DR. JAMES J OCONNOR MD
NPI 1205800703
Internal Medicine in Rockaway Point, NY

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
20408 ROCKAWAY POINT BLVD, ROCKAWAY POINT, NY 11697(718) 474-5454(718) 634-4248 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James J Oconnor Md NPPES

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

DR. JAMES J OCONNOR MD (NPI 1205800703) is an individual internal medicine provider in Rockaway Point, New York, licensed in New York (145779) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York Downstate Medical Center (1979).

NPPES Registry Identity

NPI1205800703
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES J OCONNORCredential: MD
Location Address20408 ROCKAWAY POINT BLVDRockaway Point, NY 11697-1115
Mailing Address20408 Rockaway Point BlvdRockaway Point, NY 11697-1115 · (718) 474-5454 · Fax (718) 634-4248
Fax(718) 634-4248
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1979
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJuly 2, 2008
NPI 1205800703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 145779
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.

20408 ROCKAWAY POINT BLVD, Rockaway Point, NY 11697

Other Identifiers 4

Medicaid00756721NY
Medicare PIN95200NY
Other113137522Ein
Medicare UPIND33368NY

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 J Oconnor 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 ID1759562978
PECOS Enrollment IDI20110222000346
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 15

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.

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.
496 services308 patients
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.
357 services220 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
151 services143 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.
123 services123 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.
78 services66 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
58 services58 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330395
Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11697 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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
9 suppliers22 claims65 services$6.44 avg. paid by Medicare
Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each A4417
DME-Orthotic Devices · category DF010N
1 supplier12 claims720 services$3.60 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier17 claims560 services$0.92 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims78 services$1.74 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims420 services$4.05 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims6,750 services$0.56 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 7

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

Dentist
20408 ROCKAWAY POINT BLVD
BREEZY POINT, NY 11697
Physical Therapist
20408 ROCKAWAY POINT BLVD
BREEZY POINT, NY 11697
Podiatrist (Foot Surgery)
20408 ROCKAWAY POINT BLVD
ROCKAWAY POINT, NY 11697
Dermatology
20408 ROCKAWAY POINT BLVD
BREEZY POINT, NY 11697
Dentist (General Practice)
20408 ROCKAWAY POINT BLVD
BREEZY POINT, NY 11697
Physician Assistant
20408 ROCKAWAY POINT BLVD
FAR ROCKAWAY, NY 11697
Speech-Language Pathologist
20408 ROCKAWAY POINT BLVD
BREEZY POINT, NY 11697

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 Oconnor's NPI number?

The NPI number for James Oconnor is 1205800703. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is James Oconnor located?

James Oconnor practices at 20408 Rockaway Point Blvd, Rockaway Point, NY 11697. The listed phone number is (718) 474-5454.

What is James Oconnor's specialty?

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

Is James Oconnor enrolled in Medicare?

Yes. James Oconnor 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 Oconnor affiliated with any hospitals?

According to CMS data, James Oconnor is affiliated with North Shore University Hospital and St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for James Oconnor was last updated on July 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.