JAMES RAMSAY HALVERSON M.D.
NPI 1720044787
Family Medicine in Ojai, CA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
117 PIRIE RD, SUITE D, OJAI, CA 93023(805) 646-7246(805) 646-8936 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Ramsay Halverson M.d. NPPES

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

JAMES RAMSAY HALVERSON M.D. (NPI 1720044787) is an individual family medicine provider in Ojai, California, licensed in California (G51412) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1982).

NPPES Registry Identity

NPI1720044787
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES RAMSAY HALVERSONCredential: M.D.
Location Address117 PIRIE RD, SUITE DOjai, CA 93023-3166
Mailing Address117 Pirie Rd, Suite DOjai, CA 93023-3166 · (805) 646-7246 · Fax (805) 646-8936
Fax(805) 646-8936
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1982
Enumeration DateApril 26, 2006
Last NPPES UpdateOctober 18, 2007
NPI 1720044787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G51412
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
117 PIRIE RD, Ojai, CA 93023

Other Identifiers 3

Medicare UPINA51987CA
Medicare PINWG51412BCA
MedicaidYYY49311YCA

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

James Ramsay Halverson M.d. 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 ID2769562743
PECOS Enrollment IDI20080229000474
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 25

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 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.
726 services498 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.
578 services397 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.
418 services418 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
377 services377 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
354 services354 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
94 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93023 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers32 claims81 services$4.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims16 services$0.99 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers29 claims29 services$32.14 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers27 claims27 services$61.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers24 claims70 services$24.85 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers14 claims76 services$11.23 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 8

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

Dentist
117 PIRIE RD
OJAI, CA 93023
Nurse Practitioner (Family)
117 PIRIE RD, SUITE D
OJAI, CA 93023
Family Medicine
117 PIRIE RD, SUITE D
OJAI, CA 93023
Dentist (General Practice)
117 PIRIE RD, SUITE A
OJAI, CA 93023
Physician Assistant
117 PIRIE RD, SUITE D
OJAI, CA 93023
Family Medicine
117 PIRIE RD, SUITE D
OJAI, CA 93023
Family Medicine
117 PIRIE RD, SUITE D
OJAI, CA 93023
Nurse Practitioner (Family)
117 PIRIE RD
OJAI, CA 93023

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 Halverson's NPI number?

The NPI number for James Halverson is 1720044787. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is James Halverson located?

James Halverson practices at 117 Pirie Rd Suite D, Ojai, CA 93023. The listed phone number is (805) 646-7246.

What is James Halverson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Halverson enrolled in Medicare?

Yes. James Halverson 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.

When was this NPI record last updated?

The NPPES record for James Halverson was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.