DR. JAMES G SACCOMANDO JR. MD, PC
NPI 1487602330
Psychiatry & Neurology - Child & Adolescent Psychiatry in Green Bay, WI

Active since May 04, 2006PECOS Enrolled
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301(920) 433-3630 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, Apr 23, 2024, Aug 22, 2023 and 6 more (9 updates tracked since 2017).

About Dr. James G Saccomando Jr. Md, Pc NPPES

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

DR. JAMES G SACCOMANDO JR. MD, PC (NPI 1487602330) is an individual child & adolescent psychiatry provider in Green Bay, Wisconsin, licensed in Virginia (0101280875) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487602330
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JAMES G SACCOMANDO JR.Credential: MD, PC
Location Address301 E SAINT JOSEPH STGreen Bay, WI 54301-2241
Mailing Address3916 N Potsdam Ave # 61Sioux Falls, SD 57104-7048 · (208) 866-8330 · Fax (208) 213-1542
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 8, 20269 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1487602330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in VA · 0101280875✔ Licensed in WI · 103898-875✔ Licensed in ID · M9565✔ Licensed in WA · 61313854
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 61313854 (WA), M9565 (ID), MD478082 (PA)
301 E SAINT JOSEPH ST, Green Bay, WI 54301

Other Identifiers 2

Medicaid500664707OR
Medicaid807512200ID

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James G Saccomando Jr. Md, Pc 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 Reassignments

5

Medicare enrollment records show James Saccomando reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
923 ELIZA ST
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
Orthopaedic Surgery
111 S 11TH AVE STE 320
Yakima, WA 98902
  • Reassigned Medicare billing, Washington enrollment
  • 565 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychiatry & Neurology (Psychiatry)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Counselor
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Nurse Practitioner (Psychiatric/Mental Health)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Counselor (Professional)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301

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 Saccomando's NPI number?

The NPI number for James Saccomando is 1487602330. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is James Saccomando located?

James Saccomando practices at 301 E Saint Joseph St, Green Bay, WI 54301. The listed phone number is (920) 433-3630.

What is James Saccomando's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is James Saccomando enrolled in Medicare?

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

Which organizations bill Medicare for James Saccomando's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Saccomando reassigns Medicare benefits to 5 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI), Mount Nittany Medical Center Health Services Inc (State College, PA), Billings Clinic (Miles City, MT) and Yakima Valley Memorial Physicians (Yakima, WA). Each 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 Saccomando's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Saccomando accept?

Health plans from CareSource (Common Ground Healthcare), Providence Health Plan and Select Health list James Saccomando 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 Saccomando was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.