DR. JAMES L CAREY MD
NPI 1265460240
Orthopaedic Surgery in Philadelphia, PA
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 Penn Presbyterian Medical Center, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show James Carey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPennsylvania Hospital
Acute Care Hospitals · Philadelphia, PAPhysician 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.
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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Carey's NPI number?
The NPI number for James Carey is 1265460240. It was assigned to this individual provider in the NPPES registry on June 29, 2006.
Where is James Carey located?
James Carey practices at 3400 Spruce Street 2 Silverstein Building, Philadelphia, PA 19104. The listed phone number is (215) 662-3340.
What is James Carey's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is James Carey enrolled in Medicare?
Yes. James Carey 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.
Which organization bills Medicare for James Carey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Carey reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The 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 Carey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Carey accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Carey 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 Carey affiliated with any hospitals?
According to CMS data, James Carey is affiliated with Penn Presbyterian Medical Center and Pennsylvania Hospital.
When was this NPI record last updated?
The NPPES record for James Carey was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. James L Carey, MD · NPI 1265460240
Orthopaedic Surgery physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1265460240 (Entity type: Individual)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD426165 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE STREET, 2 SILVERSTEIN BUILDING, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-3340 · **Fax:** (215) 349-5928
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 2001
## Record status
- **NPPES last updated:** April 24, 2012
- **Other identifiers:** Other 620476822
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Source: [NPI Profile](https://npiprofile.com/npi/1265460240) · Data from the CMS NPPES public registry.