CATHERINE T JAMES MD
NPI 1851352132
Family Medicine in Madison, WI

Active since March 28, 2006PECOS Enrolled
5618 ODANA RD, MADISON, WI 53719(608) 274-1100(608) 274-0310 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Catherine T James Md NPPES

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

CATHERINE T JAMES MD (NPI 1851352132) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (30849) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851352132
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE T JAMESCredential: MD
Location Address5618 ODANA RDMadison, WI 53719-1208
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485
Fax(608) 274-0310
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateFebruary 12, 2009
✔ NPI 1851352132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 30849
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.
5618 ODANA RD, Madison, WI 53719

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Catherine T James Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Catherine James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
525 N WISCONSIN AVE
Muscoda, WI 53573
  • Reassigned Medicare billing, Wisconsin enrollment
  • 299 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53719 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Nurse Practitioner
5618 ODANA RD
MADISON, WI 53719
Family Medicine
5618 ODANA RD
MADISON, WI 53719
Internal Medicine
5618 ODANA RD
MADISON, WI 53719
Family Medicine
5618 ODANA RD
MADISON, WI 53719
Nurse Practitioner (Family)
5618 ODANA RD
MADISON, WI 53719
Family Medicine
5618 ODANA RD
MADISON, WI 53719
Nurse Practitioner (Family)
5618 ODANA RD
MADISON, WI 53719
Family Medicine
5618 ODANA RD
MADISON, WI 53719

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 Catherine James's NPI number?

The NPI number for Catherine James is 1851352132. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Catherine James located?

Catherine James practices at 5618 Odana Rd, Madison, WI 53719. The listed phone number is (608) 274-1100.

What is Catherine James's specialty?

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

Is Catherine James enrolled in Medicare?

Yes. Catherine James is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Catherine James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine James reassigns Medicare benefits to Memorial Hospital Of Boscobel (Muscoda, WI). 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 Catherine James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine James accept?

Health plans from Dean Health Plan list Catherine 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 Catherine James was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.