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JAMES B. CARR M.D.
NPI 1720197353
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in San Luis Obispo, CA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
75.33/100
CMS Quality Rating
1551 BISHOP ST STE 210, SAN LUIS OBISPO, CA 93401(805) 547-2800(805) 547-2801 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James B. Carr M.d. NPPES

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

JAMES B. CARR M.D. (NPI 1720197353) is an individual orthopaedic surgery of the spine provider in San Luis Obispo, California, licensed in California (A76013) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atascadero, and is a graduate of Northeastern Ohio University College Of Medicine (1996).

NPPES Registry Identity

NPI1720197353
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameJAMES B. CARRCredential: M.D.
Location Address1551 BISHOP ST STE 210San Luis Obispo, CA 93401-4661
Mailing Address8844 Morro RdAtascadero, CA 93422-3953 · (805) 547-2800 · Fax (805) 547-2801
Phone(805) 547-2800
Fax(805) 547-2801
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1996
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
✔ NPI 1720197353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in CA · A76013
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
1551 BISHOP ST STE 210, San Luis Obispo, CA 93401
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Secondary Practice Location 1

Location 18844 Morro RdAtascadero, CA 93422-3953 · Phone (805) 547-2800 · Fax (805) 547-2801

Other Identifiers 1

OtherWA76013BCA · Railroad Medicare

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 B. Carr 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 ID5890696504
PECOS Enrollment IDI20040122001052
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 9

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.
297 services177 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.
260 services173 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
146 services146 patients
X-ray of spine, 1 view 72020
An X-ray of the spine, 1 view, is a quick and painless imaging procedure. It uses radiation to capture images of the bones in your spine. It helps in detecting issues like fractures, infections, or tumors. You'll be positioned, the machine captures the image, and you're done. It's a safe, routine procedure.
52 services26 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
40 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients

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.

75.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality50.67
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
45%642 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
0%23 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
80%2,177 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%545 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%1,010 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,062 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,631 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 611 patients
0%611 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 562 patients
Patients totalRate: 3% · 562 patients
3%562 patients4/55-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

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier33 claims33 services$462.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Carr's NPI number?

The NPI number for James Carr is 1720197353. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is James Carr located?

James Carr practices at 1551 Bishop St Ste 210, San Luis Obispo, CA 93401. The listed phone number is (805) 547-2800.

What is James Carr's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is James Carr enrolled in Medicare?

Yes. James Carr 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 Carr was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.