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JAMES CRAIG VANDEWALL MD
NPI 1609872795
Internal Medicine - Rheumatology in Olean, NY

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
81.86/100
CMS Quality Rating
415 N 8TH ST, OLEAN, NY 14760(716) 372-9399(716) 373-5530 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James Craig Vandewall Md NPPES

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

JAMES CRAIG VANDEWALL MD (NPI 1609872795) is an individual rheumatology provider in Olean, New York, licensed in New York (195467-1) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Jones Memorial Hospital, and is a graduate of Albany Medical College Of Union University (1989).

NPPES Registry Identity

NPI1609872795
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJAMES CRAIG VANDEWALLCredential: MD
Location Address415 N 8TH STOlean, NY 14760-2237
Mailing Address415 N 8th St, P.o. Box 1208Olean, NY 14760-6208 · (716) 372-9399 · Fax (716) 373-5530
Phone(716) 372-9399
Fax(716) 373-5530
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1989
Enumeration DateJune 23, 2005
Last NPPES UpdateJuly 5, 2023
✔ NPI 1609872795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in NY · 195467-1✔ Licensed in NY · 195467
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
415 N 8TH ST, Olean, NY 14760
Open in Google Maps ↗

Other Identifiers 2

OtherP00079354NY · Rr Medicare
Medicaid01482237NY

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 Craig Vandewall 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 ID6800788878
PECOS Enrollment IDI20040326000587
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 Reassignments

2

Medicare enrollment records show James Vandewall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Memorial Hospital Of William F. And Gertrude F. Jones, Inc.
25 mi
General Acute Care Hospital
191 N MAIN ST
Wellsville, NY 14895
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
NPI 1720030703 (585) 593-1100
Jones Medical Services, PC
25 mi
Obstetrics & Gynecology
191 N MAIN ST
Wellsville, NY 14895
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1376961532 (585) 593-1100

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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
337 services197 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.
111 services81 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
81 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

Olean General Hospital

Acute Care Hospitals · Olean, NY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number330103
Location515 Main StreetOlean, NY 14760 · Cattaraugus County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Upmc Cole

Critical Access Hospitals · Coudersport, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391313
Location1001 East Second StreetCoudersport, PA 16915 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14760 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

81.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.82
Promoting Interoperability100
Improvement Activities40
Cost43.82

Other Providers at the Same Location NPPES

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

SOUTHERN TIER ARTHRITIS & RHEUMATISM PC
Internal Medicine (Rheumatology)
415 N 8TH ST
OLEAN, NY 14760
Cattaraugus County (716) 372-9399

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 Vandewall's NPI number?

The NPI number for James Vandewall is 1609872795. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is James Vandewall located?

James Vandewall practices at 415 N 8th St, Olean, NY 14760. The listed phone number is (716) 372-9399.

What is James Vandewall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is James Vandewall enrolled in Medicare?

Yes. James Vandewall 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 organizations bill Medicare for James Vandewall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Vandewall reassigns Medicare benefits to 2 organizations: The Memorial Hospital Of William F. And Gertrude F. Jones, Inc. (Wellsville, NY) and Jones Medical Services, PC (Wellsville, NY). Each 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 Vandewall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Vandewall affiliated with any hospitals?

According to CMS data, James Vandewall is affiliated with Jones Memorial Hospital, Olean General Hospital, St James Mercy Hospital, Upmc Chautauqua At Wca and Upmc Cole.

When was this NPI record last updated?

The NPPES record for James Vandewall was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.