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JAMES DUNCKLEE D.O.
NPI 1225053317
Emergency Medicine in Philadelphia, PA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
3998 RED LION RD, EMERGENCY DEPT, PHILADELPHIA, PA 19114(215) 612-4000(215) 807-8235 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Duncklee D.o. NPPES

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

JAMES DUNCKLEE D.O. (NPI 1225053317) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS011129L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Riddle Memorial Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (1999).

NPPES Registry Identity

NPI1225053317
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES DUNCKLEECredential: D.O.
Location Address3998 RED LION RD, EMERGENCY DEPTPhiladelphia, PA 19114-1436
Mailing AddressPo Box 8500-6335Philadelphia, PA 19178-0001 · (215) 807-8000 · Fax (215) 807-8235
Phone(215) 612-4000
Fax(215) 807-8235
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 1999
Enumeration DateJuly 12, 2006
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1225053317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · OS011129L
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3998 RED LION RD, Philadelphia, PA 19114
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Other Identifiers 21

Other001742168PA · Highmark Bs
Other101347744-02PA · Americhoice- Torresdale
Other1013477440004PA · Promise
Medicaid1013477440001PA
Other2464180PA · United Healthcare
Other101347744-03PA · Americhoice-frankford
Other1358218PA · Cigna
Other30025560PA · Keystone Mercy
Other07645PW · Health Partners
Medicaid1013477440002PA
Other1742168PA · Personal Choice
Other2408090000PA · Keystone
Other001742168PA · Bs
Other1742168PA · Highmark Blue Shield
Other101347744-01PA · Americhoice- Bucks
Medicaid1013477440003PA
Other2408090000PA · Keystone, Ibc
Other30048593Keystone Mercy
OtherP00290590PA · Railroad Medicare
Other20045118PA · Amerihealth
Other452729PA · Aetna Contract

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 Duncklee D.o. 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 ID7416920020
PECOS Enrollment IDI20050727000504
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
249 services246 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
189 services187 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
90 services90 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
39 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

AARON OPHER SHILOH M.D.
Radiology (Vascular & Interventional Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (952) 595-1100
DEBORAH SCHILLER SCHRAGER MD
Obstetrics & Gynecology
3998 RED LION RD, SUITE 106
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4143
MELISSA A. MALLOY CRNA
Nurse Anesthetist, Certified Registered
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4088
DR. MIMI H PINTO DO
Radiology (Diagnostic Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4021
JOHN P. SORRENTINO M.D.
Emergency Medicine
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4963
JUDITH KUNKLE CRNP
Registered Nurse (Emergency)
3998 RED LION RD, EMERGENCY ROOM
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
JOAQUIN SARIEGO MD
Surgery
3998 RED LION RD, SUITE 301
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4884
FRANKFORD TORRESDALE HOSPITAL
General Acute Care Hospital
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000

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 Duncklee's NPI number?

The NPI number for James Duncklee is 1225053317. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is James Duncklee located?

James Duncklee practices at 3998 Red Lion Rd Emergency Dept, Philadelphia, PA 19114. The listed phone number is (215) 612-4000.

What is James Duncklee's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Duncklee enrolled in Medicare?

Yes. James Duncklee 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 Duncklee affiliated with any hospitals?

According to CMS data, James Duncklee is affiliated with Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Duncklee was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.