Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES E OMOHUNDRO MD
NPI 1487738175
Pediatrics in Queensbury, NY

Active since October 25, 2006PECOS Enrolled
28 S WESTERN AVE, QUEENSBURY, NY 12804(518) 798-6400(518) 798-4105 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2026, Mar 13, 2026, May 27, 2025 and 6 more (9 updates tracked since 2021).

About James E Omohundro Md NPPES

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

JAMES E OMOHUNDRO MD (NPI 1487738175) is an individual pediatrics provider in Queensbury, New York, licensed in New York (320054) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487738175
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES E OMOHUNDROCredential: MD
Location Address28 S WESTERN AVEQueensbury, NY 12804-3323
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Fax(518) 798-4105
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 8, 20269 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1487738175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 320054
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
28 S WESTERN AVE, Queensbury, NY 12804

Secondary Practice Locations 2

Location 11299 Route 9Gansevoort, NY 12831-1560 · Phone (518) 761-6961 · Fax (518) 761-1006
Location 238 Larose StGlens Falls, NY 12801-3452 · Phone (518) 824-8181 · Fax (833) 819-0268

Other Identifiers 1

Medicaid07545311NY

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)

James E Omohundro Md 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 Omohundro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
28 S WESTERN AVE
Queensbury, NY 12804
  • Reassigned Medicare billing, New York enrollment
  • 197 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12804 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 9

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

Obstetrics & Gynecology
28 S WESTERN AVE
QUEENSBURY, NY 12804
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804
Clinic/Center (Primary Care)
28 S WESTERN AVE
QUEENSBURY, NY 12804
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804
Nurse Practitioner (Pediatrics)
28 S WESTERN AVE
QUEENSBURY, NY 12804
Nurse Practitioner (Pediatrics)
28 S WESTERN AVE
QUEENSBURY, NY 12804
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804

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 Omohundro's NPI number?

The NPI number for James Omohundro is 1487738175. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is James Omohundro located?

James Omohundro practices at 28 S Western Ave, Queensbury, NY 12804. The listed phone number is (518) 798-6400.

What is James Omohundro's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Omohundro enrolled in Medicare?

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

Which organization bills Medicare for James Omohundro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Omohundro reassigns Medicare benefits to Hudson Headwaters Health Network (Queensbury, NY). 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 Omohundro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Omohundro accept?

Health plans from Dean Health Plan list James Omohundro 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 Omohundro was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.