James Jones, PA-C
NPI 1093469066 · Physician Assistant · Raleigh, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Jones, PA-C is a Physician Assistant provider in Raleigh, NC (NPI 1093469066).
Provider details
- NPI number
- 1093469066
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0010-11982 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
75 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anchoring of Biceps Tendon23430 | 19 | $47 |
| Prosthetic Repair of Shoulder Joint, Total Shoulder23472 | 19 | $175 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 | 13 | $134 |
| Removal of Extensive Shoulder Joint Tissue Using an Endoscope29823 | 12 | $16 |
| Shaving of Part of Shoulder Bone and Repair of Ligament Using an Endoscope29826 | 12 | $21 |
Typical Medicare-allowed amounts for these services range $16–$175 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 34 | 32 |
| Gabapentin | 30 | 19 |
| Amoxicillin | 16 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 12 | 12 |
| Meloxicam | 12 | — |
| Ondansetronbrand: Ondansetron Odt | 12 | 12 |
| Tramadol Hcl | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$171 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-02-09
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Frequently asked questions
- What is James Jones's NPI number?
- James Jones's National Provider Identifier (NPI) is 1093469066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Jones's specialty?
- James Jones is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is James Jones located?
- James Jones's practice location on file with NPPES is 3009 New Bern Ave, Raleigh, NC 27610-1214.
- What is James Jones's phone number?
- The practice phone number listed in the NPPES registry for James Jones is (919) 242-5020.
- Does James Jones accept Medicare?
- James Jones is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Jones's NPI active?
- Yes — James Jones's NPI (1093469066) is active in the NPPES registry as of the last update on 2022-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.