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JAMES DAVID KNOX JR. M.D.
NPI 1376698142
Family Medicine in Broomall, PA

Active since January 24, 2007PECOS Enrolled
1991 SPROUL RD, SUITE 300, BROOMALL, PA 19008(610) 325-1390(610) 325-1373 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James David Knox Jr. M.d. NPPES

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

JAMES DAVID KNOX JR. M.D. (NPI 1376698142) is an individual family medicine provider in Broomall, Pennsylvania, licensed in Pennsylvania (MD039047E) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Broomall.

NPPES Registry Identity

NPI1376698142
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES DAVID KNOX JR.Credential: M.D.
Location Address1991 SPROUL RD, SUITE 300Broomall, PA 19008-3512
Mailing Address135 S Bryn Mawr Ave Ste 200Bryn Mawr, PA 19010-3129 · (610) 325-1390 · Fax (610) 325-1373
Phone(610) 325-1390
Fax(610) 325-1373
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJanuary 3, 2018
✔ NPI 1376698142 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 · MD039047E
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.
1991 SPROUL RD, Broomall, PA 19008
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Secondary Practice Location 1

Location 11991 Sproul Rd, Suite 300Broomall, PA 19008-3512 · Phone (610) 325-1390 · Fax (610) 325-1373

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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 David Knox Jr. M.d. 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 Knox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christiana Care Health Services Inc
12 mi
Nuclear Medicine
161 WILMINGTON W CHESTER PIKE, CONCORD HEALTH CENTER
Chadds Ford, PA 19317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 186 clinicians in this Medicare group
NPI 1023445889 (610) 361-1150

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 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.
320 services204 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.
68 services57 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.
59 services59 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
41 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19008 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims57 services$6.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$13.00 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 suppliers13 claims13 services$62.40 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.

MRS. SEEMA STRACCIOLINI RPH
Pharmacist
1991 SPROUL RD
BROOMALL, PA 19008
Delaware County (610) 325-8422
MICHELE BRAMLEY CRNP
Nurse Practitioner (Family)
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
MS. GILDA AUDREY JOHNSON CPNP
Nurse Practitioner (Pediatrics)
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
DR. RANDOLPH P. HEINZEL MD
Obstetrics & Gynecology
1991 SPROUL RD, SUITE 200
BROOMALL, PA 19008
Delaware County (610) 325-1350
DR. WINSON THOLOOR GEORGE PHD, D.O
Family Medicine
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
DR. SEAN PATRICK GNECCO M.D.
Family Medicine
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
PHILLIP A DOBSON MD
Family Medicine
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
MRS. JACQUELYN ELIZABETH MOWDAY NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
1991 SPROUL RD, SUITE 200
BROOMALL, PA 19008
Delaware County (610) 325-1350

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 Knox's NPI number?

The NPI number for James Knox is 1376698142. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is James Knox located?

James Knox practices at 1991 Sproul Rd Suite 300, Broomall, PA 19008. The listed phone number is (610) 325-1390.

What is James Knox's specialty?

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

Is James Knox enrolled in Medicare?

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

Which organization bills Medicare for James Knox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Knox reassigns Medicare benefits to Christiana Care Health Services Inc (Chadds Ford, 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 Knox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Knox accept?

Health plans from AmeriHealth Caritas Next list James Knox 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 Knox was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.