DR. JAMES C. WIDMAIER JR. M.D.
NPI 1205888526
Orthopaedic Surgery in Danville, PA

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6541 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. James C. Widmaier Jr. M.d. NPPES

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

DR. JAMES C. WIDMAIER JR. M.D. (NPI 1205888526) is an individual orthopaedic surgery provider in Danville, Pennsylvania, licensed in Pennsylvania (MD066307L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of University Of Maryland School Of Medicine (1996).

NPPES Registry Identity

NPI1205888526
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES C. WIDMAIER JR.Credential: M.D.
Location Address100 N ACADEMY AVEDanville, PA 17822-2130
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1996
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 25, 2020
NPPES CertifiedAugust 25, 2020
✔ NPI 1205888526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD066307L
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
100 N ACADEMY AVE, Danville, PA 17822

Other Identifiers 1

Medicaid001773636PA

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 C. Widmaier Jr. 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 ID3173600996
PECOS Enrollment IDI20080403000385
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

2

Medicare enrollment records show James Widmaier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Podiatrist
100 N ACDEMY AVE
Danville, PA 17822
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
Internal Medicine
255 ROUTE 220 HIGHWAY
Muncy, PA 17756
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,405 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.

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.
54 services50 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.
24 services20 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
18 services18 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
15 services15 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822

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 Widmaier's NPI number?

The NPI number for James Widmaier is 1205888526. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is James Widmaier located?

James Widmaier practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6541.

What is James Widmaier's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Widmaier enrolled in Medicare?

Yes. James Widmaier 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 Widmaier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Widmaier reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Danville, PA) and Geisinger-Hm Joint Venture LLC (Muncy, PA). 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 Widmaier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Widmaier accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list James Widmaier 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 Widmaier affiliated with any hospitals?

According to CMS data, James Widmaier is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for James Widmaier was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.