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JAMES C METCALF MD
NPI 1184696965
Neurological Surgery in Ithaca, NY

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
16 BRENTWOOD DR, ITHACA, NY 14850(607) 269-0033(607) 269-0037 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James C Metcalf Md NPPES

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

JAMES C METCALF MD (NPI 1184696965) is an individual neurological surgery provider in Ithaca, New York, licensed in New York (270928) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of Medical College Of Georgia School Of Medicine (1980).

NPPES Registry Identity

NPI1184696965
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJAMES C METCALFCredential: MD
Location Address16 BRENTWOOD DRIthaca, NY 14850-1863
Mailing Address16 Brentwood DrIthaca, NY 14850-1863 · (607) 269-0033 · Fax (607) 269-0037
Phone(607) 269-0033
Fax(607) 269-0037
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1980
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMarch 21, 2023
✔ NPI 1184696965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in NY · 270928
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
16 BRENTWOOD DR, Ithaca, NY 14850
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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 C Metcalf 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 ID8325025919
PECOS Enrollment IDI20130927000625
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 4

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.
84 services66 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.
43 services43 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
28 services28 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
22 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Schuyler Hospital

Critical Access Hospitals · Montour Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331313
Location220 Steuben StreetMontour Falls, NY 14865 · Schuyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.69
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
82%114 patients4/55-star benchmark: 100%
Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
96%26 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. HUMAIRA HASSAN M.D.
Internal Medicine
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 277-2170
ROCCO ROSANO PA-C
Physician Assistant
16 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Tompkins County (607) 272-7000
DR. KENNETH PAUL SUBIN M.D.
Preventive Medicine (Occupational Medicine)
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 339-0680
RYAN RENO DIRIENZO PA-C
Physician Assistant
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 272-7000
DR. DEIDRE BLAKE M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
16 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Tompkins County (607) 272-7000
ERICA LAWLOR PA-C
Physician Assistant
16 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Tompkins County (607) 269-0033
DR. WALTER EDWARD MARGIE III M.D.
Internal Medicine
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 257-1126
DR. DOUGLAS D MACQUEEN MD
Internal Medicine (Infectious Disease)
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 241-1118

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 Metcalf's NPI number?

The NPI number for James Metcalf is 1184696965. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is James Metcalf located?

James Metcalf practices at 16 Brentwood Dr, Ithaca, NY 14850. The listed phone number is (607) 269-0033.

What is James Metcalf's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is James Metcalf enrolled in Medicare?

Yes. James Metcalf 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 Metcalf affiliated with any hospitals?

According to CMS data, James Metcalf is affiliated with Cayuga Medical Center At Ithaca and Schuyler Hospital.

When was this NPI record last updated?

The NPPES record for James Metcalf was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.