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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES A KRUSE M.D.
NPI 1679538292
Internal Medicine in Cooperstown, NY

Active since April 18, 2006PECOS Enrolled
86.64/100
CMS Quality Rating
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3909(607) 547-6325 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. James A Kruse M.d. NPPES

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

DR. JAMES A KRUSE M.D. (NPI 1679538292) is an individual internal medicine provider in Cooperstown, New York, licensed in New York (233557) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (1979).

NPPES Registry Identity

NPI1679538292
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES A KRUSECredential: M.D.
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing AddressPo Box 725Cooperstown, NY 13326-0725 · (607) 547-3909 · Fax (607) 547-6325
Phone(607) 547-3909
Fax(607) 547-6325
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1979
Enumeration DateApril 18, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1679538292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 233557
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 233557 (NY)
1 ATWELL RD, Cooperstown, NY 13326
Open in Google Maps ↗

Other Identifiers 1

Medicaid02587566NY

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

Dr. James A Kruse 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 ID4880667286
PECOS Enrollment IDI20040921000192
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
113 services53 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
21 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331311
Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

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.

SHIRLEY SCHUE ARNP
Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-6982
MARGUERITE DUPLESSIS PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3153
KYLE NICK PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
MS. BARBARA MARY SEPP LCSW
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3500
PATRICIA LINDSAY PA-C
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3400
HAYLEE SMITH
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
DR. CHRIS L KJOLHEDE M.D.
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3290
ELIZABETH FINAN GUINEY L.M., C.M.
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3160

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 Kruse's NPI number?

The NPI number for James Kruse is 1679538292. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is James Kruse located?

James Kruse practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3909.

What is James Kruse's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Kruse enrolled in Medicare?

Yes. James Kruse 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.

Is James Kruse affiliated with any hospitals?

According to CMS data, James Kruse is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare and Little Falls Hospital.

When was this NPI record last updated?

The NPPES record for James Kruse was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.