DR. JAMES MICHAEL GAGNIER M.D.
NPI 1003143033
Pathology - Dermatopathology in Pittsford, NY

Active since November 12, 2009PECOS EnrolledAccepts Medicare Assignment
74.5/100
CMS Quality Rating
61 MONROE AVE, SUITE B, PITTSFORD, NY 14534(585) 586-5166 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Michael Gagnier M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES MICHAEL GAGNIER M.D. (NPI 1003143033) is an individual dermatopathology provider in Pittsford, New York, licensed in Maryland (D39437) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1975).

NPPES Registry Identity

NPI1003143033
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameDR. JAMES MICHAEL GAGNIERCredential: M.D.
Location Address61 MONROE AVE, SUITE BPittsford, NY 14534-1311
Mailing Address61 Monroe Ave, Suite BPittsford, NY 14534-1311 · (585) 586-5166
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1975
Enumeration DateNovember 12, 2009
Last NPPES UpdateNovember 13, 2009
NPI 1003143033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License Licensed in MD · D39437
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
61 MONROE AVE, Pittsford, NY 14534

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. James Michael Gagnier M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446401236
PECOS Enrollment IDI20121102000191
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,386 services1,796 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
267 services226 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
169 services130 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
70 services66 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
66 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70
Improvement Activities40

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
61 MONROE AVE, SUITE C
PITTSFORD, NY 14534
Clinic/Center
61 MONROE AVE, SUITE A
PITTSFORD, NY 14534
Internal Medicine
61 MONROE AVE, SUITE A
PITTSFORD, NY 14534
Pathology (Anatomic Pathology & Clinical Pathology)
61 MONROE AVE
PITTSFORD, NY 14534
Dermatology (Dermatopathology)
61 MONROE AVE, SUITE B
PITTSFORD, NY 14534
Dermatology (Dermatopathology)
61 MONROE AVE, SUITE D
PITTSFORD, NY 14534
Dermatology (Dermatopathology)
61 MONROE AVE, STE B
PITTSFORD, NY 14534
Pathology (Anatomic Pathology)
61 MONROE AVE
PITTSFORD, NY 14534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Gagnier's NPI number?

The NPI number for James Gagnier is 1003143033. It was assigned to this individual provider in the NPPES registry on November 12, 2009.

Where is James Gagnier located?

James Gagnier practices at 61 Monroe Ave Suite B, Pittsford, NY 14534. The listed phone number is (585) 586-5166.

What is James Gagnier's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is James Gagnier enrolled in Medicare?

Yes. James Gagnier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for James Gagnier was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.