalicum Pkwy, Bellingham, WA 98225. The listed phone number is (360) 788-8222.

What is James Pelton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is James Pelton enrolled in Medicare?

Yes. James Pelton 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 Pelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pelton reassigns Medicare benefits to 5 organizations: Peacehealth (Bellingham, WA), Peacehealth (Sedro Woolley, WA), King County Public Hospital District No 2 (Bothell, WA), Overlake Medical Clinics LLC (Bellevue, WA) and Multicare Health System (Kent, WA). 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 Pelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pelton accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list James Pelton 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 Pelton affiliated with any hospitals?

According to CMS data, James Pelton is affiliated with St Joseph Hospital and Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for James Pelton was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.