MR. JAMES D DALTON JR. MD
NPI 1588672125
Orthopaedic Surgery - Sports Medicine in N Charleston, SC

Q: What is James Dalton's NPI number?

The NPI number for James Dalton is 1588672125. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is James Dalton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for James Dalton was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment

79.85/100

CMS Quality Rating

9100 MEDCOM ST, N CHARLESTON, SC 29406(843) 569-3367(843) 764-3577 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Mr. James D Dalton Jr. Md NPPES

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

MR. JAMES D DALTON JR. MD (NPI 1588672125) is an individual sports medicine provider in N Charleston, South Carolina, licensed in South Carolina (19492) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Duke University School Of Medicine (1992).

NPPES Registry Identity

NPI1588672125

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameMR. JAMES D DALTON JR.Credential: MD

Location Address9100 MEDCOM STN Charleston, SC 29406

Mailing Address9100 Medcom StN Charleston, SC 29406 · (843) 569-3367 · Fax (843) 764-3577

Phone(843) 569-3367

Fax(843) 764-3577

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1992

Enumeration DateAugust 3, 2006

Last NPPES UpdateOctober 2, 2007

✔ NPI 1588672125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in SC · 19492

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

9100 MEDCOM ST, N Charleston, SC 29406

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Other Identifiers 3

Medicare UPING51225

MedicaidT36333SC

Medicare PIN3204SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

Mr. James D Dalton Jr. 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 ID3173693520

PECOS Enrollment IDI20120224000762

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 21

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

7,152 services108 patients

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

3,900 services43 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

308 services125 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.

266 services219 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

262 services199 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

240 services181 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

214 services175 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.

213 services167 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

158 services135 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

70 services70 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

54 services54 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

46 services40 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

35 services33 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

35 services35 patients

Aspiration and/or injection of fluid from medium joint using ultrasound guidance 20606

This is a procedure where a needle is guided by ultrasound into a medium-sized joint, like a knee or shoulder. The needle can be used to remove fluid, which can relieve pressure and pain, or to inject medication to help with inflammation and discomfort.

28 services22 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

26 services26 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.

25 services25 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

23 services23 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

18 services18 patients

Limited removal of abnormal shoulder joint tissue using endoscope 29822

This procedure involves the use of a tiny camera, known as an endoscope, to examine and remove abnormal tissue in the shoulder joint. It's a minimally invasive method, which means it requires smaller incisions, reducing recovery time and discomfort.

12 services12 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

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.

79.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

37.84

Promoting Interoperability

Improvement Activities

Cost

100

Reported Quality Measures

Breast Cancer Screening

1%283 patients1/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

39%241 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

2%634 patients1/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

98%1,455 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

4%494 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

18%906 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 17% · 646 patients

15%646 patients

Provide Patients Electronic Access to Their Health Information

78%385 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 521 patients

Patients totalRate: 3% · 521 patients

3%521 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier19 claims19 services$38.10 avg. paid by Medicare

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$78.76 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 15

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

CHRISTOPHER WALLACE M.D.

Pain Medicine (Interventional Pain Medicine)

9100 MEDCOM ST
NORTH CHARLESTON, SC 29406

Charleston County (843) 572-2663

MR. JON P DEVRIES MD

Orthopaedic Surgery (Hand Surgery)

9100 MEDCOM ST
NORTH CHARLESTON, SC 29406

Charleston County (843) 569-3367

DR. DANIEL ANTHONY WARTINBEE M.D.

Orthopaedic Surgery (Hand Surgery)

9100 MEDCOM ST
NORTH CHARLESTON, SC 29406

Charleston County (843) 572-2663

DANIEL F SULLIVAN DO

Orthopaedic Surgery

9100 MEDCOM ST
NORTH CHARLESTON, SC 29406

Charleston County (843) 572-2663

MR. MICHAEL R BYERS PAC

Orthopaedic Surgery (Sports Medicine)

9100 MEDCOM ST
N CHARLESTON, SC 29406

Charleston County (843) 569-3367

BRETT HARMAN PA-C

Physician Assistant (Surgical)

9100 MEDCOM ST
NORTH CHARLESTON, SC 29406

Charleston County (843) 569-3367

ERIC CALOUD ATC

Physician Assistant (Surgical)

9100 MEDCOM ST
NORTH CHARLESTON, SC 29406

Charleston County (608) 322-5922

KRISTI MICHELLE GRANT COTA/L

Occupational Therapy Assistant

9100 MEDCOM ST
NORTH CHARLESTON, SC 29406

Charleston County (843) 572-2663

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 Dalton's NPI number?

The NPI number for James Dalton is 1588672125. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is James Dalton located?

James Dalton practices at 9100 Medcom St, N Charleston, SC 29406. The listed phone number is (843) 569-3367.

What is James Dalton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is James Dalton enrolled in Medicare?

Yes. James Dalton 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 Dalton accept?

Health plans from BlueCross BlueShield of South Carolina list James Dalton 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 Dalton affiliated with any hospitals?

According to CMS data, James Dalton is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for James Dalton was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.