Active NPI 1912909227 Individual Practitioner Male Practitioner

Dr. Milton James , MD

Ophthalmology • Durham, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Milton James, MD is a certified Ophthalmology practicing in Durham, NC. With approximately 34 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1992, Dr. James delivers high-quality medical care to the local community at 4102 N ROXBORO ST.

Dr. James is affiliated with Duke Health Integrated Practice Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, injection, aflibercept, 1 mg, injection of drug into eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4102 N Roxboro St

Durham, NC 277042122

Telephone 9195952000

Fax 9195952182

Associated Practice Facility / Clinic

🏢 North Carolina Eye Ear Nose & Throat Pa Facility NPI 1972504926

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Durham, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +12.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

94 Specialists

Practicing in Durham, NC (718 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. James (34 Years) 34 Yrs

Durham Specialty Average (21.1 Years) 21.1 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
92134 Imaging of retina	769	324	$172.00	$37.32
J0178 Injection, aflibercept, 1 mg	562	62	$1442.00	$827.32
67028 Injection of drug into eye	438	97	$813.37	$104.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	232	$255.00	$119.64
99213 Established patient office or other outpatient visit, typically 15 minutes	243	148	$172.00	$84.78
92014 Established patient complete exam of visual system	137	137	$291.00	$117.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$390.00	$156.44
J9035 Injection, bevacizumab, 10 mg	54	23	$150.00	$69.83
92133 Imaging of optic nerve	42	41	$171.00	$33.25
92201 Extended exam of the back part of the eye with retinal drawing	28	26	$99.00	$23.24
92083 Exam of visual field with extended testing	28	24	$329.00	$58.54
76512 Ultrasound of eye disease, growth, or structure	15	11	$371.00	$44.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	580	243	$172.00	$37.68
J0178 Injection, aflibercept, 1 mg	450	55	$1442.00	$869.79
67028 Injection of drug into eye	364	84	$813.45	$106.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	256	$255.00	$120.98
99213 Established patient office or other outpatient visit, typically 15 minutes	267	154	$172.00	$85.51
J9035 Injection, bevacizumab, 10 mg	73	23	$150.00	$68.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$390.00	$158.04
92014 Established patient complete exam of visual system	59	59	$291.00	$119.18
92201 Extended exam of the back part of the eye with retinal drawing	54	40	$99.00	$23.48
92133 Imaging of optic nerve	41	36	$171.00	$34.06
92083 Exam of visual field with extended testing	27	23	$329.00	$58.66
92202 Extended exam of the back part of the eye with optic nerve drawing	14	14	$63.00	$14.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	503	224	$172.00	$38.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	314	$255.40	$122.69
J0178 Injection, aflibercept, 1 mg	304	40	$1442.00	$900.29
67028 Injection of drug into eye	297	71	$814.09	$108.06
99213 Established patient office or other outpatient visit, typically 15 minutes	214	139	$172.00	$87.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$390.00	$161.37
J9035 Injection, bevacizumab, 10 mg	71	23	$150.00	$68.36
92201 Extended exam of the back part of the eye with retinal drawing	58	44	$99.00	$23.43
92133 Imaging of optic nerve	39	34	$171.00	$34.89
92083 Exam of visual field with extended testing	34	33	$329.00	$59.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	524	240	$172.00	$39.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	336	312	$256.89	$124.20
J0178 Injection, aflibercept, 1 mg	306	38	$1442.00	$918.76
67028 Injection of drug into eye	289	71	$814.69	$110.06
99213 Established patient office or other outpatient visit, typically 15 minutes	266	159	$172.00	$88.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$390.00	$161.80
J9035 Injection, bevacizumab, 10 mg	58	22	$150.00	$71.35
92133 Imaging of optic nerve	48	46	$171.00	$35.36
92083 Exam of visual field with extended testing	47	46	$329.00	$60.76
92201 Extended exam of the back part of the eye with retinal drawing	46	38	$99.00	$24.24
76512 Ultrasound of eye disease, growth, or structure	20	12	$371.00	$46.59
92014 Established patient complete exam of visual system	19	19	$291.00	$122.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	571	214	$172.00	$39.65
J0178 Injection, aflibercept, 1 mg	452	56	$1442.00	$926.93
67028 Injection of drug into eye	320	71	$814.52	$99.93
92014 Established patient complete exam of visual system	237	214	$291.00	$122.73
92012 Established patient problem focused exam of visual system	231	133	$201.00	$85.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$390.00	$157.41
92201 Extended exam of the back part of the eye with retinal drawing	54	46	$99.00	$24.02
99213 Established patient office or other outpatient visit, typically 15 minutes	50	50	$172.00	$73.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$259.46	$101.17
92133 Imaging of optic nerve	34	33	$171.00	$36.49
92083 Exam of visual field with extended testing	29	29	$329.00	$59.15
76512 Ultrasound of eye disease, growth, or structure	24	14	$371.00	$50.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$103.00	$44.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	540	199	$151.06	$39.07
J0178 Injection, aflibercept, 1 mg	470	54	$1370.16	$919.99
92012 Established patient problem focused exam of visual system	323	164	$176.77	$85.17
67028 Injection of drug into eye	301	67	$749.15	$97.25
92014 Established patient complete exam of visual system	299	272	$253.27	$122.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$356.00	$156.92
92133 Imaging of optic nerve	52	50	$156.12	$35.81
92225 Examination of eye by ophthalmoscope with retinal drawing	48	44	$115.00	$25.85
99213 Established patient office or other outpatient visit, typically 15 minutes	41	41	$164.00	$71.78
76512 Ultrasound of eye disease, growth, or structure	35	19	$367.83	$58.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$218.71	$98.52
92083 Exam of visual field with extended testing	29	29	$208.17	$58.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$103.00	$41.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	533	246	$85.00	$39.01
92014 Established patient complete exam of visual system	504	448	$150.00	$120.79
92012 Established patient problem focused exam of visual system	451	253	$110.00	$83.84
J0178 Injection, aflibercept, 1 mg	388	47	$1075.00	$948.97
67028 Injection of drug into eye	254	57	$503.00	$97.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$200.38	$157.09
99213 Established patient office or other outpatient visit, typically 15 minutes	62	54	$90.00	$66.64
92133 Imaging of optic nerve	61	58	$85.00	$35.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	57	$130.00	$99.85
92083 Exam of visual field with extended testing	51	49	$110.00	$60.51
92225 Examination of eye by ophthalmoscope with retinal drawing	30	30	$85.00	$26.24
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	16	11	$1415.00	$329.69
66821 Removal of recurring cataract in lens capsule using a laser	15	14	$900.00	$316.72
92004 New patient complete exam of visual system	15	15	$180.00	$145.06
92002 New patient problem focused exam of visual system	11	11	$125.00	$79.73
67041 Removal of membrane from the retina	11	11	$3942.00	$974.22
92285 Photography of content of eyes	11	11	$85.00	$19.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	540	227	$85.00	$38.84
92014 Established patient complete exam of visual system	486	416	$150.00	$117.90
J0178 Injection, aflibercept, 1 mg	412	48	$1075.00	$962.92
92012 Established patient problem focused exam of visual system	380	211	$110.00	$81.21
67028 Injection of drug into eye	260	55	$503.00	$97.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$200.38	$155.50
92133 Imaging of optic nerve	59	54	$85.00	$35.16
92083 Exam of visual field with extended testing	52	49	$110.00	$60.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$132.04	$98.47
92225 Examination of eye by ophthalmoscope with retinal drawing	40	38	$85.00	$25.91
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	21	14	$1415.00	$316.42
76512 Ultrasound of eye disease, growth, or structure	17	12	$260.00	$88.29
92250 Photography of the retina	11	11	$85.00	$62.07
67041 Removal of membrane from the retina	11	11	$3942.00	$1105.29

