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JAMES DUNCAN WHITEHOUSE MD
NPI 1568412468
Internal Medicine - Infectious Disease in Asheville, NC

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
53 S FRENCH BROAD AVE, SUITE 200, ASHEVILLE, NC 28801(828) 258-9635(828) 258-9682 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2022, Mar 17, 2018, Oct 27, 2017 (3 updates tracked since 2017).

About James Duncan Whitehouse Md NPPES

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

JAMES DUNCAN WHITEHOUSE MD (NPI 1568412468) is an individual infectious disease provider in Asheville, North Carolina, licensed in North Carolina (9700423) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains a secondary practice location in Asheville.

NPPES Registry Identity

NPI1568412468
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJAMES DUNCAN WHITEHOUSECredential: MD
Location Address53 S FRENCH BROAD AVE, SUITE 200Asheville, NC 28801-3272
Mailing Address53 S French Broad Ave, Suite 200Asheville, NC 28801-3272 · (828) 258-9635 · Fax (828) 258-9682
Phone(828) 258-9635
Fax(828) 258-9682
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1993
Enumeration DateMay 11, 2006
Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration
✔ NPI 1568412468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NC · 9700423
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

53 S FRENCH BROAD AVE, Asheville, NC 28801
Open in Google Maps ↗

Secondary Practice Location 1

Location 1900 Hendersonville Rd Ste 205Asheville, NC 28803-1753 · Phone (828) 258-9635

Other Identifiers 2

Other1197QNC · Bcbs
Medicaid891197QNC

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

James Duncan Whitehouse 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 ID8123152493
PECOS Enrollment IDI20100913000955
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
427 services213 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.
169 services95 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
130 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
116 services111 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.
109 services60 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.
103 services60 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28801 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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

Other Providers at the Same Location NPPES 19

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

ASHEVILLE INFECTIOUS DISEASE CONSULTANTS PA
Specialist
53 S FRENCH BROAD AVE, SUITE 200
ASHEVILLE, NC 28801
Buncombe County (828) 258-9635
MS. DEBORAH M. WHITE LMFT
Marriage & Family Therapist
53 S FRENCH BROAD AVE, SUITE 307
ASHEVILLE, NC 28801
Buncombe County (828) 775-2267
STEPHEN A. WHITE LMFT
Marriage & Family Therapist
53 S FRENCH BROAD AVE
ASHEVILLE, NC 28801
Buncombe County (828) 775-2257
MRS. KATHRYN JILL PERROTTA LCSW
Social Worker (Clinical)
53 S FRENCH BROAD AVE
ASHEVILLE, NC 28801
Buncombe County (828) 808-9780
WILLIAM RUFFIN JOHNSON OTRL CHT
Occupational Therapist (Hand)
53 S FRENCH BROAD AVE, LOWER LEVEL
ASHEVILLE, NC 28801
Buncombe County (828) 350-0800
FAMILY PRESERVATION SERVICES OF NC, INC.
Psychiatry & Neurology (Psychiatry)
53 S FRENCH BROAD AVE, 3RD FLOOR
ASHEVILLE, NC 28801
Buncombe County (828) 225-3100
COMMUNITY CARE OF WESTERN NORTH CAROLINA, INC.
Case Management
53 S FRENCH BROAD AVE, SUITE 300
ASHEVILLE, NC 28801
Buncombe County (828) 259-3879
IRIS DELIA BLACK RN
Registered Nurse (Community Health)
53 S FRENCH BROAD AVE
ASHEVILLE, NC 28801
Buncombe County (828) 250-5000

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 Whitehouse's NPI number?

The NPI number for James Whitehouse is 1568412468. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is James Whitehouse located?

James Whitehouse practices at 53 S French Broad Ave Suite 200, Asheville, NC 28801. The listed phone number is (828) 258-9635.

What is James Whitehouse's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Whitehouse enrolled in Medicare?

Yes. James Whitehouse 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.

What insurance does James Whitehouse accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list James Whitehouse 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 Whitehouse affiliated with any hospitals?

According to CMS data, James Whitehouse is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for James Whitehouse was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.