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JAMES P PACELLI JR. M.D.
NPI 1144216524
Psychiatry & Neurology - Neurology in Du Bois, PA

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
145 HOSPITAL AVE STE 211, DU BOIS, PA 15801(814) 375-2070(814) 375-2076 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2020, Jul 3, 2017, Jan 30, 2017 (3 updates tracked since 2017).

About James P Pacelli Jr. M.d. NPPES

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

JAMES P PACELLI JR. M.D. (NPI 1144216524) is an individual neurology provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD424812) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1144216524
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJAMES P PACELLI JR.Credential: M.D.
Location Address145 HOSPITAL AVE STE 211Du Bois, PA 15801-1464
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-6560 · Fax (814) 372-2848
Phone(814) 375-2070
Fax(814) 375-2076
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJune 25, 20203 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1144216524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD424812
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
145 HOSPITAL AVE STE 211, Du Bois, PA 15801
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Other Identifiers 1

Medicaid1018604490001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James P Pacelli Jr. 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 ID244276343
PECOS Enrollment IDI20050701000509
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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Pacelli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dubois Regional Medical Center
0.1 mi
Neurology
123 HOSPITAL AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1316041973 (814) 375-2070
Geisinger Clinic
33 mi
Pediatrics
210 MEDICAL CENTER DRIVE
Philipsburg, PA 16866
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1811948367 (814) 342-8001
Pinnacle Health Regional Physicians
103 mi
Family Medicine
1533 COMMERCE AVE STE 2
Carlisle, PA 17015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 468 clinicians in this Medicare group
NPI 1831629062 (717) 796-9300
St Luke's Physician Group Inc
130 mi
Family Medicine
530 CENTRE ST
Ashland, PA 17921
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1134487119 (570) 889-3103
Argires Marotti Neurosurgical Associates Of Lancaster, PC
149 mi
Neurological Surgery
160 N POINTE BLVD STE 200
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 23 clinicians in this Medicare group
NPI 1659307130 (717) 358-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services49 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
31 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services18 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
20 services20 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

CASSIDY MAUK FNP-C
Nurse Practitioner (Family)
145 HOSPITAL AVE STE 211
DU BOIS, PA 15801
Clearfield County (814) 375-3722
KIRSTEN MICHELLE HEFRIGHT PA-C
Physician Assistant (Medical)
145 HOSPITAL AVE STE 211
DU BOIS, PA 15801
Clearfield County (814) 375-2070

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 Pacelli's NPI number?

The NPI number for James Pacelli is 1144216524. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is James Pacelli located?

James Pacelli practices at 145 Hospital Ave Ste 211, Du Bois, PA 15801. The listed phone number is (814) 375-2070.

What is James Pacelli's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Pacelli enrolled in Medicare?

Yes. James Pacelli 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.

Which organizations bill Medicare for James Pacelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pacelli reassigns Medicare benefits to 5 organizations: Dubois Regional Medical Center (Du Bois, PA), Geisinger Clinic (Philipsburg, PA), Pinnacle Health Regional Physicians (Carlisle, PA), St Luke's Physician Group Inc (Ashland, PA) and Argires Marotti Neurosurgical Associates Of Lancaster, PC (Lancaster, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Pacelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pacelli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Pacelli 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 Pacelli affiliated with any hospitals?

According to CMS data, James Pacelli is affiliated with Penn Highlands Dubois.

When was this NPI record last updated?

The NPPES record for James Pacelli was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.