JAMES MATTHEW HALVERSON DO
NPI 1902899016
Family Medicine in Newport News, VA

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
50.38/100
CMS Quality Rating
11835 FISHING POINT DR, SUITE 104, NEWPORT NEWS, VA 23606(757) 599-5588(757) 599-6893 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2019, Oct 30, 2018 (2 updates tracked since 2018).

About James Matthew Halverson Do NPPES

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

JAMES MATTHEW HALVERSON DO (NPI 1902899016) is an individual family medicine provider in Newport News, Virginia, licensed in Virginia (0102049844) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Obici Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1902899016
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES MATTHEW HALVERSONCredential: DO
Location Address11835 FISHING POINT DR, SUITE 104Newport News, VA 23606-2584
Mailing Address11835 Fishing Point Dr, Suite 104Newport News, VA 23606-2584 · (757) 599-5588 · Fax (757) 599-6893
Fax(757) 599-6893
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 24, 2005
Last NPPES UpdateApril 25, 20192 updates tracked since enumeration
NPI 1902899016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VA · 0102049844 Licensed in FL · OS15143
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.
11835 FISHING POINT DR, Newport News, VA 23606

Other Names 1

Other Name (5)J Matthew Halverson Do

Other Identifiers 3

Medicaid1902899016VA
Other00Y043J02VA · Medicare Ptan
OtherC10736Group Ptn

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 Matthew Halverson Do 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 ID3375430689
PECOS Enrollment IDI20040302001313
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 23

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,193 services193 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.
743 services356 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
360 services142 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.
318 services184 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
290 services290 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
281 services281 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

50.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities40
Cost67.94

Referred Medical Equipment & Supplies CMS DME claims 10

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
13 suppliers38 claims125 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers23 claims34 services$1.09 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers20 claims20 services$28.43 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims94 services$1.64 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$3.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$52.34 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 14

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

Pediatrics (Developmental - Behavioral Pediatrics)
11835 FISHING POINT DR, STE 207
NEWPORT NEWS, VA 23606
Specialist
11835 FISHING POINT DR, SUITE 201
NEWPORT NEWS, VA 23606
Pediatrics (Developmental - Behavioral Pediatrics)
11835 FISHING POINT DR, STE 207
NEWPORT NEWS, VA 23606
Family Medicine
11835 FISHING POINT DR, SUITE 104
NEWPORT NEWS, VA 23606
Physician Assistant (Medical)
11835 FISHING POINT DR, SUITE 104
NEWPORT NEWS, VA 23606
Family Medicine
11835 FISHING POINT DR, SUITE 104
NEWPORT NEWS, VA 23606
Behavior Technician
11835 FISHING POINT DR
NEWPORT NEWS, VA 23606
Pediatrics
11835 FISHING POINT DR, STE 207
NEWPORT NEWS, VA 23606

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 Halverson's NPI number?

The NPI number for James Halverson is 1902899016. It was assigned to this individual provider in the NPPES registry on August 24, 2005. The provider is also known as J Matthew Halverson Do.

Where is James Halverson located?

James Halverson practices at 11835 Fishing Point Dr Suite 104, Newport News, VA 23606. The listed phone number is (757) 599-5588.

What is James Halverson's specialty?

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

Is James Halverson enrolled in Medicare?

Yes. James Halverson 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 Halverson affiliated with any hospitals?

According to CMS data, James Halverson is affiliated with Sentara Obici Hospital, Riverside Regional Medical Center, Sentara Williamsburg Regional Medical Center and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for James Halverson was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.