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JAMES LEWIS MD
NPI 1699716738
Emergency Medicine - Emergency Medical Services in Pinehurst, NC

Active since June 09, 2006PECOS Enrolled
94.94/100
CMS Quality Rating
155 MEMORIAL DR, PINEHURST, NC 28374(910) 715-1000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Lewis Md NPPES

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

JAMES LEWIS MD (NPI 1699716738) is an individual emergency medical services provider in Pinehurst, North Carolina, licensed in North Carolina (9700635) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699716738
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameJAMES LEWISCredential: MD
Location Address155 MEMORIAL DRPinehurst, NC 28374-8710
Mailing Address126 James Creek RdSouthern Pines, NC 28387-6819 · (910) 692-8224
Phone(910) 715-1000
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1699716738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in NC · 9700635
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
155 MEMORIAL DR, Pinehurst, NC 28374
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Other Identifiers 1

Medicaid891072NNC

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 (PECOS)

James Lewis 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.

Medicare Billing Reassignment

Medicare enrollment records show James Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sandhills Emergency Physicians PA
Same address
Emergency Medical Services
155 MEMORIAL DR
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 104 clinicians in this Medicare group
NPI 1003853409 (910) 715-1000

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
113 services113 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
102 services100 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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.

94.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.88
Improvement Activities40

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.

MS. ASHLEY B CARPENTER REGISTERED DIETICIAN
Dietitian, Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 715-5741
SANDHILLS EMERGENCY PHYSICIANS PA
Emergency Medicine (Emergency Medical Services)
155 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 715-1000
DON ROBERT BAHNER JR. MD
Emergency Medicine (Emergency Medical Services)
155 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 715-1000
NELSON BURGOS-VIERA CRNA
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 715-5809
WILLIAM D ROCCHI CRNA
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 715-1233
SARAH UFFINDELL M.D.
Psychiatry & Neurology (Neurology)
155 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 715-2164
CHARLES D ARNO JR. CRNA
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 715-1233
DR. NICHOLAS DEMIR BASTUG DO
Anesthesiology
155 MEMORIAL DR
PINEHURST, NC 28374
Moore County (704) 749-5800

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 Lewis's NPI number?

The NPI number for James Lewis is 1699716738. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is James Lewis located?

James Lewis practices at 155 Memorial Dr, Pinehurst, NC 28374. The listed phone number is (910) 715-1000.

What is James Lewis's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is James Lewis enrolled in Medicare?

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

Which organization bills Medicare for James Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lewis reassigns Medicare benefits to Sandhills Emergency Physicians PA (Pinehurst, NC). The 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 Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lewis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list James Lewis 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 Lewis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.