DR. JAMES JOSEPH DOYLE III MD
NPI 1164408365
Internal Medicine - Pulmonary Disease in Rye, NY

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
1 THEALL RD, RYE, NY 10580(914) 681-3146(914) 682-6403 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Joseph Doyle Iii Md NPPES

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

DR. JAMES JOSEPH DOYLE III MD (NPI 1164408365) is an individual pulmonary disease provider in Rye, New York, licensed in New York (213236) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1989).

NPPES Registry Identity

NPI1164408365
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JAMES JOSEPH DOYLE IIICredential: MD
Location Address1 THEALL RDRye, NY 10580-1404
Mailing Address2700 Westchester AvePurchase, NY 10577-2547 · (914) 607-5730 · Fax (914) 457-1195
Fax(914) 682-6403
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1989
Enumeration DateDecember 20, 2005
Last NPPES UpdateMarch 28, 2018
NPI 1164408365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NY · 213236 Licensed in CT · 038983
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1 THEALL RD, Rye, NY 10580

Other Identifiers 18

Other133884168NY · Pomco
Other2180273NY · Aetna Hmo
Other50492NY · Ghi Hmo
Other7065006NE · Aetna Non Hmo
Other0101967-010NY · Cigna (pcp)
Other2999488NY · Ghi Ppo
Other133884168NY · Horizon Healthcare Of Ny
OtherP1850228NY · Oxford
Other133884168NY · Empire State Plan (nys)
Other133884168NY · Phcs
Other110219624NY · Railroad Medicare
Other133884168NY · Multiplan
Other3C1072NY · Health Net
Other133884168NY · United Health Care
Medicaid02023458NY
Other133884168NY · Hip
Other213236NY · Connecticare
Other21R221NY · Blue Cross Ppo

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

Dr. James Joseph Doyle Iii Md 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 ID6103869938
PECOS Enrollment IDI20050602001025, I20070713000715
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 38

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.

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.
572 services317 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
264 services43 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
206 services31 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.
183 services142 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.
180 services180 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
121 services112 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10580 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

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
6 suppliers19 claims33 services$6.11 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$30.93 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers18 claims18 services$68.33 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims39 services$26.06 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers19 claims111 services$15.49 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers30 claims30 services$45.13 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.

Obstetrics & Gynecology
1 THEALL RD
RYE, NY 10580
Internal Medicine (Cardiovascular Disease)
1 THEALL RD
RYE, NY 10580
Obstetrics & Gynecology
1 THEALL RD
RYE, NY 10580
Internal Medicine
1 THEALL RD
RYE, NY 10580
Physician Assistant
1 THEALL RD
RYE, NY 10580
Internal Medicine
1 THEALL RD
RYE, NY 10580
Nurse Practitioner (Family)
1 THEALL RD
RYE, NY 10580
Internal Medicine
1 THEALL RD
RYE, NY 10580

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 Doyle's NPI number?

The NPI number for James Doyle is 1164408365. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is James Doyle located?

James Doyle practices at 1 Theall Rd, Rye, NY 10580. The listed phone number is (914) 681-3146.

What is James Doyle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Doyle enrolled in Medicare?

Yes. James Doyle 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.

When was this NPI record last updated?

The NPPES record for James Doyle was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.