1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Emergency Medicine
  6. NPI Profile

JAMES A REA MD
NPI 1568084887
Emergency Medicine in Fargo, ND

Active since May 08, 2020PECOS Enrolled
82.99/100
CMS Quality Rating
5225 23RD AVE S, FARGO, ND 58104(701) 417-2575 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2023, May 8, 2020 (2 updates tracked since 2020).

About James A Rea Md NPPES

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

JAMES A REA MD (NPI 1568084887) is an individual emergency medicine provider in Fargo, North Dakota, licensed in North Dakota (19963) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1568084887
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES A REACredential: MD
Location Address5225 23RD AVE SFargo, ND 58104-7927
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Phone(701) 417-2575
Sole ProprietorNo
Enumeration DateMay 8, 2020
Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2023
✔ NPI 1568084887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in ND · 19963✔ Licensed in IL · 125075758
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5225 23RD AVE S, Fargo, ND 58104
Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 N 1st St Ste D220Springfield, IL 62702-3757 · Phone (217) 545-3518 · Fax (217) 545-2711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James A Rea Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show James Rea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo
1.8 mi
Family Medicine
1220 SHEYENNE ST
West Fargo, ND 58078
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1184917924 (701) 234-4445

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
250 services235 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
93 services88 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

DANIEL GREGORY FALVEY M.D.
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DR. KEVIN TORKELSON M.D.
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DRE STEINWEHR
Internal Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DEREK ANDERSON DO
Hospitalist
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 234-5933
MRS. SARAH ELAINE NELL
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
MARY M. NYBAKKEN MD
Obstetrics & Gynecology
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
ASHLEY HEULE
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 371-7635
MIRANDA SCHAAN
Nurse Practitioner
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575

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 Rea's NPI number?

The NPI number for James Rea is 1568084887. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is James Rea located?

James Rea practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2575.

What is James Rea's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Rea enrolled in Medicare?

Yes. James Rea is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Rea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Rea reassigns Medicare benefits to Sanford Medical Center Fargo (West Fargo, ND). The 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 Rea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Rea accept?

Health plans from Blue Cross Blue Shield of North Dakota list James Rea 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.

When was this NPI record last updated?

The NPPES record for James Rea was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.