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DR. JAMES KENNETH DZIADZIOLA MD
NPI 1033108980
Otolaryngology in Concord, NC

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
645 AMALIA ST NE, CONCORD, NC 28025(704) 295-3255 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Kenneth Dziadziola Md NPPES

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

DR. JAMES KENNETH DZIADZIOLA MD (NPI 1033108980) is an individual otolaryngology provider in Concord, North Carolina, licensed in North Carolina (9700538) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Wayne State University School Of Medicine (1991).

NPPES Registry Identity

NPI1033108980
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JAMES KENNETH DZIADZIOLACredential: MD
Location Address645 AMALIA ST NEConcord, NC 28025-2434
Mailing Address645 Amalia St Ne Ste 1Concord, NC 28025-2434 · (704) 295-3255
Phone(704) 295-3255
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1991
Enumeration DateOctober 13, 2005
Last NPPES UpdateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1033108980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 9700538
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
645 AMALIA ST NE, Concord, NC 28025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Molina Healthcare and more.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

Dr. James Kenneth Dziadziola Md 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 ID446311633
PECOS Enrollment IDI20100805000186
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 10

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.
155 services141 patients
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.
140 services113 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
122 services17 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.
117 services117 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.
72 services72 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
54 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

ALLISON MCALPINE BAKER MD
Ophthalmology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
JOSHUA RHEINBOLT MD
Ophthalmology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
ALLISON MARIE IVAN PA-C
Physician Assistant
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
JULIANA MARIE HAGER
Audiologist
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
NICHOLAS STOWELL MD
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
SUSAN YANIK
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
JUSTIN NICHOLAS MCGRATH AUD.
Audiologist
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
DR. JAMIE REBECCA SCAGLIONE M.D.
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255

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 Dziadziola's NPI number?

The NPI number for James Dziadziola is 1033108980. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is James Dziadziola located?

James Dziadziola practices at 645 Amalia St NE, Concord, NC 28025. The listed phone number is (704) 295-3255.

What is James Dziadziola's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Dziadziola enrolled in Medicare?

Yes. James Dziadziola 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 Dziadziola accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Molina Healthcare and UnitedHealthcare list James Dziadziola 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 Dziadziola affiliated with any hospitals?

According to CMS data, James Dziadziola is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Dziadziola was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.