Active NPI 1700815602 Individual Practitioner Male Practitioner

Dr. James D. Gorham , MD PHD

Pathology - Clinical Pathology • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Gorham, MD PHD is a certified Pathology - Clinical Pathology practicing in Charlottesville, VA. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Gorham delivers high-quality medical care to the local community at 1215 LEE ST.

Dr. Gorham is affiliated with University Of Virginia Physicians Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include protein measurement, serum, molecular pathology procedure; physician interpretation and report, immunologic analysis technique on serum (immunofixation). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1215 Lee St

Charlottesville, VA 229080001

Telephone 8888823990

Fax 4342436499

Associated Practice Facility / Clinic

🏢 Rector & Visitors Of The University Of Virginia Facility NPI 1588633317

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Clinical Pathology in Charlottesville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +6.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Charlottesville, VA (14 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gorham (34 Years) 34 Yrs

Charlottesville Specialty Average (27.3 Years) 27.3 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
84165 Protein measurement, serum	509	430	$47.00	$16.92
G0452 Molecular pathology procedure; physician interpretation and report	346	276	$138.59	$44.47
86334 Immunologic analysis technique on serum (immunofixation)	165	151	$53.00	$16.95
84166 Protein measurement, body fluid	110	105	$47.00	$16.81
88291 Interpretation and report of genetic testing	99	92	$84.00	$32.44
86335 Immunologic analysis technique on body fluid, other fluids with concentration	34	34	$53.00	$16.47
86077 Blood bank physician services for cross match and/or evaluation and written report	13	13	$143.00	$46.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0452 Molecular pathology procedure; physician interpretation and report	291	239	$137.91	$46.50
88291 Interpretation and report of genetic testing	94	87	$84.00	$32.06
86077 Blood bank physician services for cross match and/or evaluation and written report	16	16	$143.00	$45.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0452 Molecular pathology procedure; physician interpretation and report	258	224	$137.21	$46.05
86077 Blood bank physician services for cross match and/or evaluation and written report	51	51	$143.00	$49.82
88291 Interpretation and report of genetic testing	36	36	$84.00	$33.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0452 Molecular pathology procedure; physician interpretation and report	266	223	$109.77	$46.42
86077 Blood bank physician services for cross match and/or evaluation and written report	62	58	$143.00	$49.83
88291 Interpretation and report of genetic testing	38	36	$84.00	$33.79
86078 Blood bank physician services for investigation of transfusion reaction with written report	18	18	$143.00	$50.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0452 Molecular pathology procedure; physician interpretation and report	146	120	$102.52	$19.03
84165 Protein measurement, serum	43	43	$47.00	$18.97
86077 Blood bank physician services for cross match and/or evaluation and written report	35	35	$143.00	$51.48
86078 Blood bank physician services for investigation of transfusion reaction with written report	17	16	$143.00	$47.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
84165 Protein measurement, serum	524	410	$47.00	$18.56
G0452 Molecular pathology procedure; physician interpretation and report	321	233	$105.92	$18.62
84166 Protein measurement, body fluid	130	122	$61.00	$18.46
86077 Blood bank physician services for cross match and/or evaluation and written report	74	74	$143.00	$51.53
88291 Interpretation and report of genetic testing	43	37	$84.00	$33.57
86078 Blood bank physician services for investigation of transfusion reaction with written report	30	28	$143.00	$51.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
84165 Protein measurement, serum	769	577	$47.00	$18.27
84166 Protein measurement, body fluid	186	172	$61.00	$18.33
86077 Blood bank physician services for cross match and/or evaluation and written report	46	44	$140.98	$52.40
G0452 Molecular pathology procedure; physician interpretation and report	42	38	$100.00	$18.33
88291 Interpretation and report of genetic testing	31	30	$75.61	$33.03
86078 Blood bank physician services for investigation of transfusion reaction with written report	18	15	$139.22	$52.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
84165 Protein measurement, serum	1,573	1,005	$54.40	$18.16
86325 Immunologic analysis technique on body fluid	165	147	$64.00	$18.25
84166 Protein measurement, body fluid	150	140	$58.39	$18.24
86077 Blood bank physician services for cross match and/or evaluation and written report	57	57	$140.00	$51.38
85060 Blood smear interpretation by physician with written report	53	48	$62.00	$24.86
88291 Interpretation and report of genetic testing	20	20	$74.00	$31.39
86078 Blood bank physician services for investigation of transfusion reaction with written report	19	19	$139.00	$51.77
88108 Cell examination of specimen, concentration technique	16	13	$84.00	$23.15

Medical Specialties & State Licenses

CMS Verified: 2020-10-09

Pathology - Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZC0006X

State License VA 0101257556

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Pathology - Blood Banking & Transfusion Medicine

NUCC Taxonomy Code: 207ZB0001X

State License NH 10424

A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0RE4976 (VT)

Medicaid State Provider ID

30200015 (NH)

Hospital & Practice Group Affiliations

University Of Virginia Physicians Group

112 11th St Sw, Charlottesville, VA 229033408

Phone: 4349245227

University Of Virginia Physicians Group

1215 Lee St, Charlottesville, VA 229080816

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. Nadine Aguilera , MD

Pathology - Clinical Pathology

NPI 1073573499

Doctor of Medicine (M.D.)

Dr. William Glass , MD, PhD

Pathology - Anatomic Pathology

NPI 1083688824

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Yubo Wu , DO

Pathology - Anatomic Pathology

NPI 1104346915

Doctor of Osteopathic Medicine (D.O.)

Dr. Shyam Raghavan , MD

Pathology - Dermatopathology

NPI 1124394572

Doctor of Medicine (M.D.)

Dr. Henry Frierson , MD

Pathology - Anatomic Pathology

NPI 1154466266

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2020

Pathology (License #10424 in NH)

📍

Updated Practice Location July 01, 2019

Registered at 1215 LEE ST, CHARLOTTESVILLE, VA 229080001 (Tel: 8888823990)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Pathology (License #0101257556 in VA)

✅

NPI Profile Active May 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 26, 2015

Registered at HOSPITAL DR, CHARLOTTESVILLE, VA 229080001 (Tel: 4349249213)

📍

Updated Business Mailing Address May 26, 2015

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

👤

Provider Name / Credentials Updated May 26, 2015

Recorded as JAMES GORHAM, M.D. PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2015

Pathology (License #10424 in NH)

🟢

Initial NPI Registration & Enumeration July 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1700815602

Entity Type:

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

Enumeration Date: July 02, 2006

Last Update: October 09, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9007

Charlottesville, VA 229069007

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.