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35077543

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License PA MD069803L

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License WV 20115

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6300115000 (WV)

Medicaid State Provider ID

2150630 (OH)

Medicaid State Provider ID

0017726390004 (PA)

Commercial Insurance / Payer ID Mcr #other Tax Id

0895377 (OH)

Commercial Insurance / Payer ID Rrmcr # Other Tax Id

P00336309 (OH)

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

783 Doctors Ct, Roxboro, NC 275734575

Phone: 9196848111

Duke Health Integrated Practice Inc

1234 Huffman Mill Rd, Burlington, NC 272158700

Phone: 9196848111

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Duke Health Integrated Practice Inc

4102 N Roxboro St, Durham, NC 277042122

Phone: 9196848111

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Andrea Engel , AuD

Audiologist

NPI 1114114915

Doctor of Audiology

Julie Rockefeller , MS CCC-SLP

Speech-Language Pathologist

NPI 1184811663

MSCCCSLP

Havan Harris , MS, CCC-SLP

Speech-Language Pathologist

NPI 1194450999

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Edward Hedgpeth , MD

Ophthalmology

NPI 1205837572

Doctor of Medicine (M.D.)

Dr. Daniel Simon , MD

Ophthalmology

NPI 1205891512

Doctor of Medicine (M.D.)

Dr. Sarah Hodges , MD

Otolaryngology

NPI 1255371720

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 December 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 09, 2011

Registered at 4102 N ROXBORO ST, DURHAM, NC 277042122 (Tel: 9195952000)

📍

Updated Business Mailing Address December 09, 2011

Registered at 4102 N ROXBORO ST, DURHAM, NC 277042122 (Tel: 9195952000)

👤

Provider Name / Credentials Updated December 09, 2011

Recorded as MILTON JAMES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2011

Ophthalmology (License #35077543 in OH)

🟢

Initial NPI Registration & Enumeration June 01, 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: 1912909227

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: December 09, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4102 N Roxboro St

Durham, NC 277042122

Phone: 9195952000

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.