Dr. Jaison James, MD

  • Orinda, CA
  • Orthopedic surgeon
NPI1255594818PAC ID0547385114
Medicare services, 2024
112
Medicare patients, 2024
85
Part D claims, 2024
105
Publications
6
MIPS score, 2024
95
Practice address
12 Camino Encinas, Orinda, CA 94563-3304
Practice phone
Call (510) 204-8180
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Sutter East Bay Medical Foundation

Multi-specialty group site · Orinda, California

See all 8 affiliations

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Dr. Jaison James is an orthopedic surgeon in Orinda, California

Dr. James practices at Sutter East Bay Medical Foundation in Orinda, California.

Dr. James' NPI, 1255594818, was assigned on July 3, 2008. Dr. James graduated from Albany Medical College in 2005. Dr. James' California license number on file is A110648.

NPI and contact details
Medicare PAC ID
0547385114
NPI enumeration date
July 3, 2008
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(510) 204-8180
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
47
Medical school graduation
2005

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Jaison James practices at Sutter East Bay Medical Foundation in Orinda, California

Dr. James' primary practice is Sutter East Bay Medical Foundation, at 12 Camino Encinas, Orinda, CA 94563-3304. The practice phone is (510) 204-8180.

  • Sutter East Bay Medical Foundation
    12 Camino Encinas, Orinda, CA 94563-3304Phone(510) 204-8180

Source: Dmand AI Affiliation Data

Dr. Jaison James is affiliated with 6 sites of care and 2 medical groups

Dr. James' primary practice is Sutter East Bay Medical Foundation in Orinda, California. Dr. James is also affiliated with Alta Bates Summit Medical Center | Alta Bates Campus. The medical group on file is Palo Alto Foundation Medical Group. Dmand AI also links Dr. James to 3 more hospitals, 1 physician office and 1 medical group, each named with a free account.

See all 8 affiliations for Dr. James

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Jaison James' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. James practices, 6 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Sutter East Bay Medical FoundationAvailable with a free account
+5 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Jaison James is one of 2,056 orthopedic surgeons in California

Orthopaedic surgery is Dr. James' primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dmand AI has Dr. James' licenses on file in 2 states: California and New York.

Specialties and state licenses

  • Orthopaedic surgery, CaliforniaPrimaryLicense A110648 · 2010 to 2025 · taxonomy 207X00000X
  • New York licenseLicense 258964 · 2010 to 2026

Clinical focus

Dmand AI lists hip replacement, joint pain, knee arthroscopy, knee fracture and dislocation, orthopedic surgery of arms and legs, pelvic and hip fracture, rotator cuff injury and shoulder arthroscopy/rotator cuff repair among the conditions Dr. James treats.

Orthopedic surgeons near Dr. James

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

2,056orthopedic surgeons in California
6orthopedic surgeons in Orinda

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Jaison James billed Medicare for 112 services in 2024

CMS data shows 112 Medicare services from Dr. James across 5 procedure codes in 2024, for 85 Medicare patients. Medicare paid $42,118 for them.

Medicare services, 2024112
Medicare patients85
Paid by Medicare$42,118
Procedure codes5

Dr. James' Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 762024: 817%
Surgery
2023: 682024: 3154%

Where Dr. James' Medicare services took place, 2024

  • In an office3329%
  • In a facility7971%

Dr. James compared with the California median for orthopedic surgeons, 2024

  • Dr. James
  • California median
Medicare services
112vs 68384% below
Medicare patients
85vs 21560% below
Part D claims
74vs 706% above

Medians across 1,844 orthopedic surgeons in California with Dmand AI profiles that report each measure.

Dr. James' most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. James

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Jaison James treated 85 Medicare patients in 2024, average age 75

CMS counts 85 Medicare patients who saw Dr. James in 2024. The largest group is 65 to 74, with 26 patients. 75% of them have high blood pressure, and 73% have high cholesterol. 49% are also on Medicaid. Their average risk score is 1.65, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. James' median patient age at 67, with 70% women.

Medicare patients, 202485
Average age75
Average risk score1.65
Also on Medicaid49%

Dr. James' Medicare patients by age, 2024

Dr. James' Medicare patients by sex, 2024

  • Women5767%
  • Men2833%

Chronic conditions among Dr. James' Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol73%
  3. Arthritis56%
  4. Mood disorders42%
  5. Chronic kidney disease41%
  6. Anxiety38%
  7. Depression36%
  8. Diabetes36%

Share of Medicare patients with each condition. A patient can have several.

Dr. James' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 67

Patient panel by sex, all payers

  • Women70%
  • Men28%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Jaison James wrote 105 Medicare Part D claims in 2024

In 2024, Dr. James wrote 105 Medicare Part D claims for 39 patients. 100% of them were for generic drugs. CMS names the drug for 74 of them, across 2 drugs with 11 or more claims each, at $3,503 in total drug cost. In 2023, CMS named 111 claims across 3 drugs.

Part D claims, 2024105
Drugs named by CMS2
Total drug cost$3,503
Part D patients39

Dr. James' most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. James' Part D claims, 2024

  • Opioids15%16 of 105 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1112024: 7433%

Drugs named by CMS: 2 in 2024, 3 in 2023.

