JAMES BARRESE MD
NPI 1295984953
Otolaryngology in Danville, PA

Q: What is James Barrese's NPI number?

The NPI number for James Barrese is 1295984953. It was assigned to this individual provider in the NPPES registry on September 17, 2008.

Q: What is James Barrese's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for James Barrese was last updated on August 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 17, 2008PECOS Enrolled

100 N ACADEMY AVE, DANVILLE, PA 17822(570) 214-5681 Get Directions Write a Review

NPPES record last updated: August 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2020, Mar 17, 2018, Feb 19, 2018 and 2 more (5 updates tracked since 2017).

On this page

About James Barrese Md NPPES

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

JAMES BARRESE MD (NPI 1295984953) is an individual otolaryngology provider in Danville, Pennsylvania, licensed in Pennsylvania (MD463090) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Eureka.

NPPES Registry Identity

NPI1295984953

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameJAMES BARRESECredential: MD

Location Address100 N ACADEMY AVEDanville, PA 17822-9800

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 214-5681

Sole ProprietorNo

Enumeration DateSeptember 17, 2008

Last NPPES UpdateAugust 30, 20205 updates tracked since enumeration

NPPES CertifiedAugust 30, 2020

✔ NPI 1295984953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in PA · MD463090✔ Licensed in CA · A103124

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 50995 (CT)

100 N ACADEMY AVE, Danville, PA 17822

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Secondary Practice Location 1

Location 12350 Buhne St Ste CEureka, CA 95501-3205 · Phone (707) 444-8863 · Fax (707) 444-9496

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Barrese Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Barrese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kapiolani Medical Specialists

4,830 mi

Multi-Specialty

1319 PUNAHOU ST
Honolulu, HI 96826

Reassigned Medicare billing, Hawaii enrollment
370 clinicians in this Medicare group

NPI 1124071014 (808) 983-8736

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 17822 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.

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. TARA JEAN LOUX MD

Surgery (Pediatric Surgery)