TED A JAMES (MD) – Surgery Physician, NPI 1629058342
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5 SURGICAL ONCOLOGY in VT
Provider Addresses for TED A JAMES (MD)
1063, Spring Valley Road, Burlington, Walworth County, Wisconsin, 53105, United States
BURLINGTON, VT 054021063
Phone: (802) 847-2262
Fax: (802) 847-0574
Type: Mailing
FAHC VT CANCER CENTER
COLCHESTER AVE
BURLINGTON, VT 05401
Phone: (802) 847-2262
Fax: (802) 847-0574
Type: Location
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone: (847) 570-2040
Fax: (847) 570-5315
Type: Mailing
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 600052384
Phone: (847) 618-3800
Fax: (847) 618-3809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161118001559 | I | General Surgery | MA | TBD |
| I20251113003332 | I | General Surgery | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 19301 | Partial removal of breast | 16 | 15 | $0 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 12 | 12 | $0 |
| 38900 | Imaging of lymph nodes during surgery | 12 | 12 | $0 |
Insurance plans in this area (ZIP 05402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Emergency Medicine | NC |
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