1. Home
  2. Directory
  3. California
  4. Valley Springs
  5. Dentist
  6. NPI Profile

DR. JAMES B. DUHAMEL DDS
NPI 1730173162
Dentist - General Practice in Valley Springs, CA

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
13 MAIN ST, VALLEY SPRINGS, CA 95252(209) 772-9649(209) 772-2415 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James B. Duhamel Dds NPPES

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

DR. JAMES B. DUHAMEL DDS (NPI 1730173162) is an individual general practice provider in Valley Springs, California, licensed in California (23820) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1730173162
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAMES B. DUHAMELCredential: DDS
Location Address13 MAIN STValley Springs, CA 95252-9299
Mailing AddressPo Box 187Valley Springs, CA 95252-0187 · (209) 772-9649 · Fax (209) 772-2415
Phone(209) 772-9649
Fax(209) 772-2415
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateAugust 31, 2005
Last NPPES UpdateApril 29, 2019
✔ NPI 1730173162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 23820
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13 MAIN ST, Valley Springs, CA 95252
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Dr. James B. Duhamel Dds 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 ID9032189790
PECOS Enrollment IDI20040729000631
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 3

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.
43 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95252 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. JAMES P GREEN DDS
Dentist
13 MAIN ST
VALLEY SPRINGS, CA 95252
Calaveras County (209) 772-8662
JAMES B. DUHAMEL, DDS, INC
Clinic/Center (Dental)
13 MAIN ST
VALLEY SPRINGS, CA 95252
Calaveras County (209) 772-9649
JAMES B. DUHAMEL, DENTAL CORPORATION
Durable Medical Equipment & Medical Supplies (Customized Equipment)
13 MAIN ST
VALLEY SPRINGS, CA 95252
Calaveras County (209) 772-9600

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 Duhamel's NPI number?

The NPI number for James Duhamel is 1730173162. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is James Duhamel located?

James Duhamel practices at 13 Main St, Valley Springs, CA 95252. The listed phone number is (209) 772-9649.

What is James Duhamel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Duhamel enrolled in Medicare?

Yes. James Duhamel 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 James Duhamel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list James Duhamel 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 Duhamel was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.