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DR. JAMES JOSEPH M.D.
NPI 1013211879
Orthopaedic Surgery in Yonkers, NY

Active since January 07, 2011PECOS EnrolledAccepts Medicare Assignment
970 NORTH BROADWAY, SUITE 204, YONKERS, NY 10701(914) 476-4343(914) 963-6426 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Joseph M.d. NPPES

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

DR. JAMES JOSEPH M.D. (NPI 1013211879) is an individual orthopaedic surgery provider in Yonkers, New York, licensed in New York (253642) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1013211879
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES JOSEPHCredential: M.D.
Location Address970 NORTH BROADWAY, SUITE 204Yonkers, NY 10701-1310
Mailing Address970 North Broadway, Suite 204Yonkers, NY 10701-1310 · (914) 476-4343 · Fax (914) 963-6426
Phone(914) 476-4343
Fax(914) 963-6426
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 7, 2011
Last NPPES UpdateAugust 20, 2013
✔ NPI 1013211879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 253642
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 253642 (NY)
970 NORTH BROADWAY, Yonkers, NY 10701
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Other Names 1

Former Name (1)Jimmy Joseph M.d.

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Joseph 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 ID5092941203
PECOS Enrollment IDI20230616002849, I20250319001584
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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Joseph reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Joseph Hospital Of Nashua Nh
173 mi
Urgent Care
442 NASHUA ST
Milford, NH 03055
  • Reassigned Medicare billing, New Hampshire enrollment
  • 386 clinicians in this Medicare group
NPI 1437758679 (603) 673-5623
Flh Medical, PC
200 mi
Family Medicine
1930 PRE EMPTION RD
Penn Yan, NY 14527
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1215174644 (315) 230-5646
Olean General Hospital
248 mi
General Practice
500 MAIN ST
Olean, NY 14760
  • Reassigned Medicare billing, New York enrollment
  • 163 clinicians in this Medicare group
NPI 1033499017 (716) 375-6993
Northwestern Medical Center, Inc.
268 mi
General Acute Care Hospital
133 FAIRFIELD ST
Saint Albans, VT 05478
  • Reassigned Medicare billing, Vermont enrollment
  • 184 clinicians in this Medicare group
NPI 1538293469 (802) 524-5911
St. Joseph Hospital
371 mi
General Acute Care Hospital
360 BROADWAY
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 259 clinicians in this Medicare group
NPI 1154321545 (207) 907-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
76 services49 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
52 services12 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10701 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 16

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

ROBERT ENRICO DEMATTEO MD
Internal Medicine
970 NORTH BROADWAY, SUITE 209
YONKERS, NY 10701
Westchester County (914) 965-3366
GASTROENTEROLOGY OF WESTCHESTER OBS LLC PLLC
Internal Medicine (Gastroenterology)
970 NORTH BROADWAY, SUITE 305B
YONKERS, NY 10701
Westchester County (914) 375-6400
RIVERSIDE PEDIATRICS
Pediatrics
970 NORTH BROADWAY, SUITE 308A
YONKERS, NY 10701
Westchester County (914) 375-2229
DR. JOSEPH F VIANA DDS
Dentist (General Practice)
970 NORTH BROADWAY, SUITE 211
YONKERS, NY 10701
Westchester County (914) 375-0721
DR. FRANK J CASTANARO DDS
Dentist
970 NORTH BROADWAY, 108
YONKERS, NY 10701
Westchester County (914) 964-9500
HEALTH POINT ON HUDSON MEDICAL SERVICE, LLC
Internal Medicine
970 NORTH BROADWAY, SUITE 308B
YONKERS, NY 10701
Westchester County (914) 423-8000
DR. SYED M.I. SHARIFF
Pediatrics
970 NORTH BROADWAY, SUITE 308A
YONKERS, NY 10701
Westchester County (914) 375-2229
SPINAL PAIN & REHAB MEDICAL, P.C.
Physical Medicine & Rehabilitation (Pain Medicine)
970 NORTH BROADWAY
YONKERS, NY 10701
Westchester County (914) 207-1161

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 Joseph's NPI number?

The NPI number for James Joseph is 1013211879. It was assigned to this individual provider in the NPPES registry on January 7, 2011. The provider is also known as Jimmy Joseph M.D..

Where is James Joseph located?

James Joseph practices at 970 North Broadway Suite 204, Yonkers, NY 10701. The listed phone number is (914) 476-4343.

What is James Joseph's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Joseph enrolled in Medicare?

Yes. James Joseph 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.

Which organizations bill Medicare for James Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Joseph reassigns Medicare benefits to 5 organizations: St Joseph Hospital Of Nashua Nh (Milford, NH), Flh Medical, PC (Penn Yan, NY), Olean General Hospital (Olean, NY), Northwestern Medical Center, Inc. (Saint Albans, VT) and St. Joseph Hospital (Bangor, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Joseph accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Joseph 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 Joseph affiliated with any hospitals?

According to CMS data, James Joseph is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for James Joseph was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.