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DR. JAMES EDMUND MCSWEENEY III MD
NPI 1285311522
Internal Medicine in Baltimore, MD

Active since June 29, 2023PECOS Enrolled
301 SAINT PAUL ST STE 718, BALTIMORE, MD 21202(410) 332-9356(410) 783-5884 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2026, Jul 11, 2026 (2 updates tracked since 2026).

About Dr. James Edmund Mcsweeney Iii Md NPPES

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

DR. JAMES EDMUND MCSWEENEY III MD (NPI 1285311522) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0107613) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285311522
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES EDMUND MCSWEENEY IIICredential: MD
Location Address301 SAINT PAUL ST STE 718Baltimore, MD 21202-2102
Mailing Address301 Saint Paul St Ste 718Baltimore, MD 21202-2102 · (410) 332-9356 · Fax (410) 783-5884
Phone(410) 332-9356
Fax(410) 783-5884
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2023
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1285311522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0107613
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License D0107613 (MD)
301 SAINT PAUL ST STE 718, Baltimore, MD 21202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Edmund Mcsweeney Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103386016
PECOS Enrollment IDI20260831004849
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 Reassignment

Medicare enrollment records show James Mcsweeney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Paul Place Specialists, Inc.
Same address
Hematology & Oncology
227 SAINT PAUL PLACE, 4TH FLOOR
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 423 clinicians in this Medicare group
NPI 1174564736 (410) 783-5858

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 21202 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. ANURAG MAHESHWARI M.D.
Internal Medicine (Gastroenterology)
301 SAINT PAUL ST STE 718
BALTIMORE, MD 21202
Baltimore City (410) 332-9356

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 Mcsweeney's NPI number?

The NPI number for James Mcsweeney is 1285311522. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is James Mcsweeney located?

James Mcsweeney practices at 301 Saint Paul St Ste 718, Baltimore, MD 21202. The listed phone number is (410) 332-9356.

What is James Mcsweeney's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Mcsweeney enrolled in Medicare?

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

Which organization bills Medicare for James Mcsweeney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mcsweeney reassigns Medicare benefits to St Paul Place Specialists, Inc. (Baltimore, MD). 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 Mcsweeney'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 Mcsweeney was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.