JAMES D. KARADIMOS D.P.M.
NPI 1134200801
Podiatrist in Westborough, MA

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
45 LYMAN ST, SUITE 10, WESTBOROUGH, MA 01581(508) 836-0200(508) 836-0282 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James D. Karadimos D.p.m. NPPES

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

JAMES D. KARADIMOS D.P.M. (NPI 1134200801) is an individual podiatrist in Westborough, Massachusetts, licensed in Massachusetts (1885) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1987).

NPPES Registry Identity

NPI1134200801
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameJAMES D. KARADIMOSCredential: D.P.M.
Location Address45 LYMAN ST, SUITE 10Westborough, MA 01581-2628
Mailing Address45 Lyman St, Suite 10Westborough, MA 01581-2628 · (508) 836-0200 · Fax (508) 836-0282
Fax(508) 836-0282
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1987
Enumeration DateOctober 18, 2006
Last NPPES UpdateOctober 27, 2011
NPI 1134200801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MA · 1885
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

45 LYMAN ST, Westborough, MA 01581

Other Identifiers 3

Medicaid0362433MA
Medicare ID-Type UnspecifiedY70913MA
Medicare UPINT90694MA

Accepted 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 D. Karadimos D.p.m. 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 ID749299535
PECOS Enrollment IDI20060405000624
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 14

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,518 services411 patients
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.
641 services274 patients
Simple or single drainage of skin abscess 10060
A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.
222 services79 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
199 services47 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.
145 services145 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
125 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01581 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier20 claims40 services$57.38 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier20 claims120 services$36.93 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 11

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

Psychologist (Clinical Child & Adolescent)
45 LYMAN ST, SUITE 21
WESTBOROUGH, MA 01581
Counselor
45 LYMAN ST, SUITE 200
WESTBOROUGH, MA 01581
Acupuncturist
45 LYMAN ST, INTEGRATIVE ACUPUNCTURE, SUITE 13
WESTBOROUGH, MA 01581
Podiatrist
45 LYMAN ST, SUITE 10
WESTBOROUGH, MA 01581
Psychiatry & Neurology (Child & Adolescent Psychiatry)
45 LYMAN ST, SUITE 19
WESTBOROUGH, MA 01581
Psychiatry & Neurology (Child & Adolescent Psychiatry)
45 LYMAN ST, SUITE 19
WESTBOROUGH, MA 01581
Chiropractor
45 LYMAN ST, SUITE 22
WESTBOROUGH, MA 01581
Counselor (Mental Health)
45 LYMAN ST
WESTBOROUGH, MA 01581

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 Karadimos's NPI number?

The NPI number for James Karadimos is 1134200801. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is James Karadimos located?

James Karadimos practices at 45 Lyman St Suite 10, Westborough, MA 01581. The listed phone number is (508) 836-0200.

What is James Karadimos's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is James Karadimos enrolled in Medicare?

Yes. James Karadimos 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 Karadimos accept?

Health plans from Anthem Blue Cross and Blue Shield list James Karadimos 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.

When was this NPI record last updated?

The NPPES record for James Karadimos was last updated on October 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.