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DR. JAMES PATRICK MORTIMER D.O.
NPI 1750375184
Pediatrics in Jefferson, NC

Active since August 31, 2005PECOS Enrolled
200 HOSPITAL AVE, JEFFERSON, NC 28640(336) 846-0805(336) 846-0746 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2024, Oct 9, 2024, Aug 21, 2023 and 1 more (4 updates tracked since 2023).

About Dr. James Patrick Mortimer D.o. NPPES

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

DR. JAMES PATRICK MORTIMER D.O. (NPI 1750375184) is an individual pediatrics provider in Jefferson, North Carolina, licensed in North Carolina (2023-01374) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Elizabeth City.

NPPES Registry Identity

NPI1750375184
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAMES PATRICK MORTIMERCredential: D.O.
Location Address200 HOSPITAL AVEJefferson, NC 28640-9244
Mailing Address200 Hospital AveJefferson, NC 28640-9244 · (336) 846-0805
Phone(336) 846-0805
Fax(336) 846-0746
Sole ProprietorYes
Enumeration DateAugust 31, 2005
Last NPPES UpdateNovember 14, 20244 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1750375184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2023-01374
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 HOSPITAL AVE, Jefferson, NC 28640
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Other Names 1

Other Name (5)James Patrick Mortimer Do

Secondary Practice Location 1

Location 11141 N Road St, Ste MElizabeth City, NC 27909-3354 · Phone (252) 384-2590 · Fax (252) 384-2589

Other Identifiers 1

Medicaid1255054623NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Patrick Mortimer D.o. 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.

Medicare Billing Reassignments

2

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

Ashe Multispecialty Group, LLC
Same address
Orthopaedic Surgery
200 HOSPITAL AVE
Jefferson, NC 28640
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1174204531 (336) 846-0821
Albemarle Physician Services - Sentara, Inc
289 mi
Neurology
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1407124654 (252) 384-4804

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 28640 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

KAYLA BOWLIN RN
Registered Nurse (Emergency)
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 486-4496
KATHERINE A AVERILL MD
Obstetrics & Gynecology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
HIGH COUNTRY FAMILY MEDICINE, PA
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
Ashe County (336) 846-7238
SHARON PATRICIA DILLEY MD
Internal Medicine
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
DR. JOHN ALVAR SUNDIN M.D.
Surgery
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 846-8939
DR. RONALD WILLIAM BENFIELD MD
Orthopaedic Surgery
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
MOUNT JEFFERSON FAMILY MEDICINE, P.A.
Family Medicine
200 HOSPITAL AVE, SUITE 3
JEFFERSON, NC 28640
Ashe County (336) 846-7433
ASHE MEMORIAL HOSPITAL INC
Specialist/Technologist, Pathology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101

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 Mortimer's NPI number?

The NPI number for James Mortimer is 1750375184. It was assigned to this individual provider in the NPPES registry on August 31, 2005. The provider is also known as James Patrick Mortimer Do.

Where is James Mortimer located?

James Mortimer practices at 200 Hospital Ave, Jefferson, NC 28640. The listed phone number is (336) 846-0805.

What is James Mortimer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Mortimer enrolled in Medicare?

Yes. James Mortimer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Mortimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mortimer reassigns Medicare benefits to 2 organizations: Ashe Multispecialty Group, LLC (Jefferson, NC) and Albemarle Physician Services - Sentara, Inc (Elizabeth City, NC). 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 Mortimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mortimer accept?

Health plans from Blue Cross and Blue Shield of NC list James Mortimer 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.

When was this NPI record last updated?

The NPPES record for James Mortimer was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.