DR. HEATHER C JAMES MD
NPI 1659359370
Allergy & Immunology in Huntsville, AL

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
54.49/100
CMS Quality Rating
4021 BALMORAL DR SW, HUNTSVILLE, AL 35801(256) 382-0070(256) 382-0089 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Heather C James Md NPPES

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

DR. HEATHER C JAMES MD (NPI 1659359370) is an individual allergy & immunology provider in Huntsville, Alabama, licensed in Alabama (25896) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1998).

NPPES Registry Identity

NPI1659359370
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameDR. HEATHER C JAMESCredential: MD
Location Address4021 BALMORAL DR SWHuntsville, AL 35801-6403
Mailing Address4021 Balmoral Dr SwHuntsville, AL 35801-6403 · (256) 382-0070 · Fax (256) 382-0089
Fax(256) 382-0089
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1998
Enumeration DateJanuary 3, 2006
Last NPPES UpdateJune 28, 2012
NPI 1659359370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in AL · 25896
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
4021 BALMORAL DR SW, Huntsville, AL 35801

Other Identifiers 3

Medicare ID-Type Unspecified000020897
Medicaid529910560AL
Medicare UPINH38071

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

Dr. Heather C James 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 ID42295982
PECOS Enrollment IDI20040623000977
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 15

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,190 services47 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
839 services36 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
820 services33 patients
Test for allergy using skin patch 95044
A skin patch test helps identify allergens causing skin reactions. Small patches with potential allergens are applied to your skin, usually on the back. After 48 hours, they are removed to check for reactions. It's a safe and effective way to diagnose allergies.
779 services14 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
291 services24 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.
265 services159 patients

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.

54.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality48.53
Improvement Activities40
Cost16.92

Reported Quality Measures

Documentation of Current Medications in the Medical Record
86%145 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%129 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 46 patients
Patients totalRate: 7% · 46 patients
7%46 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 7

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
5 suppliers120 claims348 services$18.26 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
3 suppliers76 claims34,300 services$9.49 avg. paid by Medicare
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
4 suppliers131 claims12,920 services$35.05 avg. paid by Medicare
Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin J1575
Treatment-Injections and Infusions (nononcologic) · category RI008N
3 suppliers40 claims17,050 services$12.28 avg. paid by Medicare
Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg J1599
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier15 claims1,050 services$55.16 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
4 suppliers76 claims450 services$2.35 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 11

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

Physician Assistant
4021 BALMORAL DR SW
HUNTSVILLE, AL 35801
Dermatology
4021 BALMORAL DR SW
HUNTSVILLE, AL 35801
Allergy & Immunology
4021 BALMORAL DR SW
HUNTSVILLE, AL 35801
Specialist
4021 BALMORAL DR SW
HUNTSVILLE, AL 35801
Nurse Practitioner
4021 BALMORAL DR SW
HUNTSVILLE, AL 35801
Allergy & Immunology
4021 BALMORAL DR SW
HUNTSVILLE, AL 35801
Nurse Practitioner
4021 BALMORAL DR SW
HUNTSVILLE, AL 35801
Dermatology
4021 BALMORAL DR SW
HUNTSVILLE, AL 35801

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 Heather James's NPI number?

The NPI number for Heather James is 1659359370. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Heather James located?

Heather James practices at 4021 Balmoral Dr SW, Huntsville, AL 35801. The listed phone number is (256) 382-0070.

What is Heather James's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Heather James enrolled in Medicare?

Yes. Heather James 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 Heather James accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Heather James 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 Heather James was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.