JAMES O. MAHER III MD
NPI 1881650323
Orthopaedic Surgery - Sports Medicine in Middletown, RI

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
345 VALLEY RD, MIDDLETOWN, RI 02842(401) 849-6868(401) 847-3840 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James O. Maher Iii Md NPPES

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

JAMES O. MAHER III MD (NPI 1881650323) is an individual sports medicine provider in Middletown, Rhode Island, licensed in Rhode Island (07310) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of New York Medical College (1982).

NPPES Registry Identity

NPI1881650323
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJAMES O. MAHER IIICredential: MD
Location Address345 VALLEY RDMiddletown, RI 02842-5236
Mailing AddressPo Box 1119Providence, RI 02901-1119 · (401) 849-6868
Fax(401) 847-3840
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1982
Enumeration DateApril 24, 2006
Last NPPES UpdateMay 28, 2014
NPI 1881650323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in RI · 07310
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
345 VALLEY RD, Middletown, RI 02842

Other Identifiers 3

MedicaidJM12717RI
Medicare UPINE41697RI
Medicare ID-Type Unspecified007006577RI

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 O. Maher Iii Md 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 ID8022141183
PECOS Enrollment IDI20100727000524
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,435 services101 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,140 services13 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
196 services103 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.
142 services97 patients
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.
128 services116 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
97 services97 patients

Hospital Affiliations CMS Care Compare

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

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

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.

75.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.78
Promoting Interoperability95
Improvement Activities40
Cost62.35

Other Providers at the Same Location NPPES 9

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

Orthopaedic Surgery
345 VALLEY RD
MIDDLETOWN, RI 02842
Physical Therapist
345 VALLEY RD
MIDDLETOWN, RI 02842
Physical Therapist
345 VALLEY RD
MIDDLETOWN, RI 02842
Nurse Practitioner
345 VALLEY RD
MIDDLETOWN, RI 02842
Orthopaedic Surgery
345 VALLEY RD
MIDDLETOWN, RI 02842
Specialist
345 VALLEY RD
MIDDLETOWN, RI 02842
Orthopaedic Surgery
345 VALLEY RD
MIDDLETOWN, RI 02842
Physician Assistant
345 VALLEY RD
MIDDLETOWN, RI 02842

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 Maher's NPI number?

The NPI number for James Maher is 1881650323. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is James Maher located?

James Maher practices at 345 Valley Rd, Middletown, RI 02842. The listed phone number is (401) 849-6868.

What is James Maher's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is James Maher enrolled in Medicare?

Yes. James Maher 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.

Is James Maher affiliated with any hospitals?

According to CMS data, James Maher is affiliated with Newport Hospital.

When was this NPI record last updated?

The NPPES record for James Maher was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.