JAMES MICHAEL METTS DO
NPI 1871698183
Pediatrics in Newton, IA

Q: What is James Metts's NPI number?

The NPI number for James Metts is 1871698183. It was assigned to this individual provider in the NPPES registry on September 13, 2006. The provider is also known as J Michael Metts Do.

Q: What is James Metts's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for James Metts was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since September 13, 2006PECOS Enrolled

300 N 4TH AVE E STE 140A, NEWTON, IA 50208(641) 787-5437(641) 787-5438 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James Michael Metts Do NPPES

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

JAMES MICHAEL METTS DO (NPI 1871698183) is an individual pediatrics provider in Newton, Iowa, licensed in Iowa (DO-03216) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871698183

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJAMES MICHAEL METTSCredential: DO

Location Address300 N 4TH AVE E STE 140ANewton, IA 50208-3122

Mailing AddressPo Box 679495Dallas, TX 75267-9495 · (641) 787-5437 · Fax (641) 787-5438

Phone(641) 787-5437

Fax(641) 787-5438

Sole ProprietorNo

Enumeration DateSeptember 13, 2006

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1871698183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IA · DO-03216

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 3216 (IA)

300 N 4TH AVE E STE 140A, Newton, IA 50208

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Other Names 1

Professional Name (2)J Michael Metts Do

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health 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 (PECOS)

James Michael Metts Do 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 Reassignments

Medicare enrollment records show James Metts reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Medical Center-Newton

0.1 mi

Nurse Anesthetist, Certified Registered

204 N 4TH AVE E
Newton, IA 50208

Reassigned Medicare billing, Iowa enrollment
18 clinicians in this Medicare group

NPI 1134509292 (641) 792-1273

Catholic Health Initiatives-Iowa Corp

0.3 mi

Rural Health

300 N 4TH AVE E, SUITES 222, 160, 140A
Newton, IA 50208

Reassigned Medicare billing, Iowa enrollment
21 clinicians in this Medicare group

NPI 1710844303 (641) 787-3161

Broadlawns Medical Center

31 mi

General Acute Care Hospital

1801 HICKMAN RD
Des Moines, IA 50314

Reassigned Medicare billing, Iowa enrollment
518 clinicians in this Medicare group

NPI 1467447508 (515) 282-2200

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 50208 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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

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

THOMAS E JESSEN MD PC

Specialist

300 N 4TH AVE E STE 140A
NEWTON, IA 50208

Jasper County (641) 792-2380

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 Metts's NPI number?

The NPI number for James Metts is 1871698183. It was assigned to this individual provider in the NPPES registry on September 13, 2006. The provider is also known as J Michael Metts Do.

Where is James Metts located?

James Metts practices at 300 N 4th Ave E Ste 140A, Newton, IA 50208. The listed phone number is (641) 787-5437.

What is James Metts's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Metts enrolled in Medicare?

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

Which organizations bill Medicare for James Metts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Metts reassigns Medicare benefits to 3 organizations: Mercy Medical Center-Newton (Newton, IA), Catholic Health Initiatives-Iowa Corp (Newton, IA) and Broadlawns Medical Center (Des Moines, IA). Each 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 Metts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Metts accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 3 other insurers list James Metts 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 James Metts was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.