JAMES L EPPERSON MD
NPI 1831160290
Family Medicine in Arden Hills, MN
NPI Status: Active since February 01, 2006
Contact Information
3930 NORTHWOODS DR - MAIL STOP 32800A
HEALTHPARTNERS ARDEN HILLS CLINIC
ARDEN HILLS, MN
ZIP 55112
Phone: (651) 523-8500
Fax: (651) 523-8584
- Individual
- Male
- Family Medicine
- PECOS Enrolled
About JAMES EPPERSON
This page provides the complete NPI Profile along with additional information for James Epperson, a primary care provider established in Arden Hills, Minnesota with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1831160290 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 34189 (MN). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1831160290
- Provider Name
- JAMES L EPPERSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3930 NORTHWOODS DR - MAIL STOP 32800A HEALTHPARTNERS ARDEN HILLS CLINIC ARDEN HILLS, MN 55112
- Location Phone
- (651) 523-8500
- Location Fax
- (651) 523-8584
- Mailing Address
- 8170 33RD AVE S MS21110Q MINNEAPOLIS, MN 55425
- Mailing Phone
- (952) 883-5375
- Mailing Fax
- (651) 523-8584
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-01-2006
- Last Update Date
- 12-01-2011
- Code Navigator
A primary care provider (PCP) like James Epperson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 34189
- License State
- MN
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E68211 | MEDICARE UPIN (02) | ||
| 080006748 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 780207200 | MEDICAID (05) | MN |
Medicare Participation & PECOS Enrollment Status
James Epperson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Complete blood cell count (red cells, white blood cell, platelets), automated test
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Extended inpatient or observation hospital service, first hour
Follow-up nursing facility visit per day, typically 35 minutes
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
Initial nursing facility visit per day, typically 45 minutes
Insertion of needle into vein for collection of blood sample
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 13 times for 13 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 55 times for 55 patientsA complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
This service was performed 35 times for 30 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 28 times for 28 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 71 times for 56 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 20 times for 15 patientsThis service involves staying in the hospital for a longer period for close monitoring or treatment. During the first hour, medical staff observe your health status, administer necessary treatments, and ensure your comfort and safety. It's part of ensuring optimal care.
This service was performed 22 times for 15 patientsA follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
This service was performed 71 times for 33 patientsThe quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
This service was performed 12 times for 12 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 38 times for 36 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 166 times for 77 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 12 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55112 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.61
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $24.65
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 3 | 1 | 1 | 6 | 0 | 2 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 2 | 6 | 0 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 2 + 6 + 0 + 2 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1831160290 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891775847 | DR. ANNIE L IDEKER MD Individual | Family Medicine | 3930 NORTHWOODS DR - MAIL STOP 32800A HEALTHPARTNERS ARDEN HILLS CLINIC ARDEN HILLS, MN 55112 (651) 523-8500 |
| 1063484343 | JUDITH A KUCZENSKI FNP Individual | Nurse Practitioner | 3930 NORTHWOODS DR - MAIL STOP 32800A HEALTH PARTNERS ARDEN HILLS CLINIC ARDEN HILLS, MN 55112 (651) 523-8500 |
| 1285895623 | DR. KEITH W SPEARS MD Individual | Family Medicine | 3930 NORTHWOODS DR - MAIL STOP 32800A HEALTHPARTNERS ARDEN HILLS CLINIC ARDEN HILLS, MN 55112 (651) 523-8500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831160290, enumerated in the NPI registry as an "individual" on February 01, 2006
The provider is located at 3930 Northwoods Dr - Mail Stop 32800a Healthpartners Arden Hills Clinic Arden Hills, Mn 55112 and the phone number is (651) 523-8500
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Complete blood cell count (red cells, white blood cell, platelets), automated test, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Extended inpatient or observation hospital service, first hour, Follow-up nursing facility visit per day, typically 35 minutes, Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage, Initial nursing facility visit per day, typically 45 minutes, Insertion of needle into vein for collection of blood sample and Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional.
This NPI record was last updated on February 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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