MR. JAMES JUDE GARCHITORENA PA
NPI 1417258872
Internal Medicine - Cardiovascular Disease in West Islip, NY

Q: What is James Garchitorena's NPI number?

The NPI number for James Garchitorena is 1417258872. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Q: What is James Garchitorena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since November 16, 2010PECOS EnrolledAccepts Medicare Assignment

84.39/100

CMS Quality Rating

540 UNION BLVD, WEST ISLIP, NY 11795(631) 669-2555(631) 669-5772 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2025, Sep 1, 2020 (2 updates tracked since 2020).

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About Mr. James Jude Garchitorena Pa NPPES

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

MR. JAMES JUDE GARCHITORENA PA (NPI 1417258872) is an individual cardiovascular disease provider in West Islip, New York, licensed in New York (006616-1) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1998).

NPPES Registry Identity

NPI1417258872

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMR. JAMES JUDE GARCHITORENACredential: PA

Location Address540 UNION BLVDWest Islip, NY 11795-3105

Mailing Address540 Union BlvdWest Islip, NY 11795-3105 · (631) 669-2555 · Fax (631) 669-5787

Phone(631) 669-2555

Fax(631) 669-5772

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1998

Enumeration DateNovember 16, 2010

Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1417258872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 006616-1

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

540 UNION BLVD, West Islip, NY 11795

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Other Identifiers 1

Other006616-1NY · Nys License Number

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

Mr. James Jude Garchitorena Pa 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 ID6103069844

PECOS Enrollment IDI20130828000994

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

618 services526 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.

508 services454 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.

140 services122 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.

128 services121 patients

Hospital Affiliations CMS Care Compare 2

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330182

Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County

Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

84.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.34

Promoting Interoperability

100

Improvement Activities

Cost

57.02

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.

ASHLEY ANNE HUBBARD NP-C

Nurse Practitioner (Adult Health)