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DR. JAMES KEITH DEORIO M.D.
NPI 1235129081
Orthopaedic Surgery in Durham, NC

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
4709 CREEKSTONE DR STE 200, DURHAM, NC 27703(919) 660-2358(919) 660-8568 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Keith Deorio M.d. NPPES

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

DR. JAMES KEITH DEORIO M.D. (NPI 1235129081) is an individual orthopaedic surgery provider in Durham, North Carolina, licensed in North Carolina (2007--00102) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of George Washington University School Of Medicine (1977).

NPPES Registry Identity

NPI1235129081
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES KEITH DEORIOCredential: M.D.
Location Address4709 CREEKSTONE DR STE 200Durham, NC 27703-8411
Mailing Address4709 Creekstone Dr Ste 200Durham, NC 27703-8411 · (919) 660-2358 · Fax (919) 660-8568
Phone(919) 660-2358
Fax(919) 660-8568
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1977
Enumeration DateOctober 24, 2005
Last NPPES UpdateOctober 23, 2012
✔ NPI 1235129081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NC · 2007--00102✔ Licensed in FL · ME47550
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.
4709 CREEKSTONE DR STE 200, Durham, NC 27703
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Other Identifiers 6

Medicaid260189700FL
Medicaid5906154NC
Medicare PIN2064105NC
Medicare UPIND50331
Other700005983FL · Railroad Medicare
Other02098FL · Bluecross/blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 Keith Deorio 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 ID4688772742
PECOS Enrollment IDI20070613000455
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 3

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 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.
64 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
38 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27703 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier12 claims13 services$231.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Deorio's NPI number?

The NPI number for James Deorio is 1235129081. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is James Deorio located?

James Deorio practices at 4709 Creekstone Dr Ste 200, Durham, NC 27703. The listed phone number is (919) 660-2358.

What is James Deorio's specialty?

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

Is James Deorio enrolled in Medicare?

Yes. James Deorio 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.

What insurance does James Deorio accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list James Deorio 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 Deorio affiliated with any hospitals?

According to CMS data, James Deorio is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for James Deorio was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.