DR. JAMES M MEARS M.D.
NPI 1861594558
Family Medicine in Charleston, WV
About Dr. James M Mears M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES M MEARS M.D. (NPI 1861594558) is an individual family medicine provider in Charleston, West Virginia, licensed in West Virginia (15912) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Charleston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Dr. James M Mears 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.
Medicare Billing Reassignment
Medicare enrollment records show James Mears reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, WV 25301
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Charleston Area Medical Center
Acute Care Hospitals · Charleston, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
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 Mears's NPI number?
The NPI number for James Mears is 1861594558. It was assigned to this individual provider in the NPPES registry on September 2, 2006.
Where is James Mears located?
James Mears practices at 3200 Maccorkle Ave SE Fl 5, Charleston, WV 25304. The listed phone number is (304) 388-4600.
What is James Mears's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Mears enrolled in Medicare?
Yes. James Mears 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 Mears's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Mears reassigns Medicare benefits to Charleston Area Medical Center, Inc. (Charleston, WV). 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 Mears's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Mears accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list James Mears 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 Mears affiliated with any hospitals?
According to CMS data, James Mears is affiliated with Charleston Area Medical Center.
When was this NPI record last updated?
The NPPES record for James Mears was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. James M Mears, M.D. · NPI 1861594558
Family Medicine physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since September 2, 2006.
## Identity
- **NPI:** 1861594558 (Entity type: Individual)
- **Enumerated:** September 2, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 15912 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 MACCORKLE AVE SE FL 5, Charleston, WV 25304-1297
- **Phone:** (304) 388-4600 · **Fax:** (304) 388-4603
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Charleston Area Medical Center, Inc. (NPI 1750166898, Charleston, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jc Edwards School Of Medicine, Marshall University, class of 1988
## Record status
- **NPPES last updated:** July 10, 2023
- **Other identifiers:** Medicaid 0042536000 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1861594558) · Data from the CMS NPPES public registry.