JAMES NICHOLAS RACHEL MD
NPI 1609096486
Orthopaedic Surgery - Hand Surgery in Mobile, AL

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
71.91/100
CMS Quality Rating
6144 AIRPORT BLVD, MOBILE, AL 36608(251) 476-5050 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Nicholas Rachel Md NPPES

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

JAMES NICHOLAS RACHEL MD (NPI 1609096486) is an individual hand surgery provider in Mobile, Alabama, licensed in Alabama (32434) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2007).

NPPES Registry Identity

NPI1609096486
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameJAMES NICHOLAS RACHELCredential: MD
Location Address6144 AIRPORT BLVDMobile, AL 36608-3143
Mailing Address6144 Airport BlvdMobile, AL 36608-3143 · (251) 476-5050
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2007
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 23, 2013
NPI 1609096486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in AL · 32434
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 32434 (AL)
6144 AIRPORT BLVD, Mobile, AL 36608

Other Identifiers 2

Medicaid150632AL
Medicare PIN102I203085AL

Accepted 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 Nicholas Rachel 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 ID1658521554
PECOS Enrollment IDI20130716000686
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 22

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.

X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
390 services290 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.
377 services300 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
348 services218 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
152 services111 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.
143 services143 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.
132 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

71.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.88
Promoting Interoperability61
Improvement Activities40
Cost58.98

Referred Medical Equipment & Supplies CMS DME claims 3

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

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$182.15 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$44.81 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier21 claims22 services$60.69 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.

Nurse Practitioner
6144 AIRPORT BLVD
MOBILE, AL 36608
Orthopaedic Surgery (Foot and Ankle Surgery)
6144 AIRPORT BLVD
MOBILE, AL 36608
Physical Therapist (Orthopedic)
6144 AIRPORT BLVD
MOBILE, AL 36608
Orthopaedic Surgery (Sports Medicine)
6144 AIRPORT BLVD
MOBILE, AL 36608
Physician Assistant (Medical)
6144 AIRPORT BLVD
MOBILE, AL 36608
Orthopaedic Surgery
6144 AIRPORT BLVD
MOBILE, AL 36608
Orthopaedic Surgery
6144 AIRPORT BLVD
MOBILE, AL 36608
Specialist
6144 AIRPORT BLVD
MOBILE, AL 36608

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 Rachel's NPI number?

The NPI number for James Rachel is 1609096486. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is James Rachel located?

James Rachel practices at 6144 Airport Blvd, Mobile, AL 36608. The listed phone number is (251) 476-5050.

What is James Rachel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is James Rachel enrolled in Medicare?

Yes. James Rachel 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 Rachel accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list James Rachel 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 Rachel was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.