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Dr. James L. Pirkle Jr., MD

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Specializes in: Internal Medicine (Adult Medicine) and Nephrology (Kidney Disease)

University of Alabama at Birmingham School of Medicine (2003)

Professional interests include: peritoneal dialysis, nutrition issues, hemodialysis

Medical Center Boulevard
Winston-Salem, NC 27157

(336) 716-4650

Dr. James L. Pirkle Jr., MD is an internist in Winston-Salem, NC specializing in internal medicine (adult medicine) and nephrology (kidney disease). He graduated from University of Alabama at Birmingham School of Medicine in 2003 and has 21 years of experience. Dr. James L. Pirkle Jr., MD is affiliated with Atrium Health Wake Forest Baptist and WAKE FOREST UNIVERSITY HEALTH SCIENCES.

Office Locations

Address:

Medical Center Boulevard
Winston-Salem, NC 27157

Some issues Dr. James L. Pirkle Jr., MD can help you with:

Peritoneal Dialysis

Peritoneal dialysis is a procedure that imitates renal (kidney) function by filtering patients' blood. When the kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient.

Peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and peritoneal dialysis can be vital for those with renal dysfunction. Peritoneal dialysis may be a more convenient alternative to hemodialysis, which requires going into a clinic.

dialysis	458
doctor visit	198
hemofiltration	118
hospital care	1073
inpatient care	1073

**Gender**
Male	307
Female	248

**Ethnicity**
Non-Hispanic White	331
Black	205
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	169
From 75 to 84	82
85 and over	30
Less than 65	274

Hypertension	75
High Cholesterol	62
Stroke	13
Ischemic Heart Disease	60
Depression	35
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	4
Atrial Fibrilation	19
Heart Failure	59
Chronic Obstructive Pulmonary Disease	30
Diabetes	65
Dementia	11
Cancer	11

dialysis	449
doctor visit	200
hemofiltration	130
hospital care	798
inpatient care	798

**Gender**
Male	302
Female	217

**Ethnicity**
Non-Hispanic White	311
Black	187
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	136
From 75 to 84	72
85 and over	21
Less than 65	290

Hypertension	75
High Cholesterol	58
Stroke	10
Ischemic Heart Disease	53
Depression	36
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	6
Atrial Fibrilation	18
Heart Failure	50
Chronic Obstructive Pulmonary Disease	24
Diabetes	59
Dementia	10
Cancer	11

dialysis	419
doctor visit	218
hemofiltration	135
hospital care	778
inpatient care	778

**Gender**
Male	640
Female	446

**Ethnicity**
Non-Hispanic White	644
Black	396
Hispanic	22
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	328
From 75 to 84	190
85 and over	38
Less than 65	530

Hypertension	75
High Cholesterol	58
Stroke	12
Ischemic Heart Disease	57
Depression	32
Chronic Kidney Disease	75
Asthma	21
Osteoperosis	6
Atrial Fibrilation	19
Heart Failure	55
Chronic Obstructive Pulmonary Disease	31
Diabetes	63
Dementia	12
Cancer	12

dialysis	395
doctor visit	199
hemofiltration	135
hospital care	814
inpatient care	814

**Gender**
Male	324
Female	251

**Ethnicity**
Non-Hispanic White	346
Black	198
Hispanic	14
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	178
From 75 to 84	96
85 and over	27
Less than 65	274

Hypertension	75
High Cholesterol	66
Stroke	10
Ischemic Heart Disease	58
Depression	39
Chronic Kidney Disease	75
Asthma	33
Osteoperosis	7
Atrial Fibrilation	20
Heart Failure	55
Chronic Obstructive Pulmonary Disease	28
Diabetes	67
Dementia	14
Cancer	12

dialysis	449
doctor visit	221
hemofiltration	131
hospital care	760
inpatient care	760

**Gender**
Male	308
Female	230

**Ethnicity**
Non-Hispanic White	321
Black	182
Hispanic	14
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	155
From 75 to 84	83
85 and over	25
Less than 65	275

Hypertension	75
High Cholesterol	70
Stroke	12
Ischemic Heart Disease	59
Depression	41
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	6
Atrial Fibrilation	19
Heart Failure	60
Chronic Obstructive Pulmonary Disease	28
Diabetes	65
Dementia	17
Cancer	10

dialysis	428
doctor visit	194
hemofiltration	117
hospital care	766
inpatient care	766

