JAMES GABRIEL COLLINS M.D.
NPI 1861650343
Family Medicine in Charlotte, NC

Active since May 30, 2008PECOS EnrolledAccepts Medicare Assignment
13425 HOOVER CREEK BLVD, STE 100, CHARLOTTE, NC 28273(704) 316-2080 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Oct 26, 2020, May 21, 2019 and 7 more (10 updates tracked since 2016).

About James Gabriel Collins M.d. NPPES

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

JAMES GABRIEL COLLINS M.D. (NPI 1861650343) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2019-00754) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1861650343
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES GABRIEL COLLINSCredential: M.D.
Location Address13425 HOOVER CREEK BLVD, STE 100Charlotte, NC 28273-0054
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 30, 2008
Last NPPES UpdateJanuary 25, 202210 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
NPI 1861650343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NC · 2019-00754 Licensed in GA · 077183
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.
13425 HOOVER CREEK BLVD, Charlotte, NC 28273

Other Names 1

Professional Name (2)James Gabriel Lopez M.d.

Secondary Practice Location 1

Location 113425 Hoover Creek Blvd Ste 100Charlotte, NC 28273-0170 · Phone (704) 316-2080

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

James Gabriel Collins 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 ID3779745260
PECOS Enrollment IDI20190826001678
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 8

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.
539 services214 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
94 services94 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
54 services28 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
49 services48 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
21 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28273 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
81%125 patients4/55-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

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
9 suppliers16 claims38 services$5.88 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 6

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

Nurse Practitioner
13425 HOOVER CREEK BLVD
CHARLOTTE, NC 28273
Podiatrist
13425 HOOVER CREEK BLVD, SUITE 201
CHARLOTTE, NC 28273
Nurse Practitioner
13425 HOOVER CREEK BLVD
CHARLOTTE, NC 28273
Counselor (Mental Health)
13425 HOOVER CREEK BLVD
CHARLOTTE, NC 28273
Podiatrist (Foot & Ankle Surgery)
13425 HOOVER CREEK BLVD, SUITE 201
CHARLOTTE, NC 28273
Nurse Practitioner
13425 HOOVER CREEK BLVD
CHARLOTTE, NC 28273

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 Collins's NPI number?

The NPI number for James Collins is 1861650343. It was assigned to this individual provider in the NPPES registry on May 30, 2008. The provider is also known as James Gabriel Lopez M.D..

Where is James Collins located?

James Collins practices at 13425 Hoover Creek Blvd Ste 100, Charlotte, NC 28273. The listed phone number is (704) 316-2080.

What is James Collins's specialty?

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

Is James Collins enrolled in Medicare?

Yes. James Collins 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 James Collins accept?

Health plans from Blue Cross and Blue Shield of NC list James Collins 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 Collins affiliated with any hospitals?

According to CMS data, James Collins is affiliated with Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for James Collins was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.