JIM R WADE MD
NPI 1700860913
Internal Medicine in Toccoa, GA

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
89.58/100
CMS Quality Rating
58 BIG A ROAD, TOCCOA, GA 30577(706) 886-6819(706) 282-5368 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jim R Wade Md NPPES

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

JIM R WADE MD (NPI 1700860913) is an individual internal medicine provider in Toccoa, Georgia, licensed in Georgia (22664) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ty Cobb Regional Medical Center, Llc, and is a graduate of Medical College Of Georgia School Of Medicine (1978).

NPPES Registry Identity

NPI1700860913
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJIM R WADECredential: MD
Location Address58 BIG A ROADToccoa, GA 30577-6017
Mailing Address58 Big A RoadToccoa, GA 30577-6017 · (706) 886-6819 · Fax (706) 282-5368
Fax(706) 282-5368
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1978
Enumeration DateDecember 1, 2005
Last NPPES UpdateJune 25, 2015
NPI 1700860913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 22664
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
58 BIG A ROAD, Toccoa, GA 30577

Other Identifiers 4

Medicare UPINE01094GA
Medicaid000001834AGA
Medicaid000222846AGA
Medicare PINHOSP25GA

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

Jim R Wade 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 ID3678461522
PECOS Enrollment IDI20040709000741
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 31

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 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.
1,122 services430 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
325 services325 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
257 services38 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
257 services49 patients
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.
232 services136 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
123 services120 patients

Hospital Affiliations CMS Care Compare 4

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

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Stephens County Hospital

Acute Care Hospitals · Toccoa, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110032
Location163 Hospital DriveToccoa, GA 30577 · Stephens County
Emergency services

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30577 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

89.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.73
Promoting Interoperability96
Improvement Activities40
Cost79.9

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
81%129 patients1/55-star benchmark: 100%
Advance Care Plan
57%1,064 patients3/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
71%21 patients3/55-star benchmark: 100%
Breast Cancer Screening
66%523 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
46%129 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
45%1,204 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
68%1,264 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
15%428 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
11%428 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%7,437 patients4/55-star benchmark: 100%
e-Prescribing
99%1,166 patients4/55-star benchmark: 100%
HIV Screening
1%1,180 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%2,030 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%3,050 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 70% · 1,968 patients
Patients screened: 74% · 1,968 patients
73%270 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
63%1,175 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%888 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 998 patients
Patients totalRate: 20% · 1,070 patients
17%1,070 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 17

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers12 claims154 services$19.42 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers13 claims439 services$2.42 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers25 claims45 services$6.52 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers14 claims14 services$46.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers19 claims19 services$107.33 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers20 claims54 services$44.63 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 14

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

Pediatrics
58 BIG A ROAD
TOCCOA, GA 30577
Urology
58 BIG A ROAD
TOCCOA, GA 30577
Nurse Practitioner
58 BIG A ROAD
TOCCOA, GA 30577
Internal Medicine
58 BIG A ROAD
TOCCOA, GA 30577
Surgery
58 BIG A ROAD
TOCCOA, GA 30577
Nurse Practitioner (Pediatrics)
58 BIG A ROAD
TOCCOA, GA 30577
Family Medicine
58 BIG A ROAD
TOCCOA, GA 30577
Durable Medical Equipment & Medical Supplies
58 BIG A ROAD
TOCCOA, GA 30577

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 Jim Wade's NPI number?

The NPI number for Jim Wade is 1700860913. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Jim Wade located?

Jim Wade practices at 58 Big A Road, Toccoa, GA 30577. The listed phone number is (706) 886-6819.

What is Jim Wade's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jim Wade enrolled in Medicare?

Yes. Jim Wade 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 Jim Wade accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Jim Wade 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 Jim Wade affiliated with any hospitals?

According to CMS data, Jim Wade is affiliated with Ty Cobb Regional Medical Center, LLC, Northeast Georgia Medical Center, Inc, Stephens County Hospital and Northeast Georgia Medical Center Habersham.

When was this NPI record last updated?

The NPPES record for Jim Wade was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.