JAMES O'HARE MD
NPI 1932526878
Internal Medicine - Endocrinology, Diabetes & Metabolism in Elkin, NC

Q: What is James O'hare's NPI number?

The NPI number for James O'hare is 1932526878. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Q: What is James O'hare's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for James O'hare was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 27, 2014PECOS EnrolledAccepts Medicare Assignment

180 PARKWOOD DR, ELKIN, NC 28621(336) 835-3136 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2026, Aug 8, 2019 (2 updates tracked since 2019).

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About James O'hare Md NPPES

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

JAMES O'HARE MD (NPI 1932526878) is an individual endocrinology, diabetes & metabolism provider in Elkin, North Carolina, licensed in North Carolina (2023-02341) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Tulane University School Of Medicine (2014).

NPPES Registry Identity

NPI1932526878

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameJAMES O'HARECredential: MD

Location Address180 PARKWOOD DRElkin, NC 28621-2430

Mailing Address180 Parkwood DrElkin, NC 28621-2430 · (336) 835-3136

Phone(336) 835-3136

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 2014

Enumeration DateMarch 27, 2014

Last NPPES UpdateApril 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1932526878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in NC · 2023-02341✔ Licensed in LA · 306656

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

180 PARKWOOD DR, Elkin, NC 28621

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 and accepts Medicare assignment

James O'hare 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 ID6305067505

PECOS Enrollment IDI20230829003613

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 O'hare reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hugh Chatham Memorial Hospital, Inc

0.1 mi

Family Medicine

600 CHATHAM MEDICAL PARK
Elkin, NC 28621

Reassigned Medicare billing, North Carolina enrollment
90 clinicians in this Medicare group

NPI 1134372477 (336) 835-4819

Cornerstone Health Care, LLC

0.2 mi

Allergy & Immunology

680 PARKWOOD MEDICAL PARK
Elkin, NC 28621

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Wake Forest Health Network LLC
583 clinicians in this Medicare group

NPI 1396068052 (336) 835-1958

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.

326 services168 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

123 services59 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

90 services73 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

64 services64 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340064

Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County

Emergency services Birthing friendly

Hugh Chatham Memorial Hospital

Acute Care Hospitals · Elkin, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340097

Location180 Parkwood DrElkin, NC 28621 · Surry County

Emergency services

Alleghany Memorial Hospital

Critical Access Hospitals · Sparta, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341320

Location233 Doctors StreetSparta, NC 28675 · Alleghany County

Emergency services

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490115

Location200 Hospital DriveGalax, VA 24333 · Galax City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28621 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

10 suppliers32 claims80 services$5.84 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims22 services$1.03 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers20 claims20 services$327.16 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

10 suppliers142 claims143 services$185.49 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 20

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

DR. AMRO ALI YASSIN-AWAD MD

Emergency Medicine

180 PARKWOOD DR
ELKIN, NC 28621

Surry County (336) 527-7217

BEVERLY A BYRD M.D.

Obstetrics & Gynecology

180 PARKWOOD DR
ELKIN, NC 28621

Surry County (336) 527-7000

KANDI TERELL KNIGHTSHEAD MD

Anesthesiology

180 PARKWOOD DR
ELKIN, NC 28621

Surry County (336) 527-7541

MR. JOSEPH LOUIS ARGENTA PA-C

Physician Assistant

180 PARKWOOD DR
ELKIN, NC 28621

Surry County (336) 527-7000

SHANNON SIMPSON MORGAN MD

Family Medicine

180 PARKWOOD DR
ELKIN, NC 28621

Surry County (336) 527-7000

ELKIN EMERGENCY PHYSICIANS, PLLC

Emergency Medicine

180 PARKWOOD DR, EMERGENCY DEPARTMENT
ELKIN, NC 28621

Surry County (336) 527-7000

MARK HAMPTON HARRIS PA-C

Physician Assistant (Medical)

180 PARKWOOD DR
ELKIN, NC 28621

Surry County (336) 527-7472

LINDSEY WILCOX RD, CSO, LDN

Dietitian, Registered

180 PARKWOOD DR
ELKIN, NC 28621

Surry County (336) 527-7073

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 O'hare's NPI number?

The NPI number for James O'hare is 1932526878. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is James O'hare located?

James O'hare practices at 180 Parkwood Dr, Elkin, NC 28621. The listed phone number is (336) 835-3136.

What is James O'hare's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is James O'hare enrolled in Medicare?

Yes. James O'hare 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.

Which organizations bill Medicare for James O'hare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James O'hare reassigns Medicare benefits to 2 organizations: Hugh Chatham Memorial Hospital, Inc (Elkin, NC) and Cornerstone Health Care, LLC (Elkin, NC). 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 O'hare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James O'hare accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 4 other insurers list James O'hare 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.

Is James O'hare affiliated with any hospitals?

According to CMS data, James O'hare is affiliated with North Carolina Baptist Hospital, Wilkes Regional Medical Center, Hugh Chatham Memorial Hospital, Alleghany Memorial Hospital and Twin County Regional Hospital.

When was this NPI record last updated?

The NPPES record for James O'hare was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.