JAMES TODD ALDERFER MD
NPI 1265424477
Internal Medicine - Cardiovascular Disease in Sellersville, PA

Q: What is James Alderfer's NPI number?

The NPI number for James Alderfer is 1265424477. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Q: What is James Alderfer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for James Alderfer was last updated on June 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment

670 LAWN AVE, SUITE 3A, SELLERSVILLE, PA 18960(215) 257-9500(215) 257-3578 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James Todd Alderfer Md NPPES

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

JAMES TODD ALDERFER MD (NPI 1265424477) is an individual cardiovascular disease provider in Sellersville, Pennsylvania, licensed in Pennsylvania (MD-050775-L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1265424477

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJAMES TODD ALDERFERCredential: MD

Location Address670 LAWN AVE, SUITE 3ASellersville, PA 18960-1571

Mailing AddressPo Box 440Sellersville, PA 18960-0440 · (215) 257-9500 · Fax (215) 257-3578

Phone(215) 257-9500

Fax(215) 257-3578

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateAugust 16, 2005

Last NPPES UpdateJune 30, 2010

✔ NPI 1265424477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD-050775-L

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

670 LAWN AVE, Sellersville, PA 18960

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Other Identifiers 3

Medicaid001656765003PA

Medicare PINLUG829837PA

Medicare UPING45863

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

James Todd Alderfer 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 ID4385600196

PECOS Enrollment IDI20060104000837

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 24

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.

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.

1,262 services703 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.

839 services529 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.

628 services487 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

311 services37 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

310 services38 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

252 services118 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

222 services72 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.

187 services131 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.

171 services159 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

167 services56 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

157 services83 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

84 services44 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

68 services60 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

67 services59 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.

63 services62 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

55 services17 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

41 services41 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

35 services35 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

34 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

22 services19 patients

Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent G0250

This service involves your doctor evaluating your home INR (a blood clotting test) results. It's for patients with a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism who meet specific criteria. It helps manage your treatment, but tests aren't conducted frequently.

15 services15 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

11 services11 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390035

Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County

Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390203

Location595 West State StDoylestown, PA 18901 · Bucks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18960 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier18 claims18 services$13.31 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier18 claims18 services$63.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

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

JOSEPH DOYLE WALTON MD

Internal Medicine (Interventional Cardiology)

670 LAWN AVE, SUITE 3A
SELLERSVILLE, PA 18960

Bucks County (215) 257-9500

ALDERFER AND KUPERSMITH ASSOCIATES

Obstetrics & Gynecology

670 LAWN AVE, SUITE 4
SELLERSVILLE, PA 18960

Bucks County (215) 257-0414

MIZUKI YAMANE PA-C

Physician Assistant

670 LAWN AVE
SELLERSVILLE, PA 18960

Bucks County (215) 257-9500

DR. STEPHEN KUPERSMITH MD

Obstetrics & Gynecology

670 LAWN AVE, SUITE 4
SELLERSVILLE, PA 18960

Bucks County (215) 257-0414

DAVID ANTHONY TRAVIS DO

Internal Medicine (Cardiovascular Disease)

670 LAWN AVE, SUITE 3A
SELLERSVILLE, PA 18960

Bucks County (215) 257-9500

DR. MARK ANDREW KUDES MD

Internal Medicine (Cardiovascular Disease)

670 LAWN AVE, SUITE 3A
SELLERSVILLE, PA 18960

Bucks County (215) 257-9500

DR. DANIEL ISRAEL SHRAGER M.D.

Dermatology

670 LAWN AVE, SUITE 1A
SELLERSVILLE, PA 18960

Bucks County (215) 257-0196

DR. MIROSLAWA SONALI JABLONSKI-COHEN M.D.

Internal Medicine (Cardiovascular Disease)

670 LAWN AVE, SUITE 3A
SELLERSVILLE, PA 18960

Bucks County (215) 257-9500

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 Alderfer's NPI number?

The NPI number for James Alderfer is 1265424477. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is James Alderfer located?

James Alderfer practices at 670 Lawn Ave Suite 3A, Sellersville, PA 18960. The listed phone number is (215) 257-9500.

What is James Alderfer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Alderfer enrolled in Medicare?

Yes. James Alderfer 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 Alderfer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Alderfer 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 Alderfer affiliated with any hospitals?

According to CMS data, James Alderfer is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health and Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for James Alderfer was last updated on June 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.