1. Home
  2. Directory
  3. Vermont
  4. Georgia
  5. Preventive Medicine
  6. NPI Profile

DR. RICHARD JAMES M.D.
NPI 1871674036
Preventive Medicine - Sports Medicine in Georgia, VT

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
90.05/100
CMS Quality Rating
189 ETHAN ALLEN HIGHWAY, GEORGIA, VT 05666(802) 253-0121 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard James M.d. NPPES

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

DR. RICHARD JAMES M.D. (NPI 1871674036) is an individual sports medicine provider in Georgia, Vermont, licensed in Vermont (042-0010546) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1992).

NPPES Registry Identity

NPI1871674036
Entity TypeIndividualMale
Primary Taxonomy2083S0010X
Provider Legal NameDR. RICHARD JAMESCredential: M.D.
Location Address189 ETHAN ALLEN HIGHWAYGeorgia, VT 05666
Mailing Address272 Thomas LnStowe, VT 05672-5060
Phone(802) 253-0121
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1992
Enumeration DateOctober 17, 2006
Last NPPES UpdateJanuary 7, 2016
✔ NPI 1871674036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in VT · 042-0010546
Definition

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 042.0010546 (VT)
189 ETHAN ALLEN HIGHWAY, Georgia, VT 05666
Open in Google Maps ↗

Other Identifiers 1

Medicaid1009477VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Richard 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 ID7911920350
PECOS Enrollment IDI20060111000661
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 6

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.
61 services58 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
36 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
35 services33 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
28 services26 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
28 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05666 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

90.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost50.17

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 Richard James's NPI number?

The NPI number for Richard James is 1871674036. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Richard James located?

Richard James practices at 189 Ethan Allen Highway, Georgia, VT 05666. The listed phone number is (802) 253-0121.

What is Richard James's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

Is Richard James enrolled in Medicare?

Yes. Richard 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 Richard James accept?

Health plans from Anthem Blue Cross and Blue Shield list Richard 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 Richard James was last updated on January 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.