JAMES FOX CONTI MD
NPI 1578050613
Family Medicine - Hospice and Palliative Medicine in Washington, DC

Active since April 14, 2018PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
3800 RESERVOIR RD NW, WASHINGTON, DC 20007(202) 444-2611 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2022, Jun 26, 2018, Apr 14, 2018 (3 updates tracked since 2018).

About James Fox Conti Md NPPES

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

JAMES FOX CONTI MD (NPI 1578050613) is an individual hospice and palliative medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD200001360) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2018).

NPPES Registry Identity

NPI1578050613
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameJAMES FOX CONTICredential: MD
Location Address3800 RESERVOIR RD NWWashington, DC 20007-2113
Mailing Address1400 E West Hwy Apt 1205Silver Spring, MD 20910-3262 · (201) 414-7362
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2018
Enumeration DateApril 14, 2018
Last NPPES UpdateJuly 11, 20223 updates tracked since enumeration
NPPES CertifiedJune 15, 2022
NPI 1578050613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License Licensed in DC · MD200001360
Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

3800 RESERVOIR RD NW, Washington, DC 20007

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 Fox Conti Md 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 ID8921354564
PECOS Enrollment IDI20220822003327, I20240117002800
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 6

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
208 services87 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
74 services60 patients
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.
53 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services50 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
24 services20 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20007 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.73 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 20

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

Urology
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Pediatrics (Pediatric Gastroenterology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Audiologist
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Pediatrics (Pediatric Endocrinology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Internal Medicine (Allergy & Immunology)
3800 RESERVOIR RD NW, RM B-105 LOWER LEVEL KOBER-COGAN BLDG, GEORGETOWN UNIV
WASHINGTON, DC 20007
Nurse Anesthetist, Certified Registered
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Obstetrics & Gynecology
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Obstetrics & Gynecology
3800 RESERVOIR RD NW
WASHINGTON, DC 20007

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 Conti's NPI number?

The NPI number for James Conti is 1578050613. It was assigned to this individual provider in the NPPES registry on April 14, 2018.

Where is James Conti located?

James Conti practices at 3800 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 444-2611.

What is James Conti's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is James Conti enrolled in Medicare?

Yes. James Conti 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.

When was this NPI record last updated?

The NPPES record for James Conti was last updated on July 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.