Active NPI 1316964885 Individual Practitioner Male Practitioner

Dr. James Fish , MD, FACEP

Emergency Medicine • Gloucester, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Fish, MD, FACEP is a certified Emergency Medicine practicing in Gloucester, VA. With approximately 49 years of clinical experience since graduating from Eastern Virginia Medical School in 1977, Dr. Fish delivers high-quality medical care to the local community at 7519 HOSPITAL DR.

Dr. Fish is affiliated with Riverside Physician Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, critical care, first, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7519 Hospital Dr

Gloucester, VA 230614178

Telephone 7575942000

Associated Practice Facility / Clinic

🏢 Riverside Emergency Physicians Llp Facility NPI 1609891746

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Gloucester, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs Matches City Avg

City Avg: 49.0 Yrs

State Avg: 21.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Gloucester, VA (1769 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fish (49 Years) 49 Yrs

Gloucester Specialty Average (49.0 Years) 49.0 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
99285 Emergency department visit for life threatening or functioning severity	78	77	$308.00	$169.50
99291 Critical care, first 30-74 minutes	60	60	$482.00	$206.45
99284 Emergency department visit with moderate level of medical decision making	39	39	$215.00	$117.13
99238 Hospital discharge day management, 30 minutes or less	21	21	$137.00	$79.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	188	187	$308.00	$173.08
99284 Emergency department visit with moderate level of medical decision making	72	71	$215.00	$119.51
99291 Critical care, first 30-74 minutes	41	41	$482.00	$210.85
99238 Hospital discharge day management, 30 minutes or less	15	15	$137.00	$80.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	248	244	$450.14	$178.09
99291 Critical care, first 30-74 minutes	52	52	$653.77	$218.66
99284 Emergency department visit with moderate level of medical decision making	48	47	$332.94	$122.83
99217 Hospital observation care on day of discharge	22	22	$148.36	$68.20
99283 Emergency department visit with low level of medical decision making	14	14	$178.00	$72.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	238	233	$543.00	$180.96
99284 Emergency department visit with moderate level of medical decision making	80	78	$368.00	$124.30
99291 Critical care, first 30-74 minutes	53	53	$685.00	$222.14
99283 Emergency department visit with low level of medical decision making	19	18	$196.00	$73.25
99217 Hospital observation care on day of discharge	15	15	$208.00	$72.72
99220 Hospital observation care, typically 70 minutes	13	13	$502.00	$183.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	277	267	$543.00	$175.98
99284 Emergency department visit with moderate level of medical decision making	80	77	$368.00	$120.89
99291 Critical care, first 30-74 minutes	57	57	$685.00	$226.77
99283 Emergency department visit with low level of medical decision making	27	24	$196.00	$66.19
99217 Hospital observation care on day of discharge	13	13	$208.00	$74.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	335	325	$543.00	$172.40
99284 Emergency department visit with moderate level of medical decision making	103	98	$368.00	$117.65
99291 Critical care, first 30-74 minutes	62	62	$685.00	$223.36
99283 Emergency department visit with low level of medical decision making	24	24	$196.00	$62.26
99217 Hospital observation care on day of discharge	23	23	$208.00	$73.27
99220 Hospital observation care, typically 70 minutes	21	21	$502.00	$186.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	335	327	$543.00	$171.83
99284 Emergency department visit with moderate level of medical decision making	122	122	$370.87	$116.63
99291 Critical care, first 30-74 minutes	48	48	$685.00	$221.27
99283 Emergency department visit with low level of medical decision making	27	27	$196.00	$59.53
99220 Hospital observation care, typically 70 minutes	26	26	$502.00	$185.28
99217 Hospital observation care on day of discharge	17	17	$208.00	$72.69
99219 Hospital observation care, typically 50 minutes	15	15	$358.00	$135.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	440	417	$543.00	$170.86
99284 Emergency department visit with moderate level of medical decision making	133	131	$368.00	$115.25
99283 Emergency department visit with low level of medical decision making	34	33	$196.00	$60.06
99291 Critical care, first 30-74 minutes	32	32	$685.00	$220.63
99220 Hospital observation care, typically 70 minutes	19	19	$502.00	$183.64
76705 Limited ultrasound scan of abdomen	12	12	$75.00	$29.41

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License VA 0101-029550

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

005821835 (VA)

Medicaid State Provider ID

1316964885 (VA)

Hospital & Practice Group Affiliations

Riverside Physician Services Inc

500 J Clyde Morris Blvd, Newport News, VA 236011929

Riverside Physician Services Inc

1500 Commonwealth Ave, Williamsburg, VA 231855229

Phone: 7575852250

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Raymond Amaker , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1033145073

Doctor of Medicine (M.D.)

Erica Nipper , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033575634

Certified Registered Nurse Anesthetist

Dr. Indrit Reso , MD

Anesthesiology

NPI 1043280068

Doctor of Medicine (M.D.)

Marsc Mertilus , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043885734

Certified Registered Nurse Anesthetist

Dr. Thaniya Hettige , MD

Student in an Organized Health Care Education/Training Program

NPI 1053253427

Doctor of Medicine (M.D.)

David Shoemaker , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053354134

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 30, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 30, 2008

Registered at 7519 HOSPITAL DR, GLOUCESTER, VA 230614178 (Tel: 7575942000)

📍

Updated Business Mailing Address May 30, 2008

Registered at PO BOX 601789, CHARLOTTE, NC 282601789 (Tel: 8669165259)

👤

Provider Name / Credentials Updated May 30, 2008

Recorded as JAMES FISH, M.D., FACEP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2008

Emergency Medicine (License #0101-029550 in VA)

🟢

Initial NPI Registration & Enumeration July 17, 2006

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: 1316964885

Entity Type:

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

Enumeration Date: July 17, 2006

Last Update: May 30, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 601789

Charlotte, NC 282601789

Phone: 8669165259

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.