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JAMES DESIMONE M.D.
NPI 1164475448
Internal Medicine in Stafford, VA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
422 GARRISONVILLE RD, STAFFORD, VA 22554(540) 658-9340(540) 658-9344 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Desimone M.d. NPPES

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

JAMES DESIMONE M.D. (NPI 1164475448) is an individual internal medicine provider in Stafford, Virginia, licensed in Virginia (0101045756) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1987).

NPPES Registry Identity

NPI1164475448
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES DESIMONECredential: M.D.
Location Address422 GARRISONVILLE RDStafford, VA 22554-1573
Mailing Address422 Garrisonville RdStafford, VA 22554-1573 · (540) 658-9340 · Fax (540) 658-9344
Phone(540) 658-9340
Fax(540) 658-9344
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1987
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 17, 2013
✔ NPI 1164475448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101045756
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
422 GARRISONVILLE RD, Stafford, VA 22554
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Other Identifiers 2

Medicare UPINE98869
Medicare PIN00X064S01

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 Desimone 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 ID7719990779
PECOS Enrollment IDI20060718000072
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 2

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 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.
151 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions 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.

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22554 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 18

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

LAURA WALSH M.D.
Pediatrics
422 GARRISONVILLE RD, SUITE 101
STAFFORD, VA 22554
Stafford County (540) 720-2126
EUNICE N ESUNGE N.P.
Nurse Practitioner (Family)
422 GARRISONVILLE RD, SUITE 101
STAFFORD, VA 22554
Stafford County (540) 657-9441
DR. RUSSELL WARREN WILLIAMS M.D.
Family Medicine
422 GARRISONVILLE RD, STE 111
STAFFORD, VA 22554
Stafford County (540) 657-9441
TAMARA S. LOVING M.D.
Pediatrics
422 GARRISONVILLE RD, SUITE 101
STAFFORD, VA 22554
Stafford County (540) 720-2126
MRS. NATALIE ROSE VAN HOVEN FNP-BC
Nurse Practitioner (Family)
422 GARRISONVILLE RD, SUITE 101
STAFFORD, VA 22554
Stafford County (540) 657-9441
MRS. TANIA C BALTES PHYSICAL THERAPIST
Physical Therapist
422 GARRISONVILLE RD
STAFFORD, VA 22554
Stafford County (540) 288-2519
HALEH RAJAEE M.D.
Pediatrics
422 GARRISONVILLE RD, SUITE 101
STAFFORD, VA 22554
Stafford County (540) 720-2126
SUSANNA P AGBLE F. N.P. DNP
Nurse Practitioner (Family)
422 GARRISONVILLE RD, SUITE 101
STAFFORD, VA 22554
Stafford County (540) 657-9441

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 Desimone's NPI number?

The NPI number for James Desimone is 1164475448. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is James Desimone located?

James Desimone practices at 422 Garrisonville Rd, Stafford, VA 22554. The listed phone number is (540) 658-9340.

What is James Desimone's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Desimone enrolled in Medicare?

Yes. James Desimone 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 Desimone affiliated with any hospitals?

According to CMS data, James Desimone is affiliated with Mary Washington Hospital.

When was this NPI record last updated?

The NPPES record for James Desimone was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.