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JAMES CELEBREZZE JR.
NPI 1366442949
Colon & Rectal Surgery in Pittsburgh, PA

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
320 E NORTH AVE, AGH COLON & RECTAL SURGERY, PITTSBURGH, PA 15212(412) 359-3901 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Celebrezze Jr. NPPES

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

JAMES CELEBREZZE JR. (NPI 1366442949) is an individual colon & rectal surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD071242L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of Northeastern Ohio University College Of Medicine (1994).

NPPES Registry Identity

NPI1366442949
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameJAMES CELEBREZZE JR.
Location Address320 E NORTH AVE, AGH COLON & RECTAL SURGERYPittsburgh, PA 15212-4756
Mailing Address9100 Babcock Blvd, Ground Floor, South TowerPittsburgh, PA 15237-5815
Phone(412) 359-3901
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1994
Enumeration DateJuly 26, 2005
Last NPPES UpdateMarch 25, 2021
✔ NPI 1366442949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in PA · MD071242L
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
320 E NORTH AVE, Pittsburgh, PA 15212
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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 Celebrezze Jr. 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 ID7719030303
PECOS Enrollment IDI20090729000610
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 Celebrezze Jr. reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Pittsburgh Physicians
1.5 mi
Pediatrics
4401 PENN AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1225096639 (412) 692-5325

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 6

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.

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.
42 services37 patients
Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330
This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
17 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 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.
17 services16 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
16 services16 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 12

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

Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
5 suppliers16 claims30 services$7.08 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
5 suppliers23 claims37 services$3.42 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
11 suppliers44 claims1,290 services$4.47 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
7 suppliers32 claims424 services$2.50 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
4 suppliers14 claims94 services$5.16 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
8 suppliers65 claims1,670 services$5.71 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. MATTHEW SCOTT HARTMAN M.D.
Radiology (Diagnostic Radiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-2459
DR. JOSEF TURNER M.D.
Emergency Medicine
320 E NORTH AVE, EMERGENCY MEDICINE RESIDENCY OFFICE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
DR. MATTHEW MICHAEL LANDER M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6500
DR. VINCENT SAMUEL CERETTO D.O
Emergency Medicine (Medical Toxicology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3030
MATTHEW LYONS CRNA
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3155
MISS KRISTY LYNN BOWMAN RN
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6581
ANNA MOSELEY VANATTA MD
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
MACKENZIE MARIE MCGAHAN DO
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905

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 Celebrezze Jr.'s NPI number?

The NPI number for James Celebrezze Jr. is 1366442949. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is James Celebrezze Jr. located?

James Celebrezze Jr. practices at 320 E North Ave Agh Colon & Rectal Surgery, Pittsburgh, PA 15212. The listed phone number is (412) 359-3901.

What is James Celebrezze Jr.'s specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is James Celebrezze Jr. enrolled in Medicare?

Yes. James Celebrezze Jr. 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 organization bills Medicare for James Celebrezze Jr.'s services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Celebrezze Jr. reassigns Medicare benefits to University Of Pittsburgh Physicians (Pittsburgh, PA). The 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 Celebrezze Jr.'s services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Celebrezze Jr. affiliated with any hospitals?

According to CMS data, James Celebrezze Jr. is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, Upmc Northwest, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for James Celebrezze Jr. was last updated on March 25, 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.