JAMES COLIN RACHAL MD
NPI 1760455133
Psychiatry & Neurology - Psychiatry in Charlotte, NC

Q: What is James Rachal's NPI number?

The NPI number for James Rachal is 1760455133. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is James Rachal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for James Rachal was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

501 BILLINGSLEY RD, STE B, CHARLOTTE, NC 28211(704) 444-2400 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 52 more (55 updates tracked since 2017).

On this page

About James Colin Rachal Md NPPES

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

JAMES COLIN RACHAL MD (NPI 1760455133) is an individual psychiatry provider in Charlotte, North Carolina, licensed in North Carolina (2014-02539) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1760455133

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJAMES COLIN RACHALCredential: MD

Location Address501 BILLINGSLEY RD, STE BCharlotte, NC 28211-1009

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 444-2400

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1999

Enumeration DateFebruary 8, 2006

Last NPPES UpdateJuly 15, 202455 updates tracked since enumeration

NPPES CertifiedAugust 10, 2022

✔ NPI 1760455133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · 2014-02539

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2014-02539 (NC)

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 2014-02539 (NC)

501 BILLINGSLEY RD, Charlotte, NC 28211

Open in Google Maps ↗

Secondary Practice Locations 4

Location 12001 Vail Ave, Ste 400Charlotte, NC 28207-1248 · Phone (704) 304-7000

Location 216740 Davidson Concord Rd, Ste 200Davidson, NC 28036-8746 · Phone (704) 801-9200

Location 316740 Davidson Concord RdDavidson, NC 28036-8746 · Phone (704) 444-2400

Location 4706 W King StKings Mountain, NC 28086-2708 · Phone (980) 487-5470

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 Colin Rachal 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 ID3375614167

PECOS Enrollment IDI20150423002611

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 2

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.

18 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

13 services11 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

STEPHANIE FRANCIS NEWBY MD

Psychiatry & Neurology (Addiction Medicine)

501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211

Mecklenburg County (704) 444-2400

BORIS MAXIMOVICH KISELEV MD

Internal Medicine

501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211

Mecklenburg County (704) 444-2400

NEISHA PETTAWAY LCMHCA

Counselor (Mental Health)

501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211

Mecklenburg County (704) 444-2400

MRS. ROSE K CHIN RPH

Pharmacist

501 BILLINGSLEY RD
CHARLOTTE, NC 28211

Mecklenburg County (704) 358-2862

HRISTOS CHRISTOPHER KARANIKAS MD

Psychiatry & Neurology (Psychiatry)

501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211

Mecklenburg County (704) 444-2400

DR. TERESA KATHRYN HOSKINS DO, MPH, CPH

Student in an Organized Health Care Education/Training Program

501 BILLINGSLEY RD
CHARLOTTE, NC 28211

Mecklenburg County (704) 444-2400

TIMOTHY COOPER KING MD

Psychiatry & Neurology (Psychiatry)

501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211

Mecklenburg County (704) 444-2400

DAVID FRANKLIN TAYLOR PHARMD

Pharmacist

501 BILLINGSLEY RD
CHARLOTTE, NC 28211

Mecklenburg County (704) 358-2862

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 Rachal's NPI number?

The NPI number for James Rachal is 1760455133. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is James Rachal located?

James Rachal practices at 501 Billingsley Rd Ste B, Charlotte, NC 28211. The listed phone number is (704) 444-2400.

What is James Rachal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Rachal enrolled in Medicare?

Yes. James Rachal 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 Rachal accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list James Rachal 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 Rachal affiliated with any hospitals?

According to CMS data, James Rachal is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for James Rachal was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.