DR. JAMES NICHOLSON GILHAM D.O.
NPI 1740258185
Obstetrics & Gynecology - Obstetrics in Montrose, CO

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
87.96/100
CMS Quality Rating
715 S 3RD ST, MONTROSE, CO 81401(970) 249-6737(970) 252-0112 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Nicholson Gilham D.o. NPPES

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

DR. JAMES NICHOLSON GILHAM D.O. (NPI 1740258185) is an individual obstetrics provider in Montrose, Colorado, licensed in Colorado (33713) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1740258185
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameDR. JAMES NICHOLSON GILHAMCredential: D.O.
Location Address715 S 3RD STMontrose, CO 81401-4209
Mailing Address715 S 3rd StMontrose, CO 81401-4209 · (970) 249-6737 · Fax (970) 252-0112
Fax(970) 252-0112
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 10, 2006
Last NPPES UpdateMarch 15, 2012
✔ NPI 1740258185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in CO · 33713
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
715 S 3RD ST, Montrose, CO 81401

Other Identifiers 5

Medicare ID-Type UnspecifiedC366308CO · Group #
Medicare UPINF33241CO
Medicaid01337138CO
Medicare ID-Type UnspecifiedC366318CO · Individual Id#
Medicaid04013827CO

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 Nicholson Gilham D.o. 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 ID6103819875
PECOS Enrollment IDI20101213000733
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 Gilham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
300 S NEVADA AVE
Montrose, CO 81401
  • Reassigned Medicare billing, Colorado enrollment
  • 42 clinicians in this Medicare group
General Acute Care Hospital
800 S 3RD ST
Montrose, CO 81401
  • Reassigned Medicare billing, Colorado enrollment
  • 150 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81401 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

87.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner (Women's Health)
715 S 3RD ST
MONTROSE, CO 81401
Specialist
715 S 3RD ST
MONTROSE, CO 81401
Internal Medicine (Pulmonary Disease)
715 S 3RD ST
MONTROSE, CO 81401
Obstetrics & Gynecology (Obstetrics)
715 S 3RD ST
MONTROSE, CO 81401
Advanced Practice Midwife
715 S 3RD ST
MONTROSE, CO 81401
Advanced Practice Midwife
715 S 3RD ST
MONTROSE, CO 81401
Advanced Practice Midwife
715 S 3RD ST
MONTROSE, CO 81401
Advanced Practice Midwife
715 S 3RD ST
MONTROSE, CO 81401

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 Gilham's NPI number?

The NPI number for James Gilham is 1740258185. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is James Gilham located?

James Gilham practices at 715 S 3rd St, Montrose, CO 81401. The listed phone number is (970) 249-6737.

What is James Gilham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is James Gilham enrolled in Medicare?

Yes. James Gilham 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 Gilham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gilham reassigns Medicare benefits to 2 organizations: Montrose Regional Health Pso, LLC (Montrose, CO) and Montrose Memorial Hospital, Inc (Montrose, CO). 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 Gilham'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 Gilham was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.