JAMES EDWARD O'DORISIO M.D.
NPI 1598820219
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Santa Rosa, CA

Q: What is James O'dorisio's NPI number?

The NPI number for James O'dorisio is 1598820219. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is James O'dorisio's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for James O'dorisio was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 22, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

76 BROOKWOOD AVE, SANTA ROSA, CA 95404(707) 578-3000(707) 540-6407 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About James Edward O'dorisio M.d. NPPES

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

JAMES EDWARD O'DORISIO M.D. (NPI 1598820219) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Santa Rosa, California, licensed in California (A44147) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1982).

NPPES Registry Identity

NPI1598820219

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameJAMES EDWARD O'DORISIOCredential: M.D.

Location Address76 BROOKWOOD AVESanta Rosa, CA 95404-4312

Mailing Address76 Brookwood AveSanta Rosa, CA 95404-4312 · (707) 578-3000 · Fax (707) 540-6407

Phone(707) 578-3000

Fax(707) 540-6407

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1982

Enumeration DateDecember 22, 2006

Last NPPES UpdateAugust 11, 2015

✔ NPI 1598820219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in CA · A44147

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License A44147 (CA)

76 BROOKWOOD AVE, Santa Rosa, CA 95404

Open in Google Maps ↗

Other Identifiers 9

Other00A441470CA · Blue Shield Of California

Medicare PIN00A441473CA

Medicare PIN00A441474CA

Medicare UPINE40617CA

Medicare PIN00A441471CA

OtherP00462712Railroad Medicare

Medicare PIN00A441475CA

Medicaid00A441470CA

Medicare PIN00A441472CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Edward O'dorisio 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 ID2062405038

PECOS Enrollment IDI20070219000819

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 O'dorisio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

James E O'dorisio MD A Professional Corporation

Same address

Thoracic Surgery (Cardiothoracic Vascular Surgery)

76 BROOKWOOD AVE
Santa Rosa, CA 95404

Reassigned Medicare billing, California enrollment

NPI 1083050041 (707) 578-3000

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

Areas of Expertise CMS Part B claims 20

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

798 services119 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

590 services319 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

535 services101 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

490 services74 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

443 services33 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.

363 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

196 services196 patients

Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482

This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.

145 services86 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

141 services80 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

87 services57 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

60 services60 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

55 services53 patients

Testing of autonomic nervous system function and heart rate response to deep breathing 95921

This test studies the autonomic nervous system, which controls body functions like heart rate. During the test, you'll breathe deeply while the heart rate is monitored. This helps identify any irregularities in the heart's response to breathing changes.

55 services53 patients

Testing of autonomic (sympathetic) nervous system function 95923

Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.

53 services51 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.

45 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

36 services30 patients

Drainage of deep abscess or blood accumulation of leg or ankle 27603

This procedure involves removing a pocket of pus or blood that has collected deep within the leg or ankle. A small incision is made to access the area, then the fluid is drained to alleviate pressure and discomfort, and to promote healing.

30 services18 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

15 services11 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

13 services11 patients

Chemical destruction of subsequent incompetent veins of arm or leg using imaging guidance 36483

This procedure involves using a chemical to close off unhealthy veins in your arm or leg. Imaging guidance helps ensure the chemical is accurately delivered to the problematic veins. This can improve blood flow and alleviate discomfort.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 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

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

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.

100/100

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

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%520 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%2,240 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 8

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

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

1 supplier17 claims1,544 services$0.38 avg. paid by Medicare

Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard A6449

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims560 services$1.69 avg. paid by Medicare

Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each A6545

DME-Medical/Surgical Supplies · category DA000N

1 supplier24 claims33 services$80.12 avg. paid by Medicare

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550

DME-Other DME · category DE000N

1 supplier14 claims165 services$22.88 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

1 supplier14 claims105 services$7.80 avg. paid by Medicare

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651

DME-Other DME · category DE000N

1 supplier34 claims34 services$755.07 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 4

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

DR. PETER BERNARD ALBERT PAPPAS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

76 BROOKWOOD AVE
SANTA ROSA, CA 95404

Sonoma County (707) 523-2381

JAMES E O'DORISIO MD A PROFESSIONAL CORPORATION

Thoracic Surgery (Cardiothoracic Vascular Surgery)

76 BROOKWOOD AVE
SANTA ROSA, CA 95404

Sonoma County (707) 578-3000

MRS. MARY ILEEN ELLIFF CRNFA

Registered Nurse (Registered Nurse First Assistant)

76 BROOKWOOD AVE, SANTA ROSA AMBULATORY SURGERY CENTER
SANTA ROSA, CA 95404

Sonoma County (510) 970-5000

PETER B A PAPPAS MD INC

Specialist

76 BROOKWOOD AVE
SANTA ROSA, CA 95404

Sonoma County (707) 523-2381

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 O'dorisio's NPI number?

The NPI number for James O'dorisio is 1598820219. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is James O'dorisio located?

James O'dorisio practices at 76 Brookwood Ave, Santa Rosa, CA 95404. The listed phone number is (707) 578-3000.

What is James O'dorisio's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James O'dorisio enrolled in Medicare?

Yes. James O'dorisio 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.

Which organization bills Medicare for James O'dorisio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James O'dorisio reassigns Medicare benefits to James E O'dorisio MD A Professional Corporation (Santa Rosa, CA). 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 O'dorisio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James O'dorisio was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.