DR. JAMES L PEARLE M.D.
NPI 1982783940
Internal Medicine - Pulmonary Disease in Orange, CA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
101 THE CITY DR S BLDG 30, ORANGE, CA 92868(714) 456-7720 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James L Pearle M.d. NPPES

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

DR. JAMES L PEARLE M.D. (NPI 1982783940) is an individual pulmonary disease provider in Orange, California, licensed in California (G27073) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Irvine, and is a graduate of New York Medical College (1973).

NPPES Registry Identity

NPI1982783940
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JAMES L PEARLECredential: M.D.
Location Address101 THE CITY DR S BLDG 30Orange, CA 92868-3201
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1973
Enumeration DateNovember 2, 2006
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
NPI 1982783940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · G27073
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License G27073 (CA)
101 THE CITY DR S BLDG 30, Orange, CA 92868

Secondary Practice Location 1

Location 119742 MacArthur Blvd Ste 100Irvine, CA 92612-2408 · Phone (714) 446-7454 · Fax (714) 879-1049

Other Identifiers 4

OtherZZZ97067ZCA · Blue Shield
OtherG27073CA · State Medical License
OtherGR0014371CA · Medical Grp Number
Other290003318CA · Railroad Medicare

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 L Pearle 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 ID6901798198
PECOS Enrollment IDI20111221000548
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 3

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.
212 services94 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.
47 services36 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
32 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.4
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 28

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
8 suppliers56 claims56 services$33.19 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier12 claims840 services$2.34 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier12 claims24 services$7.16 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier12 claims24 services$3.70 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers22 claims40 services$1.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers37 claims37 services$67.79 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 9

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

Internal Medicine (Nephrology)
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Neurological Surgery
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Internal Medicine (Rheumatology)
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Radiology (Diagnostic Radiology)
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Internal Medicine (Nephrology)
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 THE CITY DR S BLDG 30, PAVILION 1, BLDG.30
ORANGE, CA 92868
Nurse Practitioner
101 THE CITY DR S BLDG 30
ORANGE, CA 92868

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 Pearle's NPI number?

The NPI number for James Pearle is 1982783940. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is James Pearle located?

James Pearle practices at 101 The City Dr S Bldg 30, Orange, CA 92868. The listed phone number is (714) 456-7720.

What is James Pearle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Pearle enrolled in Medicare?

Yes. James Pearle 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 Pearle was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.