Dr. James M Gomes , DC
Chiropractor • Fall River, MA
10 N Main St Fl 2
Fall River, MA 027202130
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 26, 2012; this date does not establish years in practice.
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Published CMS data list 67 Original Medicare Part B services in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Published rows only; this is not a quality measure.
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Published Part B service records, 2020:
- 98941 — Chiropractic manipulative treatment, 3-4 spinal regions: 67 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2019 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2020). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 12 Medicare Part D prescriptions, including refills, in 2015.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2015. Published rows only; this is not a quality measure.
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Published Part D records, 2015:
- Pradaxa (Dabigatran Etexilate Mesylate) — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2015. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 434 in 2017 to 67 in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2020.
Practice Location & Contact Primary Location
10 N Main St Fl 2
Fall River, MA 027202130
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Optimal Health A Mind And Body Wellness Center, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2012
What Public CMS Data Show
Chiropractor: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $2,862 in 2020
The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
Paid by Medicare
About $1,581 in 2020
The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
30-day fills
12 standardized 30-day fills in 2015
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$3,918 in 2015
The total cost of these prescriptions in 2015, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2015.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Gomes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fall River and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Gomes are from 2020.
25 active clinicians are listed under Chiropractor with a practice address in Fall River, MA (1,577 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fall River
0% of these 25 clinicians have the CMS telehealth indicator.
40% of these 25 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 85% from 434 in 2017 to 67 in 2020.
- 2017: 434
- 2018: 409
- 2019: 338
- 2020: 67
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Medicare-allowed amount
Medicare-allowed amount decreased 83% from $17,052 in 2017 to $2,862 in 2020.
- 2017: $17,052
- 2018: $16,483
- 2019: $14,450
- 2020: $2,862
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Paid by Medicare
Paid by Medicare decreased 88% from $13,076 in 2017 to $1,581 in 2020.
- 2017: $13,076
- 2018: $12,323
- 2019: $10,833
- 2020: $1,581
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2015 only.
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30-day fills
CMS data for 30-day fills are available for 2015 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2015 only.
Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2015), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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98941
Chiropractic manipulative treatment, 3-4 spinal regions
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67 | 16 | $55.00 | $42.72 |
Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2015.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Pradaxa | Dabigatran Etexilate Mesylate | 12 | 360 | $3,918.07 | — |
Source: CMS Part D by Provider and Drug, 2015; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-07-10NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - CHIROPRACTIC
I20121129000335
MA
2961654843
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Optimal Health A Mind And Body Wellness Center, Llc
10 N Main St, Fall River, MA 027202130
Optimal Health A Mind And Body Wellness Center, Llc
10 N Main St, Fall River, MA 027202130
Phone: 5086799900
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Psychiatric/Mental Health
Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 10 N MAIN ST FL 2, FALL RIVER, MA 027202130 (Tel: 5086799900)
Registered at 10 N MAIN ST FL 2, FALL RIVER, MA 027202130 (Tel: 5086799900)
NPI status registered as active in NPPES database
Registered at 238 WAREHAM RD, MARION, MA 027381166 (Tel: 5087486633)
Registered at 238 WAREHAM RD, P O BOX 148, MARION, MA 027381166 (Tel: 5087486633)
Recorded as JAMES GOMES, DC
Chiropractor (license number reported to NPPES: MA 3389)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Chiropractors in Fall River
- Dr. Morgan Meara, DC
- Dr. John Olson, DC
- Dr. Sarah Kochanski, DC
- Dr. Mark Medeiros, DC
- Dr. Robert Camara, DC
- Dr. Jeffrey Reilly, DC
Mailing Address
10 N Main St Fl 2
Fall River, MA 027202130
Phone: 5086799900