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JAMES J. DANIERO M.D.
NPI 1386817484
Otolaryngology in Charlottesville, VA

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
415 RAY C. HUNT DRIVE, STE 2200, CHARLOTTESVILLE, VA 22903(434) 924-2153(434) 243-6522 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James J. Daniero M.d. NPPES

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

JAMES J. DANIERO M.D. (NPI 1386817484) is an individual otolaryngology provider in Charlottesville, Virginia, licensed in Virginia (0101256833) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Eastern Virginia Medical School (2008).

NPPES Registry Identity

NPI1386817484
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJAMES J. DANIEROCredential: M.D.
Location Address415 RAY C. HUNT DRIVE, STE 2200Charlottesville, VA 22903-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-2153
Fax(434) 243-6522
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2008
Enumeration DateApril 9, 2008
Last NPPES UpdateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
✔ NPI 1386817484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in VA · 0101256833✔ Licensed in TN · MD49732✔ Licensed in PA · MD441203
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
415 RAY C. HUNT DRIVE, Charlottesville, VA 22903
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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 and accepts Medicare assignment

James J. Daniero M.d. 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 ID5092955567
PECOS Enrollment IDI20140923001646
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 7

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.
123 services99 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
104 services71 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.
88 services60 patients
Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
82 services63 patients
Injection of chemical for paralysis of nerve muscles on side of voice box 64617
This procedure involves injecting a chemical into the nerve muscles on one side of your voice box. The chemical temporarily paralyzes these muscles, helping to manage conditions that affect voice and swallowing. It's a safe, often temporary measure to improve your quality of life.
33 services13 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Referred Medical Equipment & Supplies CMS DME claims 10

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

Sterile water, saline and/or dextrose, diluent/flush, 10 ml A4216
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims948 services$0.40 avg. paid by Medicare
Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims422 services$2.61 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
3 suppliers16 claims1,320 services$6.18 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
6 suppliers30 claims1,028 services$4.49 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims1,400 services$0.11 avg. paid by Medicare
Large volume nebulizer, disposable, unfilled, used with aerosol compressor A7007
DME-Other DME · category DE000N
5 suppliers16 claims32 services$3.54 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 16

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

ANUJ SINGLA M.D
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3633
ZHENQI LIU M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE, STE 2100
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-1825
MICHELE R HAMRICK ANP
Nurse Practitioner (Adult Health)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-1825
RALF M. NASS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-1825
EUGENE J. BARRETT M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE, UVA ENDOCRINOLOGY
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-1825
ADAM Q. CARLSON M.D.
Internal Medicine (Rheumatology)
415 RAY C. HUNT DRIVE, STE 2100
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-0223
ELIZABETH A RABIN M.S.
Audiologist
415 RAY C. HUNT DRIVE, UVA ENT CLINIC AT FONTAINE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2050
MARY L. VANCE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE, STE 2100
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 982-3591

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 Daniero's NPI number?

The NPI number for James Daniero is 1386817484. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is James Daniero located?

James Daniero practices at 415 Ray C. Hunt Drive Ste 2200, Charlottesville, VA 22903. The listed phone number is (434) 924-2153.

What is James Daniero's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Daniero enrolled in Medicare?

Yes. James Daniero 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.

Is James Daniero affiliated with any hospitals?

According to CMS data, James Daniero is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for James Daniero was last updated on October 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.