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DR. RICHARD JAMES MD
NPI 1659387405
Surgery in Port St Lucie, FL

Active since August 01, 2006PECOS Enrolled
0/100
CMS Quality Rating
176 NW MAGNOLIA LAKES BLVD, PORT ST LUCIE, FL 34986(772) 828-1907(772) 345-1244 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Richard James Md NPPES

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

DR. RICHARD JAMES MD (NPI 1659387405) is an individual surgery provider in Port St Lucie, Florida, licensed in Florida (ME66880) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659387405
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RICHARD JAMESCredential: MD
Location Address176 NW MAGNOLIA LAKES BLVDPort St Lucie, FL 34986
Mailing Address176 Nw Magnolia Lakes BlvdPort St Lucie, FL 34986 · (772) 828-1907 · Fax (772) 345-1244
Phone(772) 828-1907
Fax(772) 345-1244
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateSeptember 25, 2013
✔ NPI 1659387405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME66880
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

176 NW MAGNOLIA LAKES BLVD, Port St Lucie, FL 34986
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified25756YFL
Medicare UPINF89113

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard James Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
984 services235 patients
Initial nursing facility visit per day, typically 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
243 services239 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
134 services52 patients
Follow-up nursing facility visit per day, typically 35 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
96 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
63%30 patients3/55-star benchmark: 98%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
86%545 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%399 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%561 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 545 patients
0%545 patients5/55-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.

Other Providers at the Same Location NPPES

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

ATLANTIC SKIN SURGERY LLC
Surgery
176 NW MAGNOLIA LAKES BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 828-1907

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 Richard James's NPI number?

The NPI number for Richard James is 1659387405. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Richard James located?

Richard James practices at 176 NW Magnolia Lakes Blvd, Port St Lucie, FL 34986. The listed phone number is (772) 828-1907.

What is Richard James's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard James enrolled in Medicare?

Yes. Richard James is registered in the Medicare PECOS enrollment system.

What insurance does Richard James accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Richard 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 Richard James was last updated on September 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.