DR. JAMES A CAFFREY D.O.
NPI 1356340657
Emergency Medicine in Macungie, PA
About Dr. James A Caffrey D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES A CAFFREY D.O. (NPI 1356340657) is an individual emergency medicine provider in Macungie, Pennsylvania, licensed in Pennsylvania (OS008015L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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 A Caffrey D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show James Caffrey reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Macungie, PA 18062
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Philadelphia, PA 19128
- Reassigned Medicare billing, Pennsylvania enrollment
- 49 clinicians in this Medicare group
Langhorne, PA 19047
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
- 329 clinicians in this Medicare group
Trenton, NJ 08629
- Reassigned Medicare billing, New Jersey enrollment
- 42 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 67 clinicians in this Medicare group
Secaucus, NJ 07094
- Reassigned Medicare billing, New Jersey enrollment
- 74 clinicians in this Medicare group
Lock Haven, PA 17745
- Reassigned Medicare billing, Pennsylvania enrollment
- 39 clinicians in this Medicare group
Clewiston, FL 33440
- Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
- 40 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACUNGIE, PA 18062
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 Caffrey's NPI number?
The NPI number for James Caffrey is 1356340657. It was assigned to this individual provider in the NPPES registry on July 19, 2005.
Where is James Caffrey located?
James Caffrey practices at 3369 State Route 100, Macungie, PA 18062. The listed phone number is (610) 402-8111.
What is James Caffrey's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is James Caffrey enrolled in Medicare?
Yes. James Caffrey is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for James Caffrey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Caffrey reassigns Medicare benefits to 8 organizations: Lehigh Valley Physician Group (Macungie, PA), Medical Services Of Suffolk County PC (Philadelphia, PA), Emergency Care Services Of Pennsylvania, P.C. (Langhorne, PA), Chambers Emergency Associates PA (Trenton, NJ), Nes Georgia Inc (Elizabeth, NJ) and 3 more organizations, listed in the Medicare section above. 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 Caffrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Caffrey accept?
Health plans from Cigna Healthcare list James Caffrey 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.
When was this NPI record last updated?
The NPPES record for James Caffrey was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. James A Caffrey, D.O. · NPI 1356340657
Emergency Medicine physician in Macungie, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 19, 2005.
## Identity
- **NPI:** 1356340657 (Entity type: Individual)
- **Enumerated:** July 19, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** OS008015L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3369 STATE ROUTE 100, Macungie, PA 18062-9613
- **Phone:** (610) 402-8111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1124379953, Macungie, PA); Medical Services Of Suffolk County PC (NPI 1811235724, Philadelphia, PA); Emergency Care Services Of Pennsylvania, P.C. (NPI 1114955010, Langhorne, PA); Chambers Emergency Associates PA (NPI 1053589614, Trenton, NJ); Nes Georgia Inc (NPI 1043616675, Elizabeth, NJ); and 3 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2024
- **Other identifiers:** Medicaid 06678309 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1356340657) · Data from the CMS NPPES public registry.