JAMES RUSSELL ALBANESE MD
NPI 1295729275
Internal Medicine - Cardiovascular Disease in Glen Cove, NY

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
70 GLEN STREET, STE 200, GLEN COVE, NY 11542(516) 484-7893(516) 484-5054 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Russell Albanese Md NPPES

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

JAMES RUSSELL ALBANESE MD (NPI 1295729275) is an individual cardiovascular disease provider in Glen Cove, New York, licensed in New York (187479) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York University School Of Medicine (1989).

NPPES Registry Identity

NPI1295729275
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAMES RUSSELL ALBANESECredential: MD
Location Address70 GLEN STREET, STE 200Glen Cove, NY 11542-2854
Mailing Address70 Glen Street, Ste 200Glen Cove, NY 11542-2854 · (516) 484-7893 · Fax (516) 484-5054
Fax(516) 484-5054
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1989
Enumeration DateSeptember 7, 2005
Last NPPES UpdateFebruary 13, 2008
NPI 1295729275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 187479
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.

70 GLEN STREET, Glen Cove, NY 11542

Other Identifiers 3

Medicare PIN04N291NY
Medicare UPING25177
Medicaid01836768NY

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 Russell Albanese 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 ID8426071671
PECOS Enrollment IDI20070525000366
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 14

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.

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.
648 services363 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
315 services221 patients
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.
304 services194 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.
250 services243 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.
176 services46 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.
80 services80 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Interventional Cardiology)
70 GLEN STREET, SUITE 200
GLEN COVE, NY 11542
Internal Medicine (Cardiovascular Disease)
70 GLEN STREET, STE 200
GLEN COVE, NY 11542
Social Worker (Clinical)
70 GLEN STREET, SUITE 250
GLEN COVE, NY 11542
Internal Medicine (Cardiovascular Disease)
70 GLEN STREET, SUITE 200
GLEN COVE, NY 11542
Internal Medicine (Cardiovascular Disease)
70 GLEN STREET, STE 200
GLEN COVE, NY 11542

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 Albanese's NPI number?

The NPI number for James Albanese is 1295729275. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is James Albanese located?

James Albanese practices at 70 Glen Street Ste 200, Glen Cove, NY 11542. The listed phone number is (516) 484-7893.

What is James Albanese's specialty?

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

Is James Albanese enrolled in Medicare?

Yes. James Albanese 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.

Is James Albanese affiliated with any hospitals?

According to CMS data, James Albanese is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for James Albanese was last updated on February 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.