**Gender**
Male	299
Female	206

**Ethnicity**
Non-Hispanic White	308
Black	173
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	152
From 75 to 84	85
85 and over	31
Less than 65	237

Hypertension	75
High Cholesterol	70
Stroke	11
Ischemic Heart Disease	59
Depression	37
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	7
Atrial Fibrilation	20
Heart Failure	60
Chronic Obstructive Pulmonary Disease	30
Diabetes	66
Dementia	16
Cancer	10

dialysis	370
doctor visit	194
hemofiltration	99
hospital care	652
inpatient care	652

**Gender**
Male	268
Female	211

**Ethnicity**
Non-Hispanic White	289
Black	164
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	155
From 75 to 84	85
85 and over	14
Less than 65	225

Hypertension	75
High Cholesterol	72
Stroke	13
Ischemic Heart Disease	58
Depression	44
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	6
Atrial Fibrilation	20
Heart Failure	59
Chronic Obstructive Pulmonary Disease	29
Diabetes	66
Dementia	15
Cancer	12

dialysis	383
doctor visit	171
hemofiltration	107
hospital care	660
inpatient care	660

**Gender**
Male	296
Female	244

**Ethnicity**
Non-Hispanic White	319
Black	189
Hispanic	18
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	161
From 75 to 84	105
85 and over	24
Less than 65	250

Hypertension	75
High Cholesterol	70
Stroke	11
Ischemic Heart Disease	60
Depression	36
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	6
Atrial Fibrilation	20
Heart Failure	60
Chronic Obstructive Pulmonary Disease	23
Diabetes	67
Dementia	17
Cancer	11

dialysis	383
doctor visit	360
hemofiltration	155
hospital care	684
inpatient care	684

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. James L. Pirkle Jr., MD for Medicare patients.

The highest averages for the top procedures that Dr. James L. Pirkle Jr., MD treated as an internist in Winston-Salem, NC were hospital care, inpatient care, dialysis and hemofiltration.

dialysis	414
doctor visit	218
hemofiltration	125
hospital care	776
inpatient care	776

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. James L. Pirkle Jr., MD.

**Gender**
Male	274
Female	205

**Ethnicity**
Black / African American	169
Asian / Pacific Islander	0
Non-Hispanic White	286
Native American / Alaskan Native	0
Hispanic	6
Other	0

**Age**
75 to 84	79
85 and over	21
Less than 65	235
65 to 74	143

Average of Total of Conditions of Medicare patients treated by Dr. James L. Pirkle Jr., MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. James L. Pirkle Jr., MD treated were chronic kidney disease, hypertension, diabetes and high cholesterol.

Hypertension	60
High Cholesterol	52
Stroke	9
Ischemic Heart Disease	46
Depression	30
Chronic Kidney Disease	60
Asthma	12
Osteoporosis	4
Heart Failure	45
Chronic Obstructive Pulmonary Disease	22
Diabetes	51
Atrial Fibrillation	15
Cancer	8
Dementia	11

Education & Training

Dr. James L. Pirkle Jr., MD graduated from University of Alabama at Birmingham School of Medicine in 2003. He completed residency at Wake Forest University Baptist Medical Center. He is certified by the American Board of Internal Medicine American Board of Internal Medicine, Nephrology and has a state license in North Carolina.

Medical School: University of Alabama at Birmingham School of Medicine (2003)

Residency: Wake Forest University Baptist Medical Center (2006)

Board Certification: American Board of Internal Medicine American Board of Internal Medicine, Nephrology

Licensed In: North Carolina

Affiliations & Hospitals

Dr. James L. Pirkle Jr., MD is associated with these hospitals and organizations:

Atrium Health Wake Forest Baptist

WAKE FOREST UNIVERSITY HEALTH SCIENCES

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General Payments

These charts describe general payments received by Dr. James L. Pirkle Jr., MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Baxter Healthcare	$199 Renal - PD $186	Integrated Pharmacy Solutions - Compounding $13
Alexion Pharmaceuticals, Inc.	$43 SOLIRIS $43
AXOGEN	$42 AxoGuard Nerve Protector $42
Amgen Inc.	$21 Aranesp $21

**Types of Payments**
Food and Beverage	$305

Research Payments

Dr. James L. Pirkle Jr., MD has received 1 research payments totaling $5,697.

Biography

Dr. James Pirkle is a nephrology (kidney disease) specialist. Dr. Pirkle is professionally affiliated with Atrium Health Wake Forest Baptist. He graduated from the University of Alabama at Birmingham School of Medicine.