DR. JAMES J HOLTON MD
NPI 1740215938
Internal Medicine in Medford, NJ

Active since July 12, 2006PECOS Enrolled
84.01/100
CMS Quality Rating
69 NORTH MAIN STREET, MEDFORD, NJ 08055(609) 953-9000(609) 953-9696 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James J Holton Md NPPES

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

DR. JAMES J HOLTON MD (NPI 1740215938) is an individual internal medicine provider in Medford, New Jersey, licensed in New Jersey (25MA05165100) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740215938
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES J HOLTONCredential: MD
Location Address69 NORTH MAIN STREETMedford, NJ 08055
Mailing Address402 Lippincott DrMarlton, NJ 08053-4112 · (856) 782-3300 · Fax (856) 504-8029
Fax(609) 953-9696
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 25, 2010
NPI 1740215938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA05165100
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.

69 NORTH MAIN STREET, Medford, NJ 08055

Other Identifiers 4

Medicare PIN077356
Medicare UPINE23776
Medicaid1347608NJ
Medicare PIN566806SK3

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 (PECOS)

Dr. James J Holton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13

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, 30-39 minutes 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.
1,182 services423 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
196 services155 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.
192 services192 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
177 services177 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.
134 services134 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
59 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08055 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Reported Quality Measures

Breast Cancer Screening
56%360 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
33%630 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
66%913 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
88%686 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
6%160 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
14%160 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,053 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
52%793 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%1,224 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 18% · 1,208 patients
17%1,208 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%460 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 779 patients
Patients totalRate: 11% · 840 patients
10%840 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 2

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
12 suppliers30 claims74 services$6.29 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers44 claims44 services$201.46 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 3

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

Internal Medicine
69 NORTH MAIN STREET
MEDFORD, NJ 08055
Internal Medicine
69 NORTH MAIN STREET
MEDFORD, NJ 08055
Internal Medicine
69 NORTH MAIN STREET
MEDFORD, NJ 08055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740215938, enumerated as an "individual" on July 12, 2006.

The provider is located at 69 NORTH MAIN STREET MEDFORD, NJ 08055 and the phone number is (609) 953-9000.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.