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JAMES R STEINMETZ M.D.
NPI 1003903568
Urology in Binghamton, NY

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
169 RIVERSIDE DR, DEPAUL PAVILION, BINGHAMTON, NY 13905(607) 729-7666(607) 729-7667 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James R Steinmetz M.d. NPPES

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

JAMES R STEINMETZ M.D. (NPI 1003903568) is an individual urology provider in Binghamton, New York, licensed in New York (176510-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Indiana University School Of Medicine (1986).

NPPES Registry Identity

NPI1003903568
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJAMES R STEINMETZCredential: M.D.
Location Address169 RIVERSIDE DR, DEPAUL PAVILIONBinghamton, NY 13905-4246
Mailing Address169 Riverside Dr, Depaul PavilionBinghamton, NY 13905-4246 · (607) 729-7666 · Fax (607) 729-7667
Phone(607) 729-7666
Fax(607) 729-7667
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1986
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 8, 2013
✔ NPI 1003903568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 176510-1
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

169 RIVERSIDE DR, Binghamton, NY 13905
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Other Identifiers 1

Medicare UPINF55313NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

James R Steinmetz 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 ID1355372400
PECOS Enrollment IDI20120201000732
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
362 services275 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
202 services173 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
55 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
44 services18 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Endless Mountains Health Systems

Critical Access Hospitals · Montrose, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391306
Location100 Hospital DriveMontrose, PA 18801 · Susquehanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers26 claims4,940 services$0.09 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers51 claims6,620 services$1.40 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier23 claims3,570 services$5.93 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers16 claims52 services$7.97 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers12 claims48 services$1.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

JOANN MARIE ERNST FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6701
ALISON BROOKHART MS, FNP-C
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
MISS JENNIFER LYNN HOPKINS NP
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
AYESHA MUNIR MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5725
FAIZA CHOUDHRY
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 789-5725
CARLEE PETERSON FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6166
SYDNEY MARIE LAURIA
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5231
DR. JOSEPH WILLIAM ROMANI DPM
Podiatrist (Foot & Ankle Surgery)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5726

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 Steinmetz's NPI number?

The NPI number for James Steinmetz is 1003903568. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is James Steinmetz located?

James Steinmetz practices at 169 Riverside Dr Depaul Pavilion, Binghamton, NY 13905. The listed phone number is (607) 729-7666.

What is James Steinmetz's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Steinmetz enrolled in Medicare?

Yes. James Steinmetz 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.

What insurance does James Steinmetz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Steinmetz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Steinmetz affiliated with any hospitals?

According to CMS data, James Steinmetz is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Chenango Memorial Hospital, United Health Services Hospitals, Inc and Endless Mountains Health Systems.

When was this NPI record last updated?

The NPPES record for James Steinmetz was last updated on March 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.