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DR. JAMES ANDREW STEWART MD
NPI 1619097078
Emergency Medicine in Windber, PA

Active since March 30, 2007PECOS EnrolledAccepts Medicare Assignment
600 SOMERSET AVE, WINDBER, PA 15963(814) 467-3194(814) 467-3433 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Andrew Stewart Md NPPES

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

DR. JAMES ANDREW STEWART MD (NPI 1619097078) is an individual emergency medicine provider in Windber, Pennsylvania, licensed in Pennsylvania (MD031933E) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Chan Soon- Shiong Medical Center At Windber, and is a graduate of Hahneman Medical College Of The Pacific (1983).

NPPES Registry Identity

NPI1619097078
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES ANDREW STEWARTCredential: MD
Location Address600 SOMERSET AVEWindber, PA 15963-1331
Mailing Address600 Somerset AveWindber, PA 15963-1331 · (814) 467-3194 · Fax (814) 467-3433
Phone(814) 467-3194
Fax(814) 467-3433
Sole ProprietorYes
Medical School CMSHahneman Medical College Of The PacificGraduated 1983
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619097078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD031933E
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
600 SOMERSET AVE, Windber, PA 15963
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Other Identifiers 4

Medicare UPINC22283PA
Medicaid1007703740004PA
Medicare ID-Type Unspecified465692PA
Other465692PA · Highmark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. James Andrew Stewart 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 ID7113193459
PECOS Enrollment IDI20120109000157
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

5

Medicare enrollment records show James Stewart reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Windber Hospital, Inc.
Same address
Emergency Medicine
600 SOMERSET AVE
Windber, PA 15963
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 53 clinicians in this Medicare group
NPI 1790999837 (814) 467-3000
Dlp Conemaugh Physician Practices LLC
2.4 mi
Family Medicine
1450 SCALP AVE, STE. 003B
Johnstown, PA 15904
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
NPI 1861808909 (814) 269-9551
Dlp Conemaugh Miners Medical Center LLC
30 mi
Critical Access
290 HAIDA AVENUE
Hastings, PA 16646
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 clinicians in this Medicare group
NPI 1184620486 (814) 247-3100
Dlp Conemaugh Meyersdale Medical Center LLC
31 mi
Critical Access
200 HOSPITAL DR
Meyersdale, PA 15552
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 74 clinicians in this Medicare group
NPI 1659376358 (814) 634-5911
Bucktail Medical Center
95 mi
Critical Access
1001 PINE ST
Renovo, PA 17764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1982681102 (Pennsylvania)
  • 21 clinicians in this Medicare group
NPI 1821083700 (570) 923-1000

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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
50 services47 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services37 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services37 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390112
Location600 Somerset AvenueWindber, PA 15963 · Somerset County
Emergency services

Bucktail Medical Center

Critical Access Hospitals · Renovo, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391304
Location1001 Pine StreetRenovo, PA 17764 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15963 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.

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.

DR. PAUL AHLERS MD
Emergency Medicine
600 SOMERSET AVE
WINDBER, PA 15963
Somerset County (814) 467-3194
ELIZABETH MARIE DAMIANO DPT
Physical Therapist
600 SOMERSET AVE
WINDBER, PA 15963
Somerset County (814) 467-3486
KRISTIANA LANAE CASCINO
Physical Medicine & Rehabilitation
600 SOMERSET AVE
WINDBER, PA 15963
Somerset County (814) 467-3893
ALTERNATIVE COMMUNITY RESOURCE PROGRAM, INC.
Community/Behavioral Health
600 SOMERSET AVE
WINDBER, PA 15963
Somerset County (814) 535-2277
DR. REID GENTILE D.O.
Obstetrics & Gynecology
600 SOMERSET AVE
WINDBER, PA 15963
Somerset County (814) 467-3176
HANNAH WALTON DPT
Physical Therapist
600 SOMERSET AVE
WINDBER, PA 15963
Somerset County (814) 467-3000
LISA MARIE DRENNEN CRNP
Nurse Practitioner
600 SOMERSET AVE
WINDBER, PA 15963
Somerset County (814) 467-3176
SARA A DELSIGNORE D.P.T
Physical Therapist
600 SOMERSET AVE
WINDBER, PA 15963
Somerset County (814) 467-3465

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 Stewart's NPI number?

The NPI number for James Stewart is 1619097078. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is James Stewart located?

James Stewart practices at 600 Somerset Ave, Windber, PA 15963. The listed phone number is (814) 467-3194.

What is James Stewart's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Stewart enrolled in Medicare?

Yes. James Stewart 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 Stewart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Stewart reassigns Medicare benefits to 5 organizations: Windber Hospital, Inc. (Windber, PA), Dlp Conemaugh Physician Practices LLC (Johnstown, PA), Dlp Conemaugh Miners Medical Center LLC (Hastings, PA), Dlp Conemaugh Meyersdale Medical Center LLC (Meyersdale, PA) and Bucktail Medical Center (Renovo, PA). 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 Stewart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Stewart accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Stewart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Stewart affiliated with any hospitals?

According to CMS data, James Stewart is affiliated with Chan Soon- Shiong Medical Center At Windber and Bucktail Medical Center.

When was this NPI record last updated?

The NPPES record for James Stewart was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.