DR. JAMES EDMOND CONWAY MD
NPI 1043356314
Neurological Surgery in Baltimore, MD

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
22.35/100
CMS Quality Rating
5051 GREENSPRING AVE, SUITE 101, BALTIMORE, MD 21209(410) 664-3680(410) 664-3686 Get Directions Write a Review

NPPES record last updated: August 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Edmond Conway Md NPPES

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

DR. JAMES EDMOND CONWAY MD (NPI 1043356314) is an individual neurological surgery provider in Baltimore, Maryland, licensed in Maryland (D63219) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of Johns Hopkins University School Of Medicine (2001).

NPPES Registry Identity

NPI1043356314
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JAMES EDMOND CONWAYCredential: MD
Location Address5051 GREENSPRING AVE, SUITE 101Baltimore, MD 21209-4354
Mailing Address5051 Greenspring Ave, Suite 101Baltimore, MD 21209-4354 · (410) 664-3680 · Fax (410) 664-3686
Fax(410) 664-3686
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2001
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 28, 2009
NPI 1043356314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MD · D63219
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
5051 GREENSPRING AVE, Baltimore, MD 21209

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 Edmond Conway 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 ID7315017126
PECOS Enrollment IDI20080605000640
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 12

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.
314 services126 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.
88 services88 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
63 services28 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
45 services29 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
26 services26 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
24 services19 patients

Hospital Affiliations CMS Care Compare

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

22.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality38.33
Improvement Activities0

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%208 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Obstetrics & Gynecology
5051 GREENSPRING AVE, SUITE 100
BALTIMORE, MD 21209
Psychiatry & Neurology (Neurology)
5051 GREENSPRING AVE
BALTIMORE, MD 21209
Obstetrics & Gynecology
5051 GREENSPRING AVE, SUITE 100
BALTIMORE, MD 21209
Neurological Surgery
5051 GREENSPRING AVE, SUITE 300
BALTIMORE, MD 21209
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
5051 GREENSPRING AVE
BALTIMORE, MD 21209
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
5051 GREENSPRING AVE
BALTIMORE, MD 21209
Neurological Surgery
5051 GREENSPRING AVE, SUITE 101
BALTIMORE, MD 21209
Psychologist (Clinical)
5051 GREENSPRING AVE, SUITE 200
BALTIMORE, MD 21209

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 Conway's NPI number?

The NPI number for James Conway is 1043356314. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is James Conway located?

James Conway practices at 5051 Greenspring Ave Suite 101, Baltimore, MD 21209. The listed phone number is (410) 664-3680.

What is James Conway's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is James Conway enrolled in Medicare?

Yes. James Conway 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.

Is James Conway affiliated with any hospitals?

According to CMS data, James Conway is affiliated with Sinai Hospital Of Baltimore.

When was this NPI record last updated?

The NPPES record for James Conway was last updated on August 28, 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.