JAMES VINCENT PICONE JR. PHYSICIAN ASSISTANT
NPI 1124047881
Physician Assistant - Medical in Newport, VT

Q: What is James Picone's NPI number?

The NPI number for James Picone is 1124047881. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is James Picone's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for James Picone was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

137 MAIN ST STE 102, NEWPORT, VT 05855(802) 995-2412(802) 334-7991 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About James Vincent Picone Jr. Physician Assistant NPPES

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

JAMES VINCENT PICONE JR. PHYSICIAN ASSISTANT (NPI 1124047881) is an individual medical provider in Newport, Vermont, licensed in Vermont (055.003.1432) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with North Country Hospital And Health Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1124047881

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJAMES VINCENT PICONE JR.Credential: PHYSICIAN ASSISTANT

Location Address137 MAIN ST STE 102Newport, VT 05855-4415

Mailing Address165 Sherman DrSt Johnsbury, VT 05819-9811 · (802) 748-9405 · Fax (802) 748-4540

Phone(802) 995-2412

Fax(802) 334-7991

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJuly 19, 2006

Last NPPES UpdateSeptember 23, 2024

NPPES CertifiedSeptember 23, 2024

✔ NPI 1124047881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VT · 055.003.1432

Also ListedPhysician AssistantTaxonomy 363A00000X · License 055-0030160 (VT), 055-0030225 (VT)

137 MAIN ST STE 102, Newport, VT 05855

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Other Identifiers 1

Medicaid9000216VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

James Vincent Picone Jr. Physician Assistant 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 ID648224790

PECOS Enrollment IDI20050310000903

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

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.

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.

28 services27 patients

Hospital Affiliations CMS Care Compare

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

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471304

Location189 Prouty DriveNewport, VT 05855 · Orleans County

Emergency services

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.

Reported Quality Measures

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%65 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

5%199 patients1/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

68%199 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

7%199 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

16%199 patients

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.

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers18 claims42 services$5.98 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 2

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

NORTHERN COUNTIES HEALTH CARE, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

137 MAIN ST STE 102
NEWPORT, VT 05855

Orleans County (802) 995-2412

EDWARD JOSEPH LAVERTY PA

Physician Assistant

137 MAIN ST STE 102
NEWPORT, VT 05855

Orleans County (802) 995-2412

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 Picone's NPI number?

The NPI number for James Picone is 1124047881. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is James Picone located?

James Picone practices at 137 Main St Ste 102, Newport, VT 05855. The listed phone number is (802) 995-2412.

What is James Picone's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is James Picone enrolled in Medicare?

Yes. James Picone 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 Picone accept?

Health plans from Anthem Blue Cross and Blue Shield list James Picone 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 Picone affiliated with any hospitals?

According to CMS data, James Picone is affiliated with North Country Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for James Picone was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.