Doctor profile · Federal record
Dr. Kenneth James, M.D.
Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Obstetrics & Gynecology Physician · Mission Viejo, CA
- NPI 1497782213
- Accepts Medicare
- MIPS 84.4 / 100 · 2023
- 32 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
26800 Crown Valley Pkwy Ste 460
Mission Viejo, CA 926918024
(949) 499-2258
fax (949) 499-5697
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- August 20, 2019
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State licenses (2)
- California #C52576 · New York #204556
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497782213. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
243
Distinct HCPCS
9
Medicare allowed
$19,336
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 88 | 76 | $100 | |
G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination | 42 | 42 | $44 | |
77063 |
Screening 3d breast mammography | 19 | 19 | $29 | |
77067 |
Screening mammography | 19 | 19 | $111 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 18 | 17 | $141 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $124 | |
Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 15 | 15 | $50 | |
81002 |
Urinalysis, manual test | 14 | 14 | $3 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 13 | 13 | $63 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 34. This provider delivers 7.1× the peer median.Open Payments
Industry payments received
All-time total
$272
Transactions
8
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| MAYNE PHARMA COMMERCIAL LLC | 1 | $121.63 | |
| PFIZER INC. | 2 | $47.28 | |
| Exeltis, USA Inc. | 2 | $45.35 | |
| Aspira Women's Health Inc | 1 | $22.21 | |
| Minerva Surgical, Inc | 1 | $21.24 | |
| Hologic Sales and Service, LLC | 1 | $14.33 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
291
Patients
35
Total drug cost
$26,209
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 58 | 22 | $2,856 |
| Progesterone (Progesterone, Micronized) | Brand | 43 | 0 | $1,810 |
| Acyclovir | Generic | 32 | 0 | $560 |
| Premarin (Estrogens, Conjugated) | Brand | 19 | 0 | $6,774 |
| Raloxifene Hcl | Generic | 19 | 0 | $2,542 |
| Fluoxetine Hcl | Generic | 18 | 0 | $129 |
| Zolpidem Tartrate | Generic | 15 | 0 | $81 |
| Clobetasol Propionate | Generic | 14 | 13 | $282 |
| Imvexxy (Estradiol) | Brand | 14 | 0 | $5,222 |
| Diazepam | Generic | 13 | 0 | $57 |
Hospital affiliations
Frequently asked questions
What is Dr. Kenneth James's medical specialty?
Dr. Kenneth James practices Obstetrics & Gynecology Physician in Mission Viejo, CA.
Where does Dr. Kenneth James practice?
Dr. Kenneth James practices at 26800 Crown Valley Pkwy Ste 460, Mission Viejo, CA 926918024. Office phone: 9494992258.
What is Dr. Kenneth James's NPI?
Dr. Kenneth James's National Provider Identifier (NPI) is 1497782213, issued by NPPES.
Does Dr. Kenneth James accept Medicare assignment?
Yes. Dr. Kenneth James accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth James commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS G0101); Screening 3d breast mammography (HCPCS 77063). Source: CMS Medicare Physician & Other Practitioners file.