DR. JAMES JOSEPH HARRIGAN
NPI 1184111841
Internal Medicine - Infectious Disease in Pittsburgh, PA

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3601 5TH AVE, PITTSBURGH, PA 15213(412) 647-7228 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2025, Feb 24, 2025, Feb 12, 2025 and 2 more (5 updates tracked since 2018).

About Dr. James Joseph Harrigan NPPES

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

DR. JAMES JOSEPH HARRIGAN (NPI 1184111841) is an individual infectious disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD471441) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in East Norriton.

NPPES Registry Identity

NPI1184111841
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JAMES JOSEPH HARRIGAN
Location Address3601 5TH AVEPittsburgh, PA 15213-3403
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 18, 2018
Last NPPES UpdateJuly 23, 20255 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1184111841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in PA · MD471441✔ Licensed in NC · 2024-00029✔ Licensed in NM · MD2023-1033
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3601 5TH AVE, Pittsburgh, PA 15213

Secondary Practice Location 1

Location 1559 W Germantown Pike Bldg Suite270East Norriton, PA 19403-4250 · Phone (484) 622-7100 · Fax (484) 622-7121

Accepted 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

Dr. James Joseph Harrigan 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 ID244588861
PECOS Enrollment IDI20230706000694, I20250307000149, I20250731001223, I20251124004301
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

9

Medicare enrollment records show James Harrigan reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3500 5TH AVE, 4TH FLOOR
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Hospitalist
1163 COUNTRY CLUB RD
Monongahela, PA 15063
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
Rural Health
116 MAIN ST
Leechburg, PA 15656
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 59 clinicians in this Medicare group
General Practice
81 HILLCREST DR
Punxsutawney, PA 15767
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 187 clinicians in this Medicare group
Psychiatry
4200 MONUMENT AVE
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
General Acute Care Hospital
360 BROADWAY
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 259 clinicians in this Medicare group
Family Medicine
1314 19TH AVE
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 349 clinicians in this Medicare group
Multi-Specialty
15190 COMMUNITY RD
Gulfport, MS 39503
  • Reassigned Medicare billing, Mississippi enrollment
  • 298 clinicians in this Medicare group
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group

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.
22 services22 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
22 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier14 claims15 services$18.28 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims203 services$35.58 avg. paid by Medicare
Injection, ganciclovir sodium, 500 mg J1570
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier16 claims147 services$35.58 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.

Internal Medicine (Rheumatology)
3601 5TH AVE, SUITE 3B FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Internal Medicine
3601 5TH AVE, SUITE 3A
PITTSBURGH, PA 15213
Physician Assistant
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE
PITTSBURGH, PA 15213
Specialist
3601 5TH AVE, 610 FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Pharmacist (Pharmacotherapy)
3601 5TH AVE, FALK MEDICAL BLDG., SUITE 3A
PITTSBURGH, PA 15213
Dietitian, Registered
3601 5TH AVE, STE 1-B, ROOM 145-B
PITTSBURGH, PA 15213
Specialist
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213

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 Harrigan's NPI number?

The NPI number for James Harrigan is 1184111841. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is James Harrigan located?

James Harrigan practices at 3601 5th Ave, Pittsburgh, PA 15213. The listed phone number is (412) 647-7228.

What is James Harrigan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Harrigan enrolled in Medicare?

Yes. James Harrigan 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 Harrigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Harrigan reassigns Medicare benefits to 9 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Monongahela Valley Hospital, Inc. (Monongahela, PA), Armstrong County Memorial Hospital (Leechburg, PA), Indiana Healthcare Physician Services, Inc (Punxsutawney, PA), Einstein Practice Plan Inc (Philadelphia, PA) and 4 more organizations, listed in the Medicare section above. 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 Harrigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Harrigan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list James Harrigan 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 Harrigan affiliated with any hospitals?

According to CMS data, James Harrigan is affiliated with Unm Hospital, Upmc Altoona and Upmc Northwest.

When was this NPI record last updated?

The NPPES record for James Harrigan was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.