DR. JAMES A GADE D.O.
NPI 1518286483
Family Medicine in Erie, PA

Q: What is James Gade's NPI number?

The NPI number for James Gade is 1518286483. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Q: What is James Gade's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Gade was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 18, 2010PECOS EnrolledAccepts Medicare Assignment

90.17/100

CMS Quality Rating

3535 PINE AVE, ERIE, PA 16504(814) 454-3363(814) 454-4945 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. James A Gade D.o. NPPES

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

DR. JAMES A GADE D.O. (NPI 1518286483) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS014648) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2007).

NPPES Registry Identity

NPI1518286483

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES A GADECredential: D.O.

Location Address3535 PINE AVEErie, PA 16504-1743

Mailing Address3535 Pine AveErie, PA 16504-1743 · (814) 454-3363 · Fax (814) 454-4945

Phone(814) 454-3363

Fax(814) 454-4945

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2007

Enumeration DateMay 18, 2010

Last NPPES UpdateNovember 26, 2019

✔ NPI 1518286483 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 · OS014648

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.

3535 PINE AVE, Erie, PA 16504

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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

Dr. James A Gade D.o. 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 ID1658495924

PECOS Enrollment IDI20100824000867

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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

949 services180 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

403 services109 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

183 services80 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

182 services163 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.

122 services71 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

110 services98 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390063

Location201 State StreetErie, PA 16550 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16504 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

90.17/100

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

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

64.22

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%58 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers15 claims15 services$21.61 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$4.75 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers14 claims18 services$8.37 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389

DME-Orthotic Devices · category DF010N

2 suppliers13 claims140 services$6.00 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers20 claims1,936 services$0.10 avg. paid by Medicare

Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$14.01 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers28 claims1,029 services$6.80 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

1 supplier18 claims227 services$9.36 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

2 suppliers20 claims674 services$3.00 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

2 suppliers26 claims3,630 services$0.36 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers12 claims12 services$58.28 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers14 claims84 services$1.94 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers12 claims12 services$59.42 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

3 suppliers13 claims13 services$40.59 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

5 suppliers75 claims75 services$18.23 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers56 claims56 services$7.31 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers15 claims15 services$193.08 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 9

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

PHILIP CACCHIONE

Family Medicine

3535 PINE AVE, 2ND FLOOR
ERIE, PA 16504

Erie County (814) 454-3363

KRISTAN CHILCOTT

Physician Assistant

3535 PINE AVE, SUITE 2
ERIE, PA 16504

Erie County (814) 454-3363

ERIE PHYSICIANS NETWORK, PC

Clinic/Center (Multi-Specialty)

3535 PINE AVE, 1ST FLOOR
ERIE, PA 16504

Erie County (814) 456-0893

JULIA NICHOLE EIMERS

Physical Therapy Assistant

3535 PINE AVE
ERIE, PA 16504

Erie County (814) 480-6845

DR. CRAIG TYRRELL JOHNSTON JR. DO

Family Medicine

3535 PINE AVE
ERIE, PA 16504

Erie County (814) 877-7260

ERIE PHYSICIANS NETWORK- UPMC INC

Non-Pharmacy Dispensing Site

3535 PINE AVE, STE 1
ERIE, PA 16504

Erie County (814) 454-3363

DR. CRAIG T JOHNSTON DO

Family Medicine

3535 PINE AVE, 1ST FLOOR
ERIE, PA 16504

Erie County (814) 454-3363

ERIE PHYSICIANS NETWORK PC

Clinic/Center (Multi-Specialty)

3535 PINE AVE, 1ST FLOOR
ERIE, PA 16504

Erie County (814) 456-5469

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 Gade's NPI number?

The NPI number for James Gade is 1518286483. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is James Gade located?

James Gade practices at 3535 Pine Ave, Erie, PA 16504. The listed phone number is (814) 454-3363.

What is James Gade's specialty?

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

Is James Gade enrolled in Medicare?

Yes. James Gade 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 Gade affiliated with any hospitals?

According to CMS data, James Gade is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for James Gade was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.