1. Home
  2. Directory
  3. Maryland
  4. Frederick
  5. Family Medicine
  6. NPI Profile

JAMES P AMERENA M.D.
NPI 1912981929
Family Medicine in Frederick, MD

Active since December 02, 2005PECOS Enrolled
9093 RIDGEFIELD DR, SUITE 104, FREDERICK, MD 21701(301) 682-4100(301) 682-9100 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James P Amerena M.d. NPPES

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

JAMES P AMERENA M.D. (NPI 1912981929) is an individual family medicine provider in Frederick, Maryland, licensed in Maryland (D0036421) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912981929
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES P AMERENACredential: M.D.
Location Address9093 RIDGEFIELD DR, SUITE 104Frederick, MD 21701-6710
Mailing Address610 Solarex CtFrederick, MD 21703-8624
Phone(301) 682-4100
Fax(301) 682-9100
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateAugust 2, 2016
✔ NPI 1912981929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0036421
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.
9093 RIDGEFIELD DR, Frederick, MD 21701
Open in Google Maps ↗

Other Identifiers 8

Medicare UPINF31745MD
Medicare PIN080168564MD
Medicaid793391600MD
Medicaid926580505MD
Medicare PIN451LMD
Medicaid926580508MD
Medicare PINCD8143MD
Medicare PIN78ZZMD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James P Amerena M.d. 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 Amerena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC
38 mi
Internal Medicine
950 N GLEBE RD, SUITE 4000
Arlington, VA 22203
  • Reassigned Medicare billing, Maryland enrollment
  • 339 clinicians in this Medicare group
NPI 1164874426 (571) 366-8850
Privia Medical Group, LLC
38 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Maryland enrollment
  • 668 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 21701 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Reported Quality Measures

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.
91%6,407 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
71%255 patients4/55-star benchmark: 88%
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.
87%269 patients2/55-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.
41%2,877 patients2/55-star benchmark: 97%
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…
98%2,799 patients4/55-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…
41%2,799 patients2/55-star benchmark: 89%
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.
44%2,799 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.

Referred Medical Equipment & Supplies CMS DME claims 8

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
8 suppliers14 claims42 services$6.93 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$32.29 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers15 claims88 services$12.73 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers17 claims17 services$44.00 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers13 claims13 services$14.93 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers21 claims122 services$1.90 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 18

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

DR. DEVENDER VERMA D.D.S
Dentist
9093 RIDGEFIELD DR, SUITE 203
FREDERICK, MD 21701
Frederick County (301) 624-1001
RAHELEH MAKHMALBAF D.M.D
Dentist (General Practice)
9093 RIDGEFIELD DR, SUITE 203
FREDERICK, MD 21701
Frederick County (301) 624-1001
MS. SUSAN MARIAN LUBORSKY MS OTRL
Occupational Therapist
9093 RIDGEFIELD DR, SUITE 102
FREDERICK, MD 21701
Frederick County (301) 846-4769
VERMA ENTERPRISES, P.C.
Dentist (Oral and Maxillofacial Pathology)
9093 RIDGEFIELD DR, SUITE 203
FREDERICK, MD 21701
Frederick County (301) 624-1001
DR. ARPANA S. VERMA D.D.S
Dentist (General Practice)
9093 RIDGEFIELD DR, SUITE 203
FREDERICK, MD 21701
Frederick County (301) 624-1001
MARIAM NEJATI MD
Family Medicine
9093 RIDGEFIELD DR
FREDERICK, MD 21701
Frederick County (301) 682-4100
MS. CHERYL L WILKIE CCC SLP
Speech-Language Pathologist
9093 RIDGEFIELD DR, SUITE 102
FREDERICK, MD 21701
Frederick County (301) 846-4769
MS. KELLY M BEINS BHSC OTRL
Occupational Therapist (Pediatrics)
9093 RIDGEFIELD DR, SUITE 102
FREDERICK, MD 21701
Frederick County (301) 846-4769

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 Amerena's NPI number?

The NPI number for James Amerena is 1912981929. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is James Amerena located?

James Amerena practices at 9093 Ridgefield Dr Suite 104, Frederick, MD 21701. The listed phone number is (301) 682-4100.

What is James Amerena's specialty?

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

Is James Amerena enrolled in Medicare?

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

Which organizations bill Medicare for James Amerena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Amerena reassigns Medicare benefits to 2 organizations: Privia Care Center LLC (Arlington, VA) and Privia Medical Group, LLC (Arlington, VA). 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 Amerena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Amerena was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.