JAMES EDGAR ALLEN MD
NPI 1285783282
Urology in Clairton, PA

Q: What is James Allen's NPI number?

The NPI number for James Allen is 1285783282. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is James Allen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for James Allen was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

1200 BROOKS LN, SUITE 220, CLAIRTON, PA 15025(412) 469-1002(412) 469-8925 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2021, Oct 27, 2020 (2 updates tracked since 2020).

On this page

About James Edgar Allen Md NPPES

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

JAMES EDGAR ALLEN MD (NPI 1285783282) is an individual urology provider in Clairton, Pennsylvania, licensed in Pennsylvania (MD037185E) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Mon Valley, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1285783282

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJAMES EDGAR ALLENCredential: MD

Location Address1200 BROOKS LN, SUITE 220Clairton, PA 15025-3747

Mailing Address1200 Brooks Ln, Suite 220Clairton, PA 15025-3747 · (412) 469-1002 · Fax (412) 469-8925

Phone(412) 469-1002

Fax(412) 469-8925

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJanuary 9, 2007

Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration

NPPES CertifiedAugust 10, 2021

✔ NPI 1285783282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in PA · MD037185E

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1200 BROOKS LN, Clairton, PA 15025

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Other Identifiers 2

Medicaid001217193PA

Other10922058Caqh

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

James Edgar Allen 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 ID9739300435

PECOS Enrollment IDI20141022000731

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 Allen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic

Same address

Internal Medicine

1200 BROOKS LN STE 110
Clairton, PA 15025

Reassigned Medicare billing, Pennsylvania enrollment
2,881 clinicians in this Medicare group

NPI 1215880919 (412) 466-5502

South Pittsburgh Urology Associates

Same address

Urology

1200 BROOKS LN STE 220
Jefferson Hills, PA 15025

Reassigned Medicare billing, Pennsylvania enrollment
4 clinicians in this Medicare group

NPI 1013328038 (412) 469-1002

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

Areas of Expertise CMS Part B claims 12

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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

505 services363 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

363 services302 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

198 services79 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

111 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

93 services71 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

72 services61 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

52 services52 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

38 services28 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

37 services11 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

37 services12 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

30 services24 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

23 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390147

Location1163 Country Club RoadMonongahela, PA 15063 · Washington County

Emergency services

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390160

Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County

Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390265

Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

93.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers44 claims6,820 services$1.60 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 20

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

DR. DAVID J. STAPOR M.D.

Orthopaedic Surgery

1200 BROOKS LN, SUITE 240
CLAIRTON, PA 15025

Allegheny County (412) 469-1660

SOUTH HILLS GASTROENTEROLOGY ASSOCIATES LLC

Internal Medicine (Gastroenterology)

1200 BROOKS LN, STE G10
CLAIRTON, PA 15025

Allegheny County (412) 469-5914

ALLISON MORGAN PA-C

Physician Assistant

1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025

Allegheny County (412) 729-1500

LANA P BLINER NP-C

Nurse Practitioner

1200 BROOKS LN, SUITE NUMBER 285
CLAIRTON, PA 15025

Allegheny County (412) 449-6956

PAUL DAVID LAMAN JR. MD

Internal Medicine (Critical Care Medicine)

1200 BROOKS LN, SUITE 130
JEFFERSON HILLS, PA 15025

Allegheny County (412) 469-3600

DR. NUPUR DASHOTTAR M.D.

Family Medicine

1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025

Allegheny County (412) 729-1500

KATIE F DIPASQUALE PA-C

Physician Assistant

1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025

Allegheny County (412) 729-1500

CENTER POINTE SLEEP ASSOCIATES, LLC

Clinic/Center (Sleep Disorder Diagnostic)

1200 BROOKS LN, SUITE 140
JEFFERSON HILLS, PA 15025

Allegheny County (724) 941-6595

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 Allen's NPI number?

The NPI number for James Allen is 1285783282. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is James Allen located?

James Allen practices at 1200 Brooks Ln Suite 220, Clairton, PA 15025. The listed phone number is (412) 469-1002.

What is James Allen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Allen enrolled in Medicare?

Yes. James Allen 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 organizations bill Medicare for James Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Allen reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Clairton, PA) and South Pittsburgh Urology Associates (Jefferson Hills, PA). 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 Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Allen affiliated with any hospitals?

According to CMS data, James Allen is affiliated with Penn Highlands Mon Valley, Canonsburg General Hospital and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for James Allen was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.