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JAMES S KARAS MD
NPI 1881696110
Internal Medicine - Cardiovascular Disease in Thomasville, GA

Active since May 31, 2005PECOS Enrolled
116 MIMOSA DR, THOMASVILLE, GA 31792(229) 551-0083(229) 227-9642 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James S Karas Md NPPES

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

JAMES S KARAS MD (NPI 1881696110) is an individual cardiovascular disease provider in Thomasville, Georgia, licensed in Georgia (037248) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881696110
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAMES S KARASCredential: MD
Location Address116 MIMOSA DRThomasville, GA 31792-6605
Mailing Address116 Mimosa DrThomasville, GA 31792-6605 · (229) 551-0083 · Fax (229) 227-9642
Phone(229) 551-0083
Fax(229) 227-9642
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1881696110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 037248
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
116 MIMOSA DR, Thomasville, GA 31792
Open in Google Maps ↗

Other Identifiers 1

Medicaid00542088GGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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 S Karas Md 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

2

Medicare enrollment records show James Karas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

John D Archbold Memorial Hospital Inc
0.1 mi
General Acute Care Hospital
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Hospital Authority Of Mitchell County
  • 60 clinicians in this Medicare group
NPI 1194779702 (229) 228-2000
John D Archbold Memorial Hospital Inc
0.1 mi
General Acute Care Hospital
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 99 clinicians in this Medicare group
NPI 1194779702 (229) 228-2000

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 31792 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%688 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
91%310 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,786 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%3,612 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
93%283 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%1,333 patients4/55-star benchmark: 97%
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…
21%1,192 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
4%709 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 825 patients
Patients tobacco: 92% · 825 patients
12%81 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
67%1,333 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%1,333 patients1/55-star benchmark: 89%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
90%744 patients5/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 735 patients
0%735 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
7%1,333 patients
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.

Other Providers at the Same Location NPPES 20

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

MS. ALLEN R LYBROOK APRN,BC
Nurse Practitioner
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 226-5788
SOUTH GEORGIA UROLOGY GROUP, P. C.
Urology
116 MIMOSA DR, SUITE 2
THOMASVILLE, GA 31792
Thomas County (229) 228-5500
JERRY STEVEN JOHNSON M.D.
Radiology (Radiation Oncology)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 228-2982
WILLIAM W ELLIS MD
Internal Medicine (Cardiovascular Disease)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 551-0083
RADIATION ONCOLOGISTS SOUTH EAST, P.C.
Radiology (Radiation Oncology)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 228-2982
SARALYN GRACE GOFF FNP-C
Nurse Practitioner (Family)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 584-5570
ROBERT D MILES JR. M.D.
Internal Medicine (Cardiovascular Disease)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 551-0083
DR. BYRON C SIZEMORE M.D.
Internal Medicine (Interventional Cardiology)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 551-0083

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 Karas's NPI number?

The NPI number for James Karas is 1881696110. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is James Karas located?

James Karas practices at 116 Mimosa Dr, Thomasville, GA 31792. The listed phone number is (229) 551-0083.

What is James Karas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Karas enrolled in Medicare?

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

Which organizations bill Medicare for James Karas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Karas reassigns Medicare benefits to 2 organizations: John D Archbold Memorial Hospital Inc (Thomasville, GA) and John D Archbold Memorial Hospital Inc (Thomasville, GA). 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 Karas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Karas accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list James Karas 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 Karas was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.