DR. JAMES L CAREY MD
NPI 1265460240
Orthopaedic Surgery in Philadelphia, PA

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE STREET, 2 SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104(215) 662-3340(215) 349-5928 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James L Carey Md NPPES

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

DR. JAMES L CAREY MD (NPI 1265460240) is an individual orthopaedic surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD426165) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2001).

NPPES Registry Identity

NPI1265460240
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES L CAREYCredential: MD
Location Address3400 SPRUCE STREET, 2 SILVERSTEIN BUILDINGPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce Street, 2 Silverstein BuildingPhiladelphia, PA 19104-4206 · (215) 662-3340 · Fax (215) 349-5928
Fax(215) 349-5928
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2001
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 24, 2012
NPI 1265460240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in PA · MD426165 Licensed in NJ · 25MA09013300 Licensed in TN · MD40856
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.

3400 SPRUCE STREET, Philadelphia, PA 19104

Other Identifiers 1

Other620476822Tax Id

Accepted 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 L Carey 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 ID8123021292
PECOS Enrollment IDI20110801000024
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Lower limb (leg) arthroscopy (minimally invasive joint repair) NAN15
Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
0 services1 patient

Hospital Affiliations CMS Care Compare

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

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
3400 SPRUCE STREET, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Internal Medicine (Cardiovascular Disease)
3400 SPRUCE STREET, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
3400 SPRUCE STREET, 6 SILVERSTEIN
PHILADELPHIA, PA 19104
Physical Medicine & Rehabilitation
3400 SPRUCE STREET, 1 GROUND WHITE BUILDING
PHILADELPHIA, PA 19104
Nuclear Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Internal Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Urology
3400 SPRUCE STREET, 9 PENN TOWER
PHILADELPHIA, PA 19104
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265460240, enumerated as an "individual" on June 29, 2006.

The provider is located at 3400 SPRUCE STREET 2 SILVERSTEIN BUILDING PHILADELPHIA, PA 19104 and the phone number is (215) 662-3340.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.

James Carey is affiliated with: PENNSYLVANIA HOSPITAL.