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JAMES C OATES MD
NPI 1831207885
Internal Medicine - Rheumatology in Charleston, SC

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
2125 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 573-1500(843) 573-1535 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James C Oates Md NPPES

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

JAMES C OATES MD (NPI 1831207885) is an individual rheumatology provider in Charleston, South Carolina, licensed in South Carolina (18836) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (1991).

NPPES Registry Identity

NPI1831207885
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJAMES C OATESCredential: MD
Location Address2125 CHARLIE HALL BLVDCharleston, SC 29414-5879
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Phone(843) 573-1500
Fax(843) 573-1535
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1991
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1831207885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in SC · 18836
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2125 CHARLIE HALL BLVD, Charleston, SC 29414
Open in Google Maps ↗

Other Identifiers 1

Medicaid188362SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James C Oates 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 ID6002913985
PECOS Enrollment IDI20070530000226
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 Reassignment

Medicare enrollment records show James Oates reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates
Same address
Multi-Specialty
2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1760413835 (843) 792-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
140 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services39 patients
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.
16 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 8

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

MICHAEL J MANNERAAK PT, MRS-PT
Physical Therapist
2125 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-1513
DR. KELLY ANNE CLAY M.D.
Internal Medicine
2125 CHARLIE HALL BLVD, SUITE - 2B
CHARLESTON, SC 29414
Charleston County (843) 852-3151
CATHLYN JAYNE HIRSCHFELD
Counselor (Mental Health)
2125 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 953-3470
CAROLINA FAMILY CARE, INC
Clinic/Center (Multi-Specialty)
2125 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 571-6555
MR. JOHN EDWARD AUSTIN OTR/L,CHT
Occupational Therapist (Hand)
2125 CHARLIE HALL BLVD, DEPT. OF OT/PT
CHARLESTON, SC 29414
Charleston County (843) 573-1513
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Clinic/Center (Physical Therapy)
2125 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-1513
CAROLINA FAMILY CARE, INC
Pediatrics
2125 CHARLIE HALL BLVD, SUITE 2A
CHARLESTON, SC 29414
Charleston County (843) 571-6555
UNIVERSITY MEDICAL ASSOCIATES
Clinic/Center (Multi-Specialty)
2125 CHARLIE HALL BLVD, SUITE 100
CHARLESTON, SC 29414
Charleston County (843) 792-1414

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 Oates's NPI number?

The NPI number for James Oates is 1831207885. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is James Oates located?

James Oates practices at 2125 Charlie Hall Blvd, Charleston, SC 29414. The listed phone number is (843) 573-1500.

What is James Oates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is James Oates enrolled in Medicare?

Yes. James Oates 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.

Which organization bills Medicare for James Oates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Oates reassigns Medicare benefits to University Medical Associates (Charleston, SC). The 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 Oates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Oates accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list James Oates 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 Oates affiliated with any hospitals?

According to CMS data, James Oates is affiliated with Musc Medical Center, Musc Health Columbia Medical Center Downtown, Beaufort County Memorial Hospital, Musc Health Florence Medical Center and Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for James Oates was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.