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JAMES MICHAEL CERONE PA-C
NPI 1215138003
Physician Assistant in Houston, TX

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
4200 SCOTLAND ST, #310, HOUSTON, TX 77007(917) 939-9737 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About James Michael Cerone Pa-c NPPES

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

JAMES MICHAEL CERONE PA-C (NPI 1215138003) is an individual physician assistant in Houston, Texas, licensed in Texas (PA06288TX) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with El Campo Memorial Hospital, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1215138003
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES MICHAEL CERONECredential: PA-C
Location Address4200 SCOTLAND ST, #310Houston, TX 77007-7325
Mailing AddressPo Box 1160Stafford, TX 77497-1160 · (917) 939-9737
Phone(917) 939-9737
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 30, 2007
Last NPPES UpdateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1215138003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA06288TX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4200 SCOTLAND ST, Houston, TX 77007
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Secondary Practice Location 1

Location 13619 Paesanos Pkwy Ste 300San Antonio, TX 78231-1263 · Phone (210) 496-2222

Other Identifiers 1

Medicaid216177001TX

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 Michael Cerone Pa-c 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 ID3678656568
PECOS Enrollment IDI20100630000103
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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
187 services177 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

El Campo Memorial Hospital

Acute Care Hospitals · El Campo, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number450694
Location303 Sandy Corner RdEl Campo, TX 77437 · Wharton County
Emergency services

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77007 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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 Cerone's NPI number?

The NPI number for James Cerone is 1215138003. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is James Cerone located?

James Cerone practices at 4200 Scotland St #310, Houston, TX 77007. The listed phone number is (917) 939-9737.

What is James Cerone's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Cerone enrolled in Medicare?

Yes. James Cerone 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 Cerone affiliated with any hospitals?

According to CMS data, James Cerone is affiliated with El Campo Memorial Hospital and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for James Cerone was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.