JAMES MICHAEL WILLIAMS M.D. NPI 1790792927

Emergency Medicine (Emergency Medical Services) in Lawton, OK

NPI 1790792927 Individual Male Years of Experience 33 Emergency Medicine Emergency Medical Services PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 74.8

About JAMES WILLIAMS

James Williams is a provider established in Lawton, Oklahoma and his medical specialization is emergency medicine (emergency medical services) with more than 33 years of experience. He graduated from Albany Medical College Of Union University in 1989. The NPI number of James Williams is 1790792927 and was assigned on August 2006. The practitioner's primary taxonomy code is 207PE0004X with license number 18117 (OK). The provider is registered as an individual and his NPI record was last updated 15 years ago.

James Williams is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

James Williams is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Comanche County Memorial Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 74.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.26 for a new patient copayment and $24.61 for an established patient copayment.

NPI

1790792927

Provider Name JAMES MICHAEL WILLIAMS M.D.
Provider Location Address3401 W GORE BLVD LAWTON, OK 73505
Provider Mailing AddressPO BOX 269019 OKLAHOMA CITY, OK 73126
GenderMale
NPI Entity TypeIndividual
Medical School NameALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year1989
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-01-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207PE0004X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationEmergency Medical Services
License No.18117
License StateOK
Taxonomy DescriptionAn emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Business Address

JAMES MICHAEL WILLIAMS M.D.
3401 W GORE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 355-8620

Get Directions


Mailing Address

JAMES MICHAEL WILLIAMS M.D.
PO BOX 269019
OKLAHOMA CITY, OK
ZIP 73126
Phone: (866) 321-8433



Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID2466471685
PECOS Enrollment IDI20051117000086
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 73505 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.97 $168.9 $85.07
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.74 $42.22 $21.26
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.8 $137.83 $98.45
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.2 $34.45 $24.61

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 62.8
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 85.1
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 74.8
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. James Williams is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
COMANCHE COUNTY MEMORIAL HOSPITAL3401 WEST GORE BLVD
LAWTON, OK 73505
(580) 355-8620Acute Care Hospitals370056

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F46949MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295735777 KATHLEEN MARIE FEELEY CRNA
Individual
Nurse Anesthetist, Certified Registered3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1912990672 AMYBETH R HILTON MD
Individual
Anesthesiology3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1346233004 CHARLES E MORTENSEN MD
Individual
Anesthesiology3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1922091677 JAMES LOWELL GRAVES JR. CRNA
Individual
Nurse Anesthetist, Certified Registered3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1407849169 HANDEL F PASCOE MD
Individual
Anesthesiology3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1942295779 DOYLE G STARK JR. PAC
Individual
Physician Assistant (Medical)3401 W GORE BLVD
LAWTON, OK 73505
(580) 510-7037
1629063300 AARON L TRACHTE MD
Individual
Surgery (Vascular Surgery)3401 W GORE BLVD
LAWTON, OK 73505
(580) 357-4339
1700871399 DALE F DUGUID MD
Individual
Family Medicine3401 W GORE BLVD
LAWTON, OK 73505
(580) 510-7037
1518953991 GEORGE F SCHUTZ MD
Individual
Radiology (Diagnostic Radiology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1386630770 ASHRAF R MIHANNI MD
Individual
Internal Medicine3401 W GORE BLVD
LAWTON, OK 73505
(580) 510-7037
1164418463 KEVIN K MURRAY MD
Individual
Radiology (Diagnostic Radiology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1346220415 COLLEEN L GALLIMORE PAC
Individual
Physician Assistant (Surgical)3401 W GORE BLVD
LAWTON, OK 73505
(580) 357-4339
1669443412 FRANK R HAYDEN MD
Individual
Radiology (Diagnostic Radiology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1649233818 KELLY E JONES MD
Individual
Radiology (Diagnostic Radiology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1285688135LOUISIANA EM-I MEDICAL SERVICES, P.A.
Organization
Emergency Medicine3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1154364719COMANCHE COUNTY HOSPITAL AUTHORITY
Organization
Rehabilitation Unit3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8699
1568406767DR. JEFFREY GOLIGHTLY M.D.
Individual
Emergency Medicine3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1457380628DR. RICHARD J BOATSMAN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8690
1255363313SOUTHWEST ANESTHESIA - SERVICE OF COMANCHE COUNTY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1013932706LAWTON PATHOLOGY SERVICES, LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8690

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.