✓ Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) (207X00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

JAMES WILLIAM FORDYCE, DO (NPI #1114915618)

Orthopaedic Surgery • HAYESVILLE, NC • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1114915618
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207X00000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
506 NC 69, HAYESVILLE, NC, 28904-9683
✓ 9-Digit EDI 837 ZIP+4 (28904-9683)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114915618 (JAMES WILLIAM FORDYCE, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1114915618)

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
20610 Aspiration and/or injection of fluid from large joint80
73030 X-ray of shoulder, minimum of 2 views28
73502 X-ray of hip, 2-3 views17
73564 X-ray of knee, 4 or more views55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more45
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more115
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more50

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1114915618 (NPI-1 Individual Practitioner)
Provider / Legal NameJAMES WILLIAM FORDYCE, DO
Plain-English SpecialtyBoard-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
NUCC Code: 207X00000X (Orthopaedic Surgery)
Certifying / Licensing BodyAmerican Board of Orthopaedic Surgery (ABOS)
Practice Location Address506 NC 69, HAYESVILLE, NC, 28904-9683
Practice Telephone / FaxTel: (828) 415-1058
Administrative Mailing Address35 HOSPITAL RD, BLAIRSVILLE, GA, 30512-3139
Enumeration & Last SyncEnumerated: 2005-10-10 | CMS Record Updated: 2024-06-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

506 NC 69, HAYESVILLE, NC, 28904-9683

🗺️ Open in Google Maps 🏥 More Providers in HAYESVILLE

Plain-English Taxonomy & CMS Crosswalk (207X00000X)

What Does Taxonomy Code 207X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 20 (Physician/Orthopedic Surgery)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JAMES WILLIAM FORDYCE, DO)

Typical CPT / Diagnostic Procedures:
  • Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
  • Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
  • Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
  • Fracture Reduction, Internal Fixation & Carpal Tunnel Release
Common Therapeutic Classes:
  • NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
  • Intra-Articular Triamcinolone Acetonide & Methylprednisolone
  • Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207X00000X — Orthopaedic Surgery
Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
State: GA | License: 047318 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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