JAMES JOSEPH BIVONA M.D.
NPI 1063571560
Internal Medicine in Stamford, CT

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1275 SUMMER ST, SUITE 105, STAMFORD, CT 06905(203) 325-2667(203) 973-0446 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Joseph Bivona M.d. NPPES

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

JAMES JOSEPH BIVONA M.D. (NPI 1063571560) is an individual internal medicine provider in Stamford, Connecticut, licensed in Connecticut (038789) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1063571560
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES JOSEPH BIVONACredential: M.D.
Location Address1275 SUMMER ST, SUITE 105Stamford, CT 06905-5359
Mailing Address146 Hempstead AveRockville Centre, NY 11570-2905 · (516) 887-7232
Fax(203) 973-0446
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 8, 2006
Last NPPES UpdateAugust 11, 2010
NPI 1063571560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 038789
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1275 SUMMER ST, Stamford, CT 06905

Other Identifiers 2

Medicare UPINH32110CT
Medicare ID-Type Unspecified110008168CT

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 Joseph Bivona 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 ID1850431131
PECOS Enrollment IDI20110527000265
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 2024 & 2026 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, 30-39 minutes 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.
383 services185 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
256 services144 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
221 services130 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
113 services107 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
104 services104 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06905 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims29 services$6.46 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims19 services$14.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims19 services$66.42 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.

Clinical Medical Laboratory
1275 SUMMER ST, SUITE 201
STAMFORD, CT 06905
Internal Medicine
1275 SUMMER ST, SUITE # 102, STAMFORD VA PRIMARY CARE CENTER
STAMFORD, CT 06905
Obstetrics & Gynecology
1275 SUMMER ST, SUITE A2
STAMFORD, CT 06905
Pediatrics
1275 SUMMER ST, SUITE 301
STAMFORD, CT 06905
Pediatrics
1275 SUMMER ST, SUITE 301
STAMFORD, CT 06905
Pediatrics
1275 SUMMER ST, SUITE 301
STAMFORD, CT 06905
Pediatrics
1275 SUMMER ST, SUITE 301
STAMFORD, CT 06905
Pediatrics
1275 SUMMER ST, SUITE 301
STAMFORD, CT 06905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063571560, enumerated as an "individual" on December 08, 2006.

The provider is located at 1275 SUMMER ST SUITE 105 STAMFORD, CT 06905 and the phone number is (203) 325-2667.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.