DR. JAMES MAILHOT M.D.
NPI 1942392626
Internal Medicine - Cardiovascular Disease in San Francisco, CA

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
29.76/100
CMS Quality Rating
2340 CLAY ST, STE 525, SAN FRANCISCO, CA 94115(415) 331-8390(415) 331-8380 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Mailhot M.d. NPPES

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

DR. JAMES MAILHOT M.D. (NPI 1942392626) is an individual cardiovascular disease provider in San Francisco, California, licensed in California (G16365) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1964).

NPPES Registry Identity

NPI1942392626
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JAMES MAILHOTCredential: M.D.
Location Address2340 CLAY ST, STE 525San Francisco, CA 94115
Mailing Address2340 Clay St, Ste 525San Francisco, CA 94115 · (415) 331-8390 · Fax (415) 331-8380
Fax(415) 331-8380
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1964
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJuly 12, 2007
NPI 1942392626 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 CA · G16365
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.
2340 CLAY ST, San Francisco, CA 94115

Other Identifiers 2

Medicare ID-Type Unspecified00G163650CA
Medicare UPINA39774CA

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

Dr. James Mailhot M.d. 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 ID2062563083
PECOS Enrollment IDI20090701000645
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 9

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.
641 services295 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
328 services233 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
267 services257 patients
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351
This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.
41 services41 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

29.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost99.21

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.

Pediatrics
2340 CLAY ST, 3RD FLOOR
SAN FRANCISCO, CA 94115
Hospitalist
2340 CLAY ST, 2ND FLOOR
SAN FRANCISCO, CA 94115
General Acute Care Hospital
2340 CLAY ST, 5TH FLOOR
SAN FRANCISCO, CA 94115
Nurse Practitioner (Family)
2340 CLAY ST, SUITE 537
SAN FRANCISCO, CA 94115
Clinical Neuropsychologist
2340 CLAY ST, 7TH FLOOR
SAN FRANCISCO, CA 94115
Psychiatry & Neurology (Psychiatry)
2340 CLAY ST
SAN FRANCISCO, CA 94115
General Acute Care Hospital
2340 CLAY ST, 5TH FLOOR, OPHTHALMOLOGY DEPARTMENT
SAN FRANCISCO, CA 94115
Family Medicine
2340 CLAY ST, FLOORS 1-5 AND 7
SAN FRANCISCO, CA 94115

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 Mailhot's NPI number?

The NPI number for James Mailhot is 1942392626. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is James Mailhot located?

James Mailhot practices at 2340 Clay St Ste 525, San Francisco, CA 94115. The listed phone number is (415) 331-8390.

What is James Mailhot's specialty?

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

Is James Mailhot enrolled in Medicare?

Yes. James Mailhot 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.

When was this NPI record last updated?

The NPPES record for James Mailhot was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.