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JAMES C. LO MD, PHD
NPI 1710008156
Internal Medicine - Cardiovascular Disease in New York, NY

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
520 EAST 70TH STREET, STARR 4, NEW YORK, NY 10021(646) 962-5558 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James C. Lo Md, Phd NPPES

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

JAMES C. LO MD, PHD (NPI 1710008156) is an individual cardiovascular disease provider in New York, New York, licensed in New York (279662) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2006).

NPPES Registry Identity

NPI1710008156
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAMES C. LOCredential: MD, PHD
Location Address520 EAST 70TH STREET, STARR 4New York, NY 10021
Mailing Address520 E 70th St, Starr 4New York, NY 10021-9800 · (646) 962-5558
Phone(646) 962-5558
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2006
Enumeration DateApril 3, 2007
Last NPPES UpdateOctober 11, 2017
✔ NPI 1710008156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 279662
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
520 EAST 70TH STREET, New York, NY 10021
Open in Google Maps ↗

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 C. Lo Md, Phd 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 ID3678751955
PECOS Enrollment IDI20150717001730
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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services45 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

MOISES DOMINGUEZ MD
Psychiatry & Neurology (Neurology)
520 EAST 70TH STREET, STARR 607
NEW YORK, NY 10021
New York County (212) 746-7038
DANIEL MATTHEW MCDONALD M.D,
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
520 EAST 70TH STREET, STARR 4
NEW YORK, NY 10021
New York County (646) 962-5555
RACHEL PATEL PA
Physician Assistant (Surgical)
520 EAST 70TH STREET, STARR PAVILION, 8TH FLOOR, K 803
NEW YORK, NY 10021
New York County (646) 962-2270
ALISON ROPER FNP-C
Nurse Practitioner (Family)
520 EAST 70TH STREET, STARR 443
NEW YORK, NY 10021
New York County (631) 578-4483
UDHAY KRISHNAN MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
520 EAST 70TH STREET, STARR 4
NEW YORK, NY 10021
New York County (212) 746-2381
DR. PAUL NICHOLAS CASALE M.D.
Internal Medicine (Cardiovascular Disease)
520 EAST 70TH STREET, STARR 4
NEW YORK, NY 10021
New York County (646) 962-5558
JEFFREY ABRAMS
Internal Medicine (Cardiovascular Disease)
520 EAST 70TH STREET, ST 443
NEW YORK, NY 10021
New York County (646) 962-2150
MICHAEL AMADOR MD
Hospitalist
520 EAST 70TH STREET, STARR PAVILION, ST-05-507
NEW YORK, NY 10021
New York County (212) 746-4071

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 Lo's NPI number?

The NPI number for James Lo is 1710008156. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is James Lo located?

James Lo practices at 520 East 70th Street Starr 4, New York, NY 10021. The listed phone number is (646) 962-5558.

What is James Lo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Lo enrolled in Medicare?

Yes. James Lo 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 Lo affiliated with any hospitals?

According to CMS data, James Lo is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for James Lo was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.