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JAMES KOHLER MD
NPI 1740772417
Orthopaedic Surgery in Ames, IA

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
88.98/100
CMS Quality Rating

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Aug 21, 2024, Aug 25, 2023 (3 updates tracked since 2023).

About James Kohler Md NPPES

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

JAMES KOHLER MD (NPI 1740772417) is an individual orthopaedic surgery provider in Ames, Iowa, licensed in Iowa (MD-52862) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Mary Greeley Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2018).

NPPES Registry Identity

NPI1740772417
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES KOHLERCredential: MD
Location Address1215 DUFF AVEAmes, IA 50010-5400
Mailing Address1215 Duff AveAmes, IA 50010-5469
Phone(515) 239-4475
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2018
Enumeration DateMay 30, 2018
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1740772417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IA · MD-52862✔ Licensed in IA · R-11174✔ Licensed in WI · 82012
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1215 DUFF AVE, Ames, IA 50010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Kohler 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 ID6204182058
PECOS Enrollment IDI20240801001449
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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
176 services17 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
52 services51 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.
38 services37 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
37 services37 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.
33 services33 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Greeley Medical Center

Acute Care Hospitals · Ames, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160030
Location1111 Duff AvenueAmes, IA 50010 · Story County
Emergency services Birthing friendly

Greene County Medical Center

Critical Access Hospitals · Jefferson, IA
OwnershipGovernment - Local
CMS Certification Number161325
Location1000 West Lincoln WayJefferson, IA 50129 · Greene County
Emergency services

Story County Hospital

Critical Access Hospitals · Nevada, IA
OwnershipGovernment - Local
CMS Certification Number161333
Location640 South 19th StreetNevada, IA 50201 · Story County
Emergency services

Boone County Hospital

Critical Access Hospitals · Boone, IA
OwnershipGovernment - Local
CMS Certification Number161372
Location1015 Union StreetBoone, IA 50036 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50010 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

88.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.38
Promoting Interoperability91
Improvement Activities40
Cost79.38

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.

Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$71.05 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$10.87 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 20

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

KARL HAMOUCHE
Radiology (Diagnostic Radiology)
1215 DUFF AVE
AMES, IA 50010
Story County (515) 239-4456
MARK R. MORRIS PA-C
Physician Assistant (Medical)
1215 DUFF AVE, MCFARLAND CLINIC, PC
AMES, IA 50010
Story County (515) 239-4496
NICHOLAS LELAND SKIBBA PHARMD
Pharmacist (Ambulatory Care)
1215 DUFF AVE
AMES, IA 50010
Story County (515) 239-4400
TROY MICHAEL MCDONOUGH M.S.P.T.
Physical Therapist
1215 DUFF AVE
AMES, IA 50010
Story County (515) 956-4095
BRIAN O'TOOL
Physical Therapist
1215 DUFF AVE
AMES, IA 50010
Story County (515) 956-4095
MATIAS ALBERTO GERSTNER MD
Internal Medicine
1215 DUFF AVE
AMES, IA 50010
Story County (515) 239-4431
DR. JUSTIN WADE RASH PHARMD
Pharmacist
1215 DUFF AVE
AMES, IA 50010
Story County (515) 232-7315
NATALIE NELSON
Physician Assistant
1215 DUFF AVE
AMES, IA 50010
Story County (515) 239-4475

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 Kohler's NPI number?

The NPI number for James Kohler is 1740772417. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is James Kohler located?

James Kohler practices at 1215 Duff Ave, Ames, IA 50010. The listed phone number is (515) 239-4475.

What is James Kohler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Kohler enrolled in Medicare?

Yes. James Kohler 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 Kohler accept?

Health plans from Medica list James Kohler 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 Kohler affiliated with any hospitals?

According to CMS data, James Kohler is affiliated with Mary Greeley Medical Center, Greene County Medical Center, Story County Hospital and Boone County Hospital.

When was this NPI record last updated?

The NPPES record for James Kohler was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.