JAMES T FINEGAN JR. MD
NPI 1750332532
Ophthalmology in Phillipsburg, NJ

Q: What is James Finegan's NPI number?

The NPI number for James Finegan is 1750332532. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is James Finegan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for James Finegan was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 15, 2006PECOS EnrolledAccepts Medicare Assignment

82.6/100

CMS Quality Rating

236 ROSEBERRY ST, PHILLIPSBURG, NJ 08865(908) 859-4311(908) 859-4499 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About James T Finegan Jr. Md NPPES

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

JAMES T FINEGAN JR. MD (NPI 1750332532) is an individual ophthalmology provider in Phillipsburg, New Jersey, licensed in New Jersey (25MA05273500) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of University Of Virginia School Of Medicine (1985).

NPPES Registry Identity

NPI1750332532

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJAMES T FINEGAN JR.Credential: MD

Location Address236 ROSEBERRY STPhillipsburg, NJ 08865

Mailing Address236 Roseberry StPhillipsburg, NJ 08865 · (908) 859-4311 · Fax (908) 859-4499

Phone(908) 859-4311

Fax(908) 859-4499

Sole ProprietorYes

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1985

Enumeration DateMay 15, 2006

Last NPPES UpdateSeptember 10, 2010

✔ NPI 1750332532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NJ · 25MA05273500✔ Licensed in PA · MD043560E

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

236 ROSEBERRY ST, Phillipsburg, NJ 08865

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Other Identifiers 13

Other2163689Aetna

OtherP732759Oxford

Other360561Well Choice

Medicare ID-Type Unspecified113964NJ

Medicare ID-Type Unspecified896991PA

Other000113964Highmark

OtherE14989Sterling

Medicare UPINE14989

Other02188501Capital Bcbs

Other0686421000Amerihealth

Other0686421000Keystone East

OtherOK07221Healthnet

Other360561Empire Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

James T Finegan Jr. 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 ID8224153291

PECOS Enrollment IDI20100914000804

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

Finegan Eye Associates PA

Same address

Ophthalmology

236 ROSEBERRY ST
Phillipsburg, NJ 08865

Reassigned Medicare billing, New Jersey enrollment

NPI 1902856560 (908) 859-4311

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 16

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,565 services1,545 patients

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.

643 services437 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

520 services515 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

424 services422 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

423 services418 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

410 services344 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

231 services231 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

230 services176 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

219 services172 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.

67 services67 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

62 services61 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

58 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.

56 services53 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

36 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

27 services20 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.

82.6/100

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

Individually scored

Quality

100

Improvement Activities

Cost

42.01

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

96%633 patients3/55-star benchmark: 100%

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

98%127 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

96%171 patients5/55-star benchmark: 87%

Complications After Cataract Surgery

Lower rates are better for this measure.

0%320 patients

Diabetes: Eye Exam

100%529 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%6,553 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

95%1,000 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%561 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 3,435 patients

Patients totalRate: 0% · 3,435 patients

0%3,435 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 2

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

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier19 claims19 services$44.19 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier26 claims49 services$55.43 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 2

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

KELLE AYERS OD

Optometrist

236 ROSEBERRY ST
PHILLIPSBURG, NJ 08865

Warren County (908) 859-4311

FINEGAN EYE ASSOCIATES PA

Ophthalmology

236 ROSEBERRY ST
PHILLIPSBURG, NJ 08865

Warren County (908) 859-4311

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 Finegan's NPI number?

The NPI number for James Finegan is 1750332532. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is James Finegan located?

James Finegan practices at 236 Roseberry St, Phillipsburg, NJ 08865. The listed phone number is (908) 859-4311.

What is James Finegan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Finegan enrolled in Medicare?

Yes. James Finegan 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 Finegan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Finegan reassigns Medicare benefits to Finegan Eye Associates PA (Phillipsburg, NJ). 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 Finegan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Finegan accept?

Health plans from Oscar Health list James Finegan 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 Finegan affiliated with any hospitals?

According to CMS data, James Finegan is affiliated with St Luke's Warren Hospital and St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for James Finegan was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.