JAMES F ORLANDO M.D.
NPI 1285604207
Internal Medicine - Cardiovascular Disease in Neptune, NJ

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1820 CORLIES AVE, SUITE 4B, NEPTUNE, NJ 07753(732) 776-8500(732) 988-2347 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James F Orlando M.d. NPPES

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

JAMES F ORLANDO M.D. (NPI 1285604207) is an individual cardiovascular disease provider in Neptune, New Jersey, licensed in New Jersey (25MA07163200) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1285604207
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAMES F ORLANDOCredential: M.D.
Location Address1820 CORLIES AVE, SUITE 4BNeptune, NJ 07753-4860
Mailing Address1820 Corlies Ave, Suite 4bNeptune, NJ 07753-4860 · (732) 776-8500 · Fax (732) 988-2347
Fax(732) 988-2347
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 23, 2006
Last NPPES UpdateDecember 7, 2007
NPI 1285604207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA07163200
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.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 25MA07163200 (NJ)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 25MA07163200 (NJ)
1820 CORLIES AVE, Neptune, NJ 07753

Other Identifiers 15

Other2590947Ghi
Other223247181010Qualcare
Other2422504000Amerihealth
OtherP3417612Oxford
Other2K8048Healthnet
Other9732769Cigna
Other2449681United Healthcare
Other3682071Aetna Hmo
Other7650659Aetna Ppo
OtherP00190042Railroad Medicare
Other9353611Phcs
Medicare ID-Type Unspecified083007AXTNJ
Medicaid0047589NJ
Other40112University Health Plan
Medicare UPINI17758

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

James F Orlando M.d. 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 ID8224006986
PECOS Enrollment IDI20040921000059
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 34

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.

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.
2,296 services1,283 patients
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.
1,860 services1,233 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
1,172 services293 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.
544 services541 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician 93040
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. It uses 1 to 3 leads (sensors) placed on your skin. A physician reviews the results to assess heart rate, rhythm, and detect any abnormalities.
423 services423 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
331 services330 patients

Hospital Affiliations CMS Care Compare 4

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 15

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers14 claims14 services$18.52 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers23 claims101 services$36.14 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers32 claims32 services$28.99 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$65.98 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers12 claims36 services$26.85 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers28 claims164 services$13.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
1820 CORLIES AVE, SUITE 7
NEPTUNE, NJ 07753
Surgery
1820 CORLIES AVE
NEPTUNE, NJ 07753
Surgery (Vascular Surgery)
1820 CORLIES AVE, SUITE 9
NEPTUNE CITY, NJ 07753
Internal Medicine
1820 CORLIES AVE, SUITE 7
NEPTUNE, NJ 07753

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 Orlando's NPI number?

The NPI number for James Orlando is 1285604207. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is James Orlando located?

James Orlando practices at 1820 Corlies Ave Suite 4B, Neptune, NJ 07753. The listed phone number is (732) 776-8500.

What is James Orlando's specialty?

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

Is James Orlando enrolled in Medicare?

Yes. James Orlando 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 Orlando accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Orlando 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 Orlando affiliated with any hospitals?

According to CMS data, James Orlando is affiliated with Community Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for James Orlando was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.