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JAMES FARRELL MD
NPI 1609222421
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Greenville, SC

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
87.31/100
CMS Quality Rating
111 DOCTORS DR, GREENVILLE, SC 29605(864) 797-7060(864) 797-7065 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2025, Jul 7, 2022, Sep 22, 2021 and 2 more (5 updates tracked since 2016).

About James Farrell Md NPPES

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

JAMES FARRELL MD (NPI 1609222421) is an individual orthopaedic surgery of the spine provider in Greenville, South Carolina, licensed in South Carolina (95874) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains a secondary practice location in Williamsville.

NPPES Registry Identity

NPI1609222421
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameJAMES FARRELLCredential: MD
Location Address111 DOCTORS DRGreenville, SC 29605-5622
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697
Phone(864) 797-7060
Fax(864) 797-7065
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 11, 2016
Last NPPES UpdateDecember 30, 20255 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1609222421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Licenses✔ Licensed in SC · 95874✔ Licensed in CO · DR.0066219✔ Licensed in NY · 317338
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
111 DOCTORS DR, Greenville, SC 29605
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 N Maplemere Rd Ste 100Williamsville, NY 14221-3182 · Phone (716) 204-3200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Farrell 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 ID5991041378
PECOS Enrollment IDI20220725002253, I20251218001481
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 Reassignments

2

Medicare enrollment records show James Farrell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health University Medical Group
0.5 mi
Nurse Practitioner
712 GROVE RD
Greenville, SC 29605
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1053786483 (864) 455-9349
University Orthopaedic Services, Inc
594 mi
Orthopaedic Surgery
4225 GENESEE ST STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 139 clinicians in this Medicare group
NPI 1578599866 (716) 204-3200

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 8

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.

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.
88 services67 patients
X-ray of entire middle and lower spine, 2-3 views 72082
An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
80 services65 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.
64 services55 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.
44 services35 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.
35 services35 patients
X-ray of upper spine, 6 or more views 72052
An X-ray of the upper spine with 6 or more views involves capturing multiple images of your neck and upper back. This non-invasive procedure helps doctors visualize the bones and joints, aiding in diagnosing conditions such as arthritis, fractures, or spinal deformities.
30 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420102
Location175 Patewood DriveGreenville, SC 29615 · Greenville County
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.

87.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.9
Promoting Interoperability99
Improvement Activities40
Cost79.2

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.

ROBERT MICHAEL WOOD M.D.
Orthopaedic Surgery
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7150
MRS. RACHAEL HINSON LEWIS
Nurse Practitioner (Acute Care)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7060
DAPHNE JO AREEPHANTHU APRN
Nurse Practitioner (Family)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7100
LEE ASHLEY MULLINAX MD
Anesthesiology (Pain Medicine)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7100
LAURYN CLAIRE HUTTO
Physician Assistant (Surgical)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7150
KELSEY MARIE ANDERSSON DPT
Physical Therapist
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7020
MS. AMY C SWEET PA
Physician Assistant
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7150
ALISON TOWLE FOGARTY NP-C
Nurse Practitioner (Family)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7100

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 Farrell's NPI number?

The NPI number for James Farrell is 1609222421. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is James Farrell located?

James Farrell practices at 111 Doctors Dr, Greenville, SC 29605. The listed phone number is (864) 797-7060.

What is James Farrell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is James Farrell enrolled in Medicare?

Yes. James Farrell 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.

Which organizations bill Medicare for James Farrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Farrell reassigns Medicare benefits to 2 organizations: Prisma Health University Medical Group (Greenville, SC) and University Orthopaedic Services, Inc (Cheektowaga, NY). Each 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 Farrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Farrell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list James Farrell 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 Farrell affiliated with any hospitals?

According to CMS data, James Farrell is affiliated with Kaleida Health, Mercy Hospital Of Buffalo, Prisma Health Oconee Memorial Hospital, Prisma Health Greenville Memorial Hospital and Prisma Health Patewood Hospital.

When was this NPI record last updated?

The NPPES record for James Farrell was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.