DR. JAMES GEORGE SCANLAN M.D.
NPI 1962499087
Internal Medicine - Interventional Cardiology in Raleigh, NC

Q: What is James Scanlan's NPI number?

The NPI number for James Scanlan is 1962499087. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is James Scanlan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for James Scanlan was last updated on April 14, 2021. 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.

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment

4201 LAKE BOONE TRL, SUITE 104, RALEIGH, NC 27607(919) 881-0160(919) 881-0887 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2021, Sep 19, 2019 (2 updates tracked since 2019).

On this page

About Dr. James George Scanlan M.d. NPPES

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

DR. JAMES GEORGE SCANLAN M.D. (NPI 1962499087) is an individual interventional cardiology provider in Raleigh, North Carolina, licensed in North Carolina (24289) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Northwestern University Feinberg Medical School (1973).

NPPES Registry Identity

NPI1962499087

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. JAMES GEORGE SCANLANCredential: M.D.

Location Address4201 LAKE BOONE TRL, SUITE 104Raleigh, NC 27607-7512

Mailing Address4201 Lake Boone Trl Ste 104Raleigh, NC 27607-7511 · (919) 881-0160 · Fax (919) 881-0887

Phone(919) 881-0160

Fax(919) 881-0887

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1973

Enumeration DateOctober 4, 2005

Last NPPES UpdateApril 14, 20212 updates tracked since enumeration

NPPES CertifiedApril 14, 2021

✔ NPI 1962499087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in NC · 24289

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 024289 (NC)

4201 LAKE BOONE TRL, Raleigh, NC 27607

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Other Identifiers 2

Other060000080NC · Railroad Medicare

Medicaid8974730NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Dr. James George Scanlan 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 ID2163406513

PECOS Enrollment IDI20100211000245

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 Reassignment

Medicare enrollment records show James Scanlan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Carolina Mg, LLC

0.3 mi

Hospitalist

4420 LAKE BOONE TRL
Raleigh, NC 27607

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

NPI 1215741640 (919) 784-3100

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 14

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.

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.

522 services357 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.

294 services167 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

152 services134 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.

96 services91 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

93 services24 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

58 services30 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.

43 services43 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

34 services31 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

30 services30 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.

22 services22 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.

15 services15 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

14 services11 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

12 services11 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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.

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

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

76%68 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.

97%918 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.

100%1,175 patients5/55-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.

88%77 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.

80%526 patients4/55-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…

21%526 patients1/55-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…

1%526 patients1/55-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% · 361 patients

0%361 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.

15%526 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.

BIO-LIFECYCLE MEDICAL CENTERS, PLLC

Preventive Medicine (Public Health & General Preventive Medicine)

4201 LAKE BOONE TRL, STE 005
RALEIGH, NC 27607

Wake County (919) 851-9100

ANAM CARA WELLNESS PLLC

Psychiatry & Neurology (Psychiatry)

4201 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (984) 230-2416

GREGORY J WILMOTH M.D.

Dermatology (MOHS-Micrographic Surgery)

4201 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607

Wake County (919) 782-2152

LINDSEY MCADAMS-PERRY LCSW

Social Worker (Clinical)

4201 LAKE BOONE TRL, STE 4
RALEIGH, NC 27607

Wake County (919) 781-4434

DR. ESTELLE CATHERINE TSALIK PT, DPT

Physical Therapist

4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607

Wake County (919) 781-4434

MRS. JENNIFER H SPANGLER MS, CCC-SLP

Speech-Language Pathologist

4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607

Wake County (919) 781-4434

DR. MARTHA FIELDS SIMPSON PHD

Psychologist

4201 LAKE BOONE TRL, SUITE 201
RALEIGH, NC 27607

Wake County (919) 785-0384

MISS BRITTANY D NORRIS M.S.

Speech-Language Pathologist

4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607

Wake County (919) 781-4434

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 Scanlan's NPI number?

The NPI number for James Scanlan is 1962499087. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is James Scanlan located?

James Scanlan practices at 4201 Lake Boone Trl Suite 104, Raleigh, NC 27607. The listed phone number is (919) 881-0160.

What is James Scanlan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is James Scanlan enrolled in Medicare?

Yes. James Scanlan 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 organization bills Medicare for James Scanlan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Scanlan reassigns Medicare benefits to North Carolina Mg, LLC (Raleigh, NC). The 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 Scanlan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Scanlan accept?

Health plans from UnitedHealthcare list James Scanlan 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 Scanlan affiliated with any hospitals?

According to CMS data, James Scanlan is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for James Scanlan was last updated on April 14, 2021. 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.