JAMES CONGDON M.D.
NPI 1588764153
Psychiatry & Neurology - Psychiatry in Ambler, PA

Q: What is James Congdon's NPI number?

The NPI number for James Congdon is 1588764153. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Q: What is James Congdon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for James Congdon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 24, 2006PECOS EnrolledAccepts Medicare Assignment

722 E BUTLER PIKE, AMBLER, PA 19002(610) 524-1552 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James Congdon M.d. NPPES

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

JAMES CONGDON M.D. (NPI 1588764153) is an individual psychiatry provider in Ambler, Pennsylvania, licensed in Pennsylvania (MD022532E) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1977).

NPPES Registry Identity

NPI1588764153

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJAMES CONGDONCredential: M.D.

Location Address722 E BUTLER PIKEAmbler, PA 19002-2310

Mailing Address722 E Butler PikeAmbler, PA 19002-2310 · (610) 524-1552

Phone(610) 524-1552

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1977

Enumeration DateSeptember 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1588764153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in PA · MD022532E

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

722 E BUTLER PIKE, Ambler, PA 19002

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Other Identifiers 5

Medicaid0010284900003PA

Medicare ID-Type Unspecified147680LHBPA

OtherCD9539PA · Railroad Medicare

Other830401PA · Pennsylvania Blue Shield

Medicare UPINC31837PA

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 Congdon M.d. 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 ID2466638689

PECOS Enrollment IDI20110523000734

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

240 services30 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

19 services17 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

18 services16 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19002 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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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.

MARINA SHAINSKY MD

Psychiatry & Neurology (Psychiatry)