JAMES EDWARD HALVORSON MD
NPI 1972521524
Family Medicine in Wahpeton, ND

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
332 2ND AVE N, WAHPETON, ND 58075(701) 642-7000(701) 642-7000 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Edward Halvorson Md NPPES

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

JAMES EDWARD HALVORSON MD (NPI 1972521524) is an individual family medicine provider in Wahpeton, North Dakota, licensed in North Dakota (4578) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of University Of North Dakota School Of Medicine (1980).

NPPES Registry Identity

NPI1972521524
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES EDWARD HALVORSONCredential: MD
Location Address332 2ND AVE NWahpeton, ND 58075-4528
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(701) 642-7000
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1980
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 29, 2022
NPPES CertifiedApril 29, 2022
NPI 1972521524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ND · 4578 Licensed in MN · 32391
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.
332 2ND AVE N, Wahpeton, ND 58075

Accepted Insurance

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 Edward Halvorson 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 ID6103994926
PECOS Enrollment IDI20101103000705
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 6

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 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.
203 services180 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
37 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services37 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.
25 services25 patients
Injection of drug or substance into vein 96374
This procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.
15 services11 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58075 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers12 claims12 services$46.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier12 claims29 services$44.85 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 suppliers11 claims11 services$72.38 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$25.16 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers17 claims89 services$3.08 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$43.08 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.

Specialist
332 2ND AVE N
WAHPETON, ND 58075
Registered Nurse (Diabetes Educator)
332 2ND AVE N
WAHPETON, ND 58075
Nurse Practitioner (Family)
332 2ND AVE N
WAHPETON, ND 58075
Family Medicine
332 2ND AVE N
WAHPETON, ND 58075
Family Medicine
332 2ND AVE N
WAHPETON, ND 58075
Nurse Practitioner (Family)
332 2ND AVE N
WAHPETON, ND 58075
Optometrist
332 2ND AVE N
WAHPETON, ND 58075
Optometrist
332 2ND AVE N
WAHPETON, ND 58075

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 Halvorson's NPI number?

The NPI number for James Halvorson is 1972521524. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is James Halvorson located?

James Halvorson practices at 332 2nd Ave N, Wahpeton, ND 58075. The listed phone number is (701) 642-7000.

What is James Halvorson's specialty?

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

Is James Halvorson enrolled in Medicare?

Yes. James Halvorson 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.

What insurance does James Halvorson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list James Halvorson 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 Halvorson affiliated with any hospitals?

According to CMS data, James Halvorson is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for James Halvorson was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.