JAMES A. BETLER D.O.
NPI 1093967523
Radiology - Radiation Oncology in Clairton, PA

Active since October 15, 2008PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
565 COAL VALLEY RD, CLAIRTON, PA 15025(412) 267-6900(412) 267-6909 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James A. Betler D.o. NPPES

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

JAMES A. BETLER D.O. (NPI 1093967523) is an individual radiation oncology provider in Clairton, Pennsylvania, licensed in Pennsylvania (OS012814) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2002).

NPPES Registry Identity

NPI1093967523
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameJAMES A. BETLERCredential: D.O.
Location Address565 COAL VALLEY RDClairton, PA 15025-3703
Mailing Address565 Coal Valley RdClairton, PA 15025-3703 · (412) 267-6900 · Fax (412) 267-6909
Fax(412) 267-6909
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2002
Enumeration DateOctober 15, 2008
Last NPPES UpdateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
NPI 1093967523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in PA · OS012814
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License OS012814 (PA)
565 COAL VALLEY RD, Clairton, PA 15025

Other Identifiers 3

Medicaid102333055PA
Medicaid3810014861WV
Medicaid2960023OH

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 A. Betler D.o. 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 ID941350896
PECOS Enrollment IDI20090615000533
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 20

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
219 services67 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
86 services41 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
71 services23 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.
52 services41 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
47 services14 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
40 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Rehabilitation Unit
565 COAL VALLEY RD
CLAIRTON, PA 15025
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Hospitalist
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Hospitalist
565 COAL VALLEY RD
CLAIRTON, PA 15025
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025

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 Betler's NPI number?

The NPI number for James Betler is 1093967523. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is James Betler located?

James Betler practices at 565 Coal Valley Rd, Clairton, PA 15025. The listed phone number is (412) 267-6900.

What is James Betler's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is James Betler enrolled in Medicare?

Yes. James Betler 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 Betler affiliated with any hospitals?

According to CMS data, James Betler is affiliated with Saint Vincent Hospital, Allegheny General Hospital, West Penn Hospital, Excela Health Latrobe Hospital and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for James Betler was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.