See all prescribing by Dr. James

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Jaison James scored 95 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 95 out of 100 for Dr. James for performance year 2024, reported as part of a group. Dr. James accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 14 procedures of lower limb (leg) arthroscopy (minimally invasive joint repair) by Dr. James, more than 87% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. James' MIPS scores, performance year 2024

  • 95of 100Final score
  • 86.9of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 73of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. James ranks in Medicare procedure volume

Upper limb (arm) arthroscopy (minimally invasive joint repair)
63rd percentile20 procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)
87th percentile14 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Hip replacement: 1 to 10 procedures (CMS shows small counts as a range)

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Jaison James has 6 publications on record

Dmand AI links 6 papers to Dr. James, published from 2011 to 2013. 2011 was the busiest year, with 2. The most frequent topics are Arthroplasty, Replacement, Bone Screws and Cadaver. Dr. James has published most often in J Shoulder Elbow Surg. Dr. James' most frequent co-author is Vipul N. Nanavati, MD.

Papers6
Years published2011 to 2013

Topics Dr. James writes about most

  • Arthroplasty, Replacement
  • Bone Screws
  • Cadaver
  • Joint Prosthesis
  • Prosthesis Design
  • Shoulder Joint

Dr. James' most frequent co-authors

Recent publications by Dr. James

See all 6 publications and co-authors

See who Dr. James researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. James works with, so you can find a warm path to the right orthopedic surgeons.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Jaison James received $4,342 in industry payments from 2016 to 2025

CMS Open Payments shows 35 general payments to Dr. James from 6 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 54% of the total. DePuy Synthes Sales Inc. paid the most, $1,414.

General payments to Dr. James by program year, 2016 to 2025

General payments to Dr. James by kind, 2016 to 2025

$4.3Kin total
  • Food and beverage$2,34254%
  • Education$1,20028%
  • Consulting fees$80018%

Companies that paid Dr. James the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. James

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Jaison James graduated from Albany Medical College

Dr. James graduated from Albany Medical College in 2005.

  1. Medical schoolAlbany Medical College

Source: Dmand AI Professional Profile Data

Dr. Jaison James accepts plans from 14 insurance carriers

Dr. James is in network with 14 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Elevance
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • Alliant Health Plans
  • +6 more carriersWith a free account

Plan types Dr. James accepts, by number of carriers

  1. PPO9
  2. Medicare7
  3. HMO6
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Jaison James's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Jaison James

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Jaison James' NPI number?

Dr. Jaison James' NPI number is 1255594818. It was assigned on July 3, 2008, and it is active in the NPI Registry.

What kind of doctor is Dr. Jaison James?

Dr. Jaison James is an orthopedic surgeon in Orinda, California. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Jaison James practice?

Dr. James practices at 12 Camino Encinas, Orinda, CA 94563-3304. Dr. James' primary practice is Sutter East Bay Medical Foundation in Orinda, California. Dmand AI also links Dr. James to 3 hospitals, 1 physician office and 1 medical group.

What is Dr. Jaison James' office phone number?

The practice phone on file for Dr. James is (510) 204-8180.

What is Dr. Jaison James' medical license number?

Dr. James' California license number on file is A110648, one of the licenses on file in 2 states.

Which states has Dr. Jaison James been licensed in?

Dmand AI has state licenses on file for Dr. James in California (2010 to 2025) and New York (2010 to 2026).

Which hospitals is Dr. Jaison James affiliated with?

Dr. James is affiliated with Alta Bates Summit Medical Center | Alta Bates Campus. Dmand AI links Dr. James to 3 more hospitals.

What medical group is Dr. Jaison James part of?

Dr. James is linked to Palo Alto Foundation Medical Group. Dmand AI links Dr. James to 1 more medical group.

Does Dr. Jaison James accept Medicare?

Yes. CMS data shows Dr. James billed Medicare for 112 services in 2024, and Dr. James accepts Medicare assignment.

What is Dr. Jaison James' MIPS score?

Dr. James' MIPS final score for performance year 2024 is 95 out of 100, reported as part of a group.

Show 9 more questionsShow fewer questions

How many Medicare patients does Dr. Jaison James see?

CMS counts 85 Medicare patients who saw Dr. James in 2024, with an average age of 75.

What services does Dr. Jaison James bill to Medicare?

In 2024, Dr. James' most billed Medicare services were hospital inpatient care (99222), office visit, established patient (99213) and surgery: bones and joints (27236).

Where did Dr. Jaison James go to medical school?

Dr. James graduated from Albany Medical College in 2005.

What drugs does Dr. Jaison James prescribe most?

In 2024 Medicare Part D data, Dr. James' most prescribed drugs by claims were Celecoxib and Oxycodone-Acetaminophen.

Has Dr. Jaison James received payments from drug or device companies?

CMS Open Payments shows $4,342 in general payments to Dr. James from 6 companies from 2016 to 2025. The largest total came from DePuy Synthes Sales Inc.

How long has Dr. Jaison James been practicing?

Dr. James graduated from medical school in 2005, 21 years ago.

Does Dr. Jaison James do research?

Dmand AI links 6 publications to Dr. James, published from 2011 to 2013.

Who does Dr. Jaison James publish with?

Dr. James' most frequent co-authors are Vipul N. Nanavati, MD (1 shared paper).

What insurance does Dr. Jaison James accept?

Dr. James is in network with 14 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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