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JAMES EDWARD SIOMA DO
NPI 1376504936
Family Medicine in Littlestown, PA

Active since March 31, 2006PECOS Enrolled
82.54/100
CMS Quality Rating
300 W KING ST, LITTLESTOWN, PA 17340(717) 359-9214(717) 359-8120 Get Directions Write a Review

NPPES record last updated: December 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2020, Jul 29, 2019 (2 updates tracked since 2019).

About James Edward Sioma Do NPPES

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

JAMES EDWARD SIOMA DO (NPI 1376504936) is an individual family medicine provider in Littlestown, Pennsylvania, licensed in Pennsylvania (OS005964L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376504936
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES EDWARD SIOMACredential: DO
Location Address300 W KING STLittlestown, PA 17340-1446
Mailing Address409 S 2nd St Ste 2fHarrisburg, PA 17104-1612 · (717) 316-3481 · Fax (717) 630-9228
Phone(717) 359-9214
Fax(717) 359-8120
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateDecember 12, 20202 updates tracked since enumeration
NPPES CertifiedDecember 12, 2020
✔ NPI 1376504936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS005964L
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

300 W KING ST, Littlestown, PA 17340
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Edward Sioma Do 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.

Areas of Expertise CMS Part B claims 5

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 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.
289 services214 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
103 services103 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
82 services82 patients
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.
71 services62 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17340 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims52 services$18.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers40 claims97 services$5.28 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$15.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$83.82 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims5,200 services$9.51 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
1 supplier12 claims48 services$2.38 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 10

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

MEAGAN WHITSON FNP-C
Nurse Practitioner (Family)
300 W KING ST
LITTLESTOWN, PA 17340
Adams County (717) 359-9214
JENNIFER M CLARK CRNP
Nurse Practitioner (Family)
300 W KING ST, SUITE C
LITTLESTOWN, PA 17340
Adams County (717) 339-2390
MRS. KAREN ELAINE PHILLIPS CRNP
Nurse Practitioner (Family)
300 W KING ST
LITTLESTOWN, PA 17340
Adams County (717) 359-9214
KIMBERLY HOLLIE
Physical Therapist
300 W KING ST
LITTLESTOWN, PA 17340
Adams County (717) 359-4078
PINNACLE HEALTH MEDICAL SERVICES
Family Medicine
300 W KING ST
LITTLESTOWN, PA 17340
Adams County (717) 359-9214
WELLSPAN MEDICAL GROUP
Family Medicine
300 W KING ST, SUITE C
LITTLESTOWN, PA 17340
Adams County (717) 339-2390
MRS. CYNTHIA MARIE CLASS-MCGREW CRNP, FNP-BC
Nurse Practitioner (Family)
300 W KING ST
LITTLESTOWN, PA 17340
Adams County (717) 359-9214
HANOVER HEALTH CORPORATION, INC.
Clinic/Center (Primary Care)
300 W KING ST
LITTLESTOWN, PA 17340
Adams County (717) 359-9214

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 Sioma's NPI number?

The NPI number for James Sioma is 1376504936. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is James Sioma located?

James Sioma practices at 300 W King St, Littlestown, PA 17340. The listed phone number is (717) 359-9214.

What is James Sioma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Sioma enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for James Sioma was last updated on December 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.