Doctor profile · Federal record
Dr. Matthew James, MD
Emergency Medicine Physician (CMS: Emergency Medicine) · Student in an Organized Health Care Education/Training Program · New Haven, CT
- NPI 1265827794
- Accepts Medicare
- MIPS 86.3 / 100 · 2023
- 11 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
464 Congress Ave, Suite 260
New Haven, CT 065191361
(203) 785-5174 - Additional location
-
1555 Soquel Dr
Santa Cruz, CA 950651705
(831) 462-7700
Credentials & registration
- NPI registered
- April 2015 — 11 yrs on file
- Profile last updated
- May 30, 2019
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- California #A161621
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265827794. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
929
Distinct HCPCS
4
Medicare allowed
$99,943
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 420 | 401 | $179 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 380 | 345 | $9 | |
99284 |
Emergency department visit with moderate level of medical decision making | 70 | 64 | $123 | |
99291 |
Critical care, first 30-74 minutes | 59 | 58 | $220 |
In context: peer comparison
Among 76 peers in New Haven Emergency Medicine Physician, average services per provider: 72. This provider delivers 13× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
31
Patients
31
Total drug cost
$260
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 17 | 17 | $200 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 14 | 14 | $60 |
Frequently asked questions
What is Dr. Matthew James's medical specialty?
Dr. Matthew James practices Emergency Medicine Physician in New Haven, CT.
Where does Dr. Matthew James practice?
Dr. Matthew James practices at 464 Congress Ave, New Haven, CT 065191361. Office phone: 2037855174.
What is Dr. Matthew James's NPI?
Dr. Matthew James's National Provider Identifier (NPI) is 1265827794, issued by NPPES.
Does Dr. Matthew James accept Medicare assignment?
Yes. Dr. Matthew James accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matthew James commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Emergency department visit with moderate level of medical decision making (HCPCS 99284). Source: CMS Medicare Physician & Other Practitioners file.