JOHN M JAMES M.D.
NPI 1811907579
Family Medicine in Alexander City, AL

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
96.34/100
CMS Quality Rating
44 ALIANT PKWY, ALEXANDER CITY, AL 35010(256) 234-4131(256) 234-9979 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John M James M.d. NPPES

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

JOHN M JAMES M.D. (NPI 1811907579) is an individual family medicine provider in Alexander City, Alabama, licensed in Alabama (00006314) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (1972).

NPPES Registry Identity

NPI1811907579
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN M JAMESCredential: M.D.
Location Address44 ALIANT PKWYAlexander City, AL 35010-3426
Mailing AddressPo Box 789, 44 Aliant ParkwayAlexander City, AL 35011-0789 · (256) 234-4131 · Fax (256) 234-9979
Fax(256) 234-9979
Sole ProprietorYes
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1972
Enumeration DateAugust 8, 2006
Last NPPES UpdateMarch 2, 2011
NPI 1811907579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 00006314
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

44 ALIANT PKWY, Alexander City, AL 35010

Other Identifiers 6

Medicare ID-Type Unspecified051527993AL
OtherP00236574AL · Railroad Medicare
Medicare UPINC70153AL
Other63-0685246AL · Pricare,pa Tax Id
Medicaid000027993AL
Other051527993AL · Bluecrossblueshield

Accepted 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

John M James M.d. 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 ID2860468816
PECOS Enrollment IDI20040909001282
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 36

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
248 services148 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
246 services159 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
161 services111 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
157 services119 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
145 services102 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
126 services112 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35010 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

96.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.87
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
83%645 patients4/55-star benchmark: 100%
Breast Cancer Screening
52%491 patients3/55-star benchmark: 93%
Chlamydia Screening for Women
0%58 patients
Closing the Referral Loop: Receipt of Specialist Report
20%703 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
51%1,139 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
71%783 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
41%296 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%296 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%4,003 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
75%610 patients4/55-star benchmark: 100%
HIV Screening
3%1,346 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%1,722 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%579 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 626 patients
Patients totalRate: 15% · 686 patients
17%686 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers38 claims110 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers24 claims32 services$1.13 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier30 claims30 services$14.03 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
1 supplier30 claims30 services$16.79 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier60 claims60 services$3.41 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier60 claims69 services$6.66 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 10

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

Obstetrics & Gynecology (Gynecology)
44 ALIANT PKWY
ALEXANDER CITY, AL 35010
Nurse Practitioner (Family)
44 ALIANT PKWY
ALEXANDER CITY, AL 35010
Nurse Practitioner (Family)
44 ALIANT PKWY
ALEXANDER CITY, AL 35010
Family Medicine
44 ALIANT PKWY
ALEXANDER CITY, AL 35010
Family Medicine
44 ALIANT PKWY
ALEXANDER CITY, AL 35010
Nurse Practitioner (Family)
44 ALIANT PKWY
ALEXANDER CITY, AL 35010
Pediatrics
44 ALIANT PKWY
ALEXANDER CITY, AL 35010
Nurse Practitioner (Family)
44 ALIANT PKWY
ALEXANDER CITY, AL 35010

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 John James's NPI number?

The NPI number for John James is 1811907579. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is John James located?

John James practices at 44 Aliant Pkwy, Alexander City, AL 35010. The listed phone number is (256) 234-4131.

What is John James's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John James enrolled in Medicare?

Yes. John James 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 John James accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list John James 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 John James was last updated on March 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.