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JAMES A WELKER D.O.
NPI 1568423440
Internal Medicine in Annapolis, MD

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
621 RIDGELY AVE, STE 403, ANNAPOLIS, MD 21401(443) 501-9300 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James A Welker D.o. NPPES

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

JAMES A WELKER D.O. (NPI 1568423440) is an individual internal medicine provider in Annapolis, Maryland, licensed in Maryland (H0052024) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (1995).

NPPES Registry Identity

NPI1568423440
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES A WELKERCredential: D.O.
Location Address621 RIDGELY AVE, STE 403Annapolis, MD 21401-1091
Mailing AddressPo Box 12622Belfast, ME 04915-4017 · (443) 481-6569 · Fax (443) 481-6515
Phone(443) 501-9300
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1995
Enumeration DateMarch 30, 2006
Last NPPES UpdateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1568423440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · H0052024
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
621 RIDGELY AVE, Annapolis, MD 21401
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Other Identifiers 2

Medicaid391100400MD
Other607156012Department Of Labor

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 A Welker D.o. 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 ID2466423538
PECOS Enrollment IDI20220111000854
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 6

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.
1,242 services319 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
234 services232 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services14 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.
24 services24 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services20 patients

Hospital Affiliations CMS Care Compare

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
2 suppliers15 claims15 services$81.58 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
3 suppliers23 claims23 services$49.93 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$8.78 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
2 suppliers15 claims15 services$13.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DIGESTIVE DISORDERS ASSOCIATES PC
Specialist
621 RIDGELY AVE, SUITE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-1588
ARUNDEL AMBULATORY SURGERY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
621 RIDGELY AVE, SUITE 401
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-2811
MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC
Clinic/Center (Endoscopy)
621 RIDGELY AVE, SUITE 105
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-3636
DR. BEVERLY ANN JIMENEZ DDS
Dentist (Pediatric Dentistry)
621 RIDGELY AVE, SUITE 206
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-2660
MARLA KUSH PROKOP, DMD, PA
Dentist (Pediatric Dentistry)
621 RIDGELY AVE, SUITE 202
ANNAPOLIS, MD 21401
Anne Arundel County (410) 897-1931
EARL LEROY CHAMBERS DDS
Dentist (General Practice)
621 RIDGELY AVE, SUITE 206
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-2660
DR. BARRY J CUKOR MD
Internal Medicine (Gastroenterology)
621 RIDGELY AVE, SUITE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887
MISS DANIELLE RENEE BLANKENSHIP CRNA
Nurse Anesthetist, Certified Registered
621 RIDGELY AVE, STE 101
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887

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 Welker's NPI number?

The NPI number for James Welker is 1568423440. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is James Welker located?

James Welker practices at 621 Ridgely Ave Ste 403, Annapolis, MD 21401. The listed phone number is (443) 501-9300.

What is James Welker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Welker enrolled in Medicare?

Yes. James Welker 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 Welker accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list James Welker 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 Welker affiliated with any hospitals?

According to CMS data, James Welker is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for James Welker was last updated on September 29, 2020. 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.