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DR. JAMES FAIRD TACKETT MD
NPI 1699787804
Emergency Medicine in Peoria, IL

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 999-1091 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2025, Jan 14, 2022, Sep 9, 2020 (3 updates tracked since 2020).

About Dr. James Faird Tackett Md NPPES

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

DR. JAMES FAIRD TACKETT MD (NPI 1699787804) is an individual emergency medicine provider in Peoria, Illinois, licensed in Florida (ME107562) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and is a graduate of West Virginia School Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1699787804
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES FAIRD TACKETTCredential: MD
Location Address221 NE GLEN OAK AVEPeoria, IL 61636-0001
Mailing AddressRr 1 Box 46-25Red House, WV 25168-9713 · (304) 586-0915
Phone(309) 999-1091
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1993
Enumeration DateAugust 13, 2006
Last NPPES UpdateApril 7, 20253 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1699787804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in FL · ME107562✔ Licensed in IL · 036-117166✔ Licensed in WV · 7956
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD.30275 (AL), TL7008 (WY)
221 NE GLEN OAK AVE, Peoria, IL 61636
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Other Identifiers 3

Medicaid036117166IL
Other36117166IL · Bcbs
OtherP00376164IL · Railroad Mcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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

Dr. James Faird Tackett 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 ID8224934989
PECOS Enrollment IDI20110210001145
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

6

Medicare enrollment records show James Tackett reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of West Virginia, PLLC
470 mi
Internal Medicine
2000 EOFF ST
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 193 clinicians in this Medicare group
NPI 1649575101 (304) 234-0123
Houston County Healthcare Authority
648 mi
Internal Medicine
889 ELBA HWY
Troy, AL 36079
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1295065811 (334) 347-3404
Galen Inpatient Physicians PC
717 mi
Hospitalist
5151 N 9TH AVE
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 199 clinicians in this Medicare group
NPI 1205614336 (850) 416-7000
Sound Physicians Of Wyoming, LLC
875 mi
Hospitalist
1233 E 2ND ST
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • 108 clinicians in this Medicare group
NPI 1982982708 (800) 822-7201
Memorial Hospital Of Sweetwater County
1,024 mi
Internal Medicine
1180 COLLEGE DRIVE
Rock Springs, WY 82901
  • Reassigned Medicare billing, Wyoming enrollment
  • 176 clinicians in this Medicare group
NPI 1437312436 (307) 352-8125
Glutality Provider Group, P.A.
1,126 mi
Internal Medicine
5300 BROKEN SOUND BLVD NW STE 200
Boca Raton, FL 33487
  • Reassigned Medicare billing, South Carolina and West Virginia enrollments
  • Medicare enrollment name: Glutality Provider Group PA
  • 11 clinicians in this Medicare group
NPI 1083256168 (561) 678-2026

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
116 services111 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
72 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services49 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100313
Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County
Emergency services

Northwest Florida Community Hospital

Critical Access Hospitals · Chipley, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101308
Location1360 Brickyard RdChipley, FL 32428 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61636 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
58%558 patients3/55-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 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier13 claims13 services$65.63 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers43 claims43 services$20.34 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$7.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers45 claims45 services$112.83 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.

BRYCE HAMAMOTO
Student in an Organized Health Care Education/Training Program
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
RIAZ SHAH MD
Internal Medicine
221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636
Peoria County (309) 672-5729
CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD
Radiology (Radiation Oncology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5700
MIHAILO NIKOLIC
Nurse Anesthetist, Certified Registered
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5654
WAQAS ALI MD
Internal Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
ANNE LOOK APN
Nurse Practitioner (Acute Care)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
DR. KENNETH STRUM M.D.
Anesthesiology
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 369-1761
DR. ANDREW BRIAN ARMSTRONG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-4920

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 Tackett's NPI number?

The NPI number for James Tackett is 1699787804. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is James Tackett located?

James Tackett practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 999-1091.

What is James Tackett's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Tackett enrolled in Medicare?

Yes. James Tackett 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 Tackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Tackett reassigns Medicare benefits to 6 organizations: Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV), Houston County Healthcare Authority (Troy, AL), Galen Inpatient Physicians PC (Pensacola, FL), Sound Physicians Of Wyoming, LLC (Casper, WY), Memorial Hospital Of Sweetwater County (Rock Springs, WY) and 1 more organization, listed in the Medicare section above. 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 Tackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Tackett accept?

Health plans from Blue Cross Blue Shield of Wyoming list James Tackett 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 Tackett affiliated with any hospitals?

According to CMS data, James Tackett is affiliated with Ascension Sacred Heart Bay, Hca Florida Gulf Coast Hospital, Sacred Heart Hospital On The Emerald Coast, Ascension Sacred Heart Gulf and Northwest Florida Community Hospital.

When was this NPI record last updated?

The NPPES record for James Tackett was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.