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

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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 and is a graduate of Rutgers New Jersey Medical School (1985).

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
Phone(609) 953-9000
Fax(609) 953-9696
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1985
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
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Other Identifiers 4

Medicare PIN077356
Medicare UPINE23776
Medicaid1347608NJ
Medicare PIN566806SK3

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James J Holton 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 ID2567524200
PECOS Enrollment IDI20090129000481
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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Holton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holton Healthcare LLC
0.4 mi
Internal Medicine
69 N MAIN ST
Medford, NJ 08055
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1295662062 (609) 220-0673
Optum Medical Care Of New Jersey PC
84 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
638 services348 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.
153 services125 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.
49 services49 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.
16 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services11 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.

DR. JOHN R WALDRON DO
Internal Medicine
69 NORTH MAIN STREET
MEDFORD, NJ 08055
Burlington County (609) 953-9000
DR. JOSEPH J HICKEY MD
Internal Medicine
69 NORTH MAIN STREET
MEDFORD, NJ 08055
Burlington County (609) 953-9000
WALDRON & HOLTON INTERNAL MEDICINE
Internal Medicine
69 NORTH MAIN STREET
MEDFORD, NJ 08055
Burlington County (609) 953-9000

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 Holton's NPI number?

The NPI number for James Holton is 1740215938. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is James Holton located?

James Holton practices at 69 North Main Street, Medford, NJ 08055. The listed phone number is (609) 953-9000.

What is James Holton's specialty?

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

Is James Holton enrolled in Medicare?

Yes. James Holton 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.

Which organizations bill Medicare for James Holton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Holton reassigns Medicare benefits to 2 organizations: Holton Healthcare LLC (Medford, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Holton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Holton was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.