JAMES O CARLEO MD
NPI 1356364996
Emergency Medicine in Virginia Beach, VA

Active since July 25, 2006PECOS Enrolled
4092 FOXWOOD DR, VIRGINIA BEACH, VA 23462(757) 467-4200 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About James O Carleo Md NPPES

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

JAMES O CARLEO MD (NPI 1356364996) is an individual emergency medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101019049) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356364996
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES O CARLEOCredential: MD
Location Address4092 FOXWOOD DRVirginia Beach, VA 23462-5225
Mailing AddressPo Box 7549Portsmouth, VA 23707-0549
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1356364996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101019049
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4092 FOXWOOD DR, Virginia Beach, VA 23462

Other Identifiers 7

Medicaid890525MNC
Other010027493Railroad Medicare
Other541141362Tricare
Medicaid6081975VA
Other036016VA · Anthem
Other10034Sentara
Other212792Mamsi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James O Carleo 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 Reassignments

2

Medicare enrollment records show James Carleo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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.

Physician Assistant
4092 FOXWOOD DR
VIRGINIA BEACH, VA 23462
Physician Assistant (Medical)
4092 FOXWOOD DR, STE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, STE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, STE 101
VIRGINIA BEACH, VA 23462

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 Carleo's NPI number?

The NPI number for James Carleo is 1356364996. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is James Carleo located?

James Carleo practices at 4092 Foxwood Dr, Virginia Beach, VA 23462. The listed phone number is (757) 467-4200.

What is James Carleo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Carleo enrolled in Medicare?

Yes. James Carleo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Carleo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Carleo reassigns Medicare benefits to 2 organizations: Emergency Medicine Associates P.A., P.C. (Falls Church, VA) and Emergency Coverage, LLC (Newport, TN). 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 Carleo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Carleo was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.