DR. JAMES WHITE RAWLES III MD
NPI 1790043321
Surgery - Vascular Surgery in Virginia Beach, VA

Active since May 02, 2012PECOS EnrolledAccepts Medicare Assignment
17.27/100
CMS Quality Rating
397 LITTLE NECK RD, VIRGINIA BEACH, VA 23452(757) 395-1600 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2019, Sep 26, 2019 (2 updates tracked since 2019).

About Dr. James White Rawles Iii Md NPPES

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

DR. JAMES WHITE RAWLES III MD (NPI 1790043321) is an individual vascular surgery provider in Virginia Beach, Virginia, licensed in Virginia (0101266904) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Eastern Virginia Medical School (2012).

NPPES Registry Identity

NPI1790043321
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. JAMES WHITE RAWLES IIICredential: MD
Location Address397 LITTLE NECK RDVirginia Beach, VA 23452-5765
Mailing Address397 Little Neck RdVirginia Beach, VA 23452-5765 · (757) 395-1600
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2012
Enumeration DateMay 2, 2012
Last NPPES UpdateSeptember 13, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
NPI 1790043321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in VA · 0101266904
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
397 LITTLE NECK RD, Virginia Beach, VA 23452

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

Dr. James White Rawles Iii 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 ID9234370743
PECOS Enrollment IDI20191108002260
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 19

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.
204 services163 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.
135 services135 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.
111 services90 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
80 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services64 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
63 services52 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23452 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

17.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost57.57

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.

Dentist (Pediatric Dentistry)
397 LITTLE NECK RD, BUILDING 3400 SUITE 101
VIRGINIA BEACH, VA 23452
Family Medicine (Sports Medicine)
397 LITTLE NECK RD, 3300 NORTH BUILDING #115
VIRGINIA BEACH, VA 23452
Surgery (Vascular Surgery)
397 LITTLE NECK RD, STE 100 3300 SOUTH BLDG
VIRGINIA BEACH, VA 23452
Surgery (Vascular Surgery)
397 LITTLE NECK RD, 3300 SOUTH BLDG STE 100
VA BEACH, VA 23452
Chiropractor
397 LITTLE NECK RD, 3400 BUILDING, SUITE 108
VIRGINIA BEACH, VA 23452
Physical Therapist
397 LITTLE NECK RD
VIRGINIA BEACH, VA 23452
Nurse Practitioner (Family)
397 LITTLE NECK RD, SUITE 100
VIRGINIA BEACH, VA 23452
Physical Therapist
397 LITTLE NECK RD, BUILDING 3300, SUITE 100
VIRGINIA BEACH, VA 23452

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 Rawles's NPI number?

The NPI number for James Rawles is 1790043321. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is James Rawles located?

James Rawles practices at 397 Little Neck Rd, Virginia Beach, VA 23452. The listed phone number is (757) 395-1600.

What is James Rawles's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is James Rawles enrolled in Medicare?

Yes. James Rawles 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.

Is James Rawles affiliated with any hospitals?

According to CMS data, James Rawles is affiliated with Sentara Norfolk General Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital, Sentara Princess Anne Hospital and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for James Rawles was last updated on September 13, 2023. 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.