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JAMES L SOUTHWELL JR. DO
NPI 1740306273
Psychiatry & Neurology - Neurology in Kansas City, MO

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
1004 CARONDELET DR, SUITE 410, KANSAS CITY, MO 64114(816) 942-4500(816) 941-4504 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About James L Southwell Jr. Do NPPES

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

JAMES L SOUTHWELL JR. DO (NPI 1740306273) is an individual neurology provider in Kansas City, Missouri, licensed in Missouri (2010034070) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1740306273
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJAMES L SOUTHWELL JR.Credential: DO
Location Address1004 CARONDELET DR, SUITE 410Kansas City, MO 64114-4801
Mailing Address1004 Carondelet Dr, Suite 410Kansas City, MO 64114-4801 · (816) 942-4500 · Fax (816) 941-4504
Phone(816) 942-4500
Fax(816) 941-4504
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 22, 2007
Last NPPES UpdateJanuary 20, 2012
✔ NPI 1740306273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in MO · 2010034070✔ Licensed in ID · O-0465✔ Licensed in KS · 04-06053
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1004 CARONDELET DR, Kansas City, MO 64114
Open in Google Maps ↗

Other Identifiers 5

Medicaid200681570AKS
Medicaid1740306273MO
Medicare PINMA1922009MO
Other44833018Blue Cross Blue Shield Of Kc
Medicare PINY36000039MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. 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

James L Southwell Jr. Do 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 ID3072688795
PECOS Enrollment IDI20130926000466
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 10

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
326 services183 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.
106 services91 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
76 services75 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.
64 services59 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services59 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.
54 services54 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Miami County Medical Center

Acute Care Hospitals · La Cygne, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number170109
Location1017 E Market St, Ohfm LacygneLa Cygne, KS 66040 · Linn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64114 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

CARONDELET EYE CARE ASSOCIATES PC
Ophthalmology
1004 CARONDELET DR, SUITE 400
KANSAS CITY, MO 64114
Jackson County (816) 942-8333
BECKY GRAHAM, D.O., P.C.
Obstetrics & Gynecology
1004 CARONDELET DR, SUITE 460
KANSAS CITY, MO 64114
Jackson County (816) 388-2229
DR. STEPHEN D KRUEGER M.D.
Obstetrics & Gynecology
1004 CARONDELET DR, SUITE 315
KANSAS CITY, MO 64114
Jackson County (816) 942-3339
MEGAN R LOEB M.D.
Pediatrics
1004 CARONDELET DR, SUITE 350
KANSAS CITY, MO 64114
Jackson County (816) 942-8644
DR. JAMES ROBERT OVERLEASE III M.D.
Ophthalmology
1004 CARONDELET DR, STE. 405
KANSAS CITY, MO 64114
Jackson County (816) 943-1123
DR. ANN BAILEY ROBINSON MD
Otolaryngology
1004 CARONDELET DR, SUITE 450
KANSAS CITY, MO 64114
Jackson County (816) 942-7200
AUNDRIA L SPEROPOULOS M.D.
Pediatrics
1004 CARONDELET DR, SUITE 350
KANSAS CITY, MO 64114
Jackson County (816) 942-8644
MRS. VANESSA N. JOHNSON P.A.
Physician Assistant (Medical)
1004 CARONDELET DR, SUITE 330
KANSAS CITY, MO 64114
Jackson County (816) 914-6400

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 Southwell's NPI number?

The NPI number for James Southwell is 1740306273. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is James Southwell located?

James Southwell practices at 1004 Carondelet Dr Suite 410, Kansas City, MO 64114. The listed phone number is (816) 942-4500.

What is James Southwell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Southwell enrolled in Medicare?

Yes. James Southwell 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 Southwell accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and UnitedHealthcare list James Southwell 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.

Is James Southwell affiliated with any hospitals?

According to CMS data, James Southwell is affiliated with University Of Kansas Hospital, Olathe Medical Center and Miami County Medical Center.

When was this NPI record last updated?

The NPPES record for James Southwell was last updated on January 20, 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.