JAMES G FINGLETON MD
NPI 1265438709
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Worcester, MA

Q: What is James Fingleton's NPI number?

The NPI number for James Fingleton is 1265438709. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is James Fingleton's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for James Fingleton was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 21, 2005PECOS Enrolled

123 SUMMER ST, WORCESTER, MA 01608(508) 363-5000(508) 363-5000 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2025, Mar 1, 2017 (2 updates tracked since 2017).

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About James G Fingleton Md NPPES

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

JAMES G FINGLETON MD (NPI 1265438709) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Worcester, Massachusetts, licensed in Rhode Island (MD08467) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fall River.

NPPES Registry Identity

NPI1265438709

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameJAMES G FINGLETONCredential: MD

Location Address123 SUMMER STWorcester, MA 01608-1216

Mailing Address2 Dudley St, Ste 360Providence, RI 02905-3248 · (508) 973-2000 · Fax (508) 973-2001

Phone(508) 363-5000

Fax(508) 363-5000

Sole ProprietorNo

Enumeration DateJune 21, 2005

Last NPPES UpdateJune 11, 20252 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1265438709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in RI · MD08467✔ Licensed in RI · 8467✔ Licensed in MA · 202874

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

123 SUMMER ST, Worcester, MA 01608

Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Hanover StFall River, MA 02720-5451 · Phone (508) 679-7774 · Fax (508) 679-7724

Other Identifiers 5

Medicaid110053439AMA

Other0000000783RI · Blue Cross & Blue Shield

Other203600RI · Ri Blue Chip

Other18-00129RI · United Health Plans Ne

Medicaid7003416RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James G Fingleton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show James Fingleton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Vincent Physician Services, Inc.

Same address

Family Medicine

123 SUMMER ST STE 279
Worcester, MA 01608

Reassigned Medicare billing, Massachusetts enrollment
197 clinicians in this Medicare group

NPI 1013997329 (508) 363-6040

University Cardiovascular Surgical Associates Inc

22 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2 DUDLEY ST STE 360
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
9 clinicians in this Medicare group

NPI 1770728024 (401) 274-7546

Southcoast Hospitals Group, Inc

51 mi

General Acute Care Hospital

363 HIGHLAND AVE
Fall River, MA 02720

Reassigned Medicare billing, Massachusetts enrollment
163 clinicians in this Medicare group

NPI 1306871223 (508) 679-3131

Southcoast Physicians Group, Inc.

63 mi

Family Medicine

200 MILL ROAD, SUITE 180
Fairhaven, MA 02719

Reassigned Medicare billing, Rhode Island enrollment
121 clinicians in this Medicare group

NPI 1336137629 (508) 973-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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

$177.36 typical visit price

range $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery

Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.

1%166 patients1/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

100%195 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MADAIAH LOKESHWARI M.D.

Hospitalist

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-6849

DR. MADHAV SHARMA MD

Internal Medicine

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5438

YESHASWINI KATKOORI MD

Student in an Organized Health Care Education/Training Program

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

DANIELLE MAY PELOQUIN

Nurse Anesthetist, Certified Registered

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

DR. YAYAN CHEN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-6049

FARRICY & KRAFT LLP

Obstetrics & Gynecology (Obstetrics)

123 SUMMER ST, SUITE 560
WORCESTER, MA 01608

Worcester County (508) 363-6100

KEITH A BEALS PA

Physician Assistant

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

ANNE E COVINO CNM

Midwife

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

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 Fingleton's NPI number?

The NPI number for James Fingleton is 1265438709. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is James Fingleton located?

James Fingleton practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-5000.

What is James Fingleton's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James Fingleton enrolled in Medicare?

Yes. James Fingleton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Fingleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fingleton reassigns Medicare benefits to 4 organizations: Saint Vincent Physician Services, Inc. (Worcester, MA), University Cardiovascular Surgical Associates Inc (Providence, RI), Southcoast Hospitals Group, Inc (Fall River, MA) and Southcoast Physicians Group, Inc. (Fairhaven, MA). 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 Fingleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Fingleton was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.