Active NPI 1366428302 Individual Practitioner Male Practitioner

Kelly Michael James

Surgery • Independence, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly James is a certified Surgery practicing in Independence, MO. With approximately 39 years of clinical experience since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 1987, Kelly James delivers high-quality medical care to the local community at 19101 E VALLEY VIEW PKWY.

Kelly James maintains professional affiliations with Advanced Orthopedics And Sports Medicine, Surgical Care Of Independence Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of skin and tissue, 20.0 sq cm or less, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

19101 E Valley View Pkwy
Suite B

Independence, MO 640556904

Telephone 8162549292

Fax 8167958996

Associated Practice Facility / Clinic

🏢 Total Renal Care Inc Facility NPI 1629269733

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Independence, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +17.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

12 Specialists

Practicing in Independence, MO (766 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. James (39 Years) 39 Yrs

Independence Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	185	43	$207.00	$71.47
11042 Removal of skin and tissue, 20.0 sq cm or less	153	40	$344.82	$56.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	61	$219.00	$72.20
99213 Established patient office or other outpatient visit, typically 15 minutes	55	32	$221.56	$61.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	50	$315.00	$113.98
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	45	43	$393.00	$128.35
99213 Established patient office or other outpatient visit, typically 15 minutes	30	20	$220.93	$87.39
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	26	26	$59.00	$29.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$304.55	$107.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$324.00	$73.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	284	48	$207.00	$71.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	236	93	$219.00	$76.82
11042 Removal of skin and tissue, 20.0 sq cm or less	74	27	$366.00	$122.49
11042 Removal of skin and tissue, 20.0 sq cm or less	61	22	$366.00	$55.90
99213 Established patient office or other outpatient visit, typically 15 minutes	55	28	$222.00	$81.37
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	49	48	$393.00	$129.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	42	$315.00	$115.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$324.00	$108.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$135.00	$54.45
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$222.00	$63.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$414.00	$126.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	252	71	$365.15	$58.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	192	53	$207.00	$67.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	184	99	$315.00	$98.89
11042 Removal of skin and tissue, 20.0 sq cm or less	101	31	$366.00	$120.33
99213 Established patient office or other outpatient visit, typically 15 minutes	81	32	$222.00	$86.67
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	72	71	$393.00	$125.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	36	$219.00	$69.87
99213 Established patient office or other outpatient visit, typically 15 minutes	38	22	$222.00	$66.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$324.00	$105.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$135.00	$52.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$412.00	$194.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$326.54	$126.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	257	78	$365.17	$58.69
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	166	52	$207.00	$67.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	100	65	$313.16	$100.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	52	$219.00	$69.36
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	71	70	$389.77	$126.98
99213 Established patient office or other outpatient visit, typically 15 minutes	51	28	$219.46	$66.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$135.00	$35.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$324.00	$82.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$412.00	$196.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	306	112	$315.00	$99.95
11042 Removal of skin and tissue, 20.0 sq cm or less	206	48	$366.00	$56.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	115	99	$412.00	$194.54
99213 Established patient office or other outpatient visit, typically 15 minutes	108	38	$222.00	$49.33
99183 Management and supervision of oxygen chamber therapy per session	51	11	$948.00	$107.73
99213 Established patient office or other outpatient visit, typically 15 minutes	39	24	$222.00	$69.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	18	$219.00	$69.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$607.07	$190.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$438.00	$132.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$324.00	$73.07
47562 Removal of gallbladder using an endoscope	15	15	$2058.00	$630.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$393.00	$124.71
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$633.00	$76.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	150	51	$332.39	$59.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	119	57	$154.66	$99.94
99213 Established patient office or other outpatient visit, typically 15 minutes	100	47	$149.55	$49.24
99183 Management and supervision of oxygen chamber therapy per session	82	13	$375.73	$106.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	64	$262.62	$194.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$259.13	$193.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$199.11	$74.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$96.47	$24.63
47562 Removal of gallbladder using an endoscope	13	13	$1160.54	$653.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	237	95	$150.00	$96.36
11042 Removal of skin and tissue, 20.0 sq cm or less	121	38	$343.59	$56.05
99183 Management and supervision of oxygen chamber therapy per session	92	16	$316.00	$100.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	83	$230.00	$190.50
99213 Established patient office or other outpatient visit, typically 15 minutes	78	26	$145.00	$48.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$252.00	$193.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	28	$100.00	$23.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	25	11	$680.70	$139.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$175.00	$69.82
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$500.00	$93.67
99238 Hospital discharge day management, 30 minutes or less	15	15	$131.00	$68.51
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$145.00	$67.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$240.00	$135.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	223	102	$150.00	$99.56
11042 Removal of skin and tissue, 20.0 sq cm or less	157	63	$335.56	$57.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	107	$230.00	$193.42
99213 Established patient office or other outpatient visit, typically 15 minutes	83	42	$145.00	$48.59
99183 Management and supervision of oxygen chamber therapy per session	75	13	$316.00	$106.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	38	$100.00	$24.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$252.00	$196.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$175.00	$72.22
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	22	21	$500.00	$118.01
99238 Hospital discharge day management, 30 minutes or less	18	18	$131.00	$68.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$240.00	$136.67
47562 Removal of gallbladder using an endoscope	15	15	$1200.00	$643.48

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO MD104164

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

206857203 (MO)

Commercial Insurance / Payer ID Blue Cross-Blue Shield

19543010 (MO)

Hospital & Practice Group Affiliations

Advanced Orthopedics And Sports Medicine

2861 Ne Independence Ave, Lees Summit, MO 640642379

Phone: 8165252840

Surgical Care Of Independence Inc

19101 E Valley View Pkwy, Independence, MO 640556907

Phone: 8167146716

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Joseph Evans , MD

Surgery

NPI 1144206947

Doctor of Medicine (M.D.)

Tina Tran , PA-C

Physician Assistant - Medical

NPI 1205467578

Physician Assistant (Certified)

Dr. Sigi Joseph , MD

Surgery

NPI 1619075355

Doctor of Medicine (M.D.)

Dr. Jonathan Patterson , MD

Surgery

NPI 1821134313

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 02, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 02, 2011

Registered at 19101 E VALLEY VIEW PKWY, SUITE B, INDEPENDENCE, MO 640556904 (Tel: 8162549292)

📍

Updated Business Mailing Address May 02, 2011

Registered at 19101 E VALLEY VIEW PKWY, SUITE B, INDEPENDENCE, MO 640556904 (Tel: 8162549292)

👤

Provider Name / Credentials Updated May 02, 2011

Recorded as KELLY JAMES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2011

Surgery (License #MD104164 in MO)

🟢

Initial NPI Registration & Enumeration December 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366428302

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 21, 2005

Last Update: May 02, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

19101 E Valley View Pkwy, Suite B

Independence, MO 640556904

Phone: 8162549292

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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