DR. JAMES P RIZZO M.D.
NPI 1750524773
Pathology - Anatomic Pathology & Clinical Pathology in New Albany, IN

Active since April 07, 2009PECOS EnrolledAccepts Medicare Assignment
86.33/100
CMS Quality Rating
1850 STATE ST, NEW ALBANY, IN 47150(502) 456-6211(502) 456-4440 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 5, 2022, Feb 19, 2021, May 7, 2018 (3 updates tracked since 2018).

About Dr. James P Rizzo M.d. NPPES

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

DR. JAMES P RIZZO M.D. (NPI 1750524773) is an individual anatomic pathology & clinical pathology provider in New Albany, Indiana, licensed in Indiana (01073165A) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and maintains a secondary practice location in New Albany.

NPPES Registry Identity

NPI1750524773
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JAMES P RIZZOCredential: M.D.
Location Address1850 STATE STNew Albany, IN 47150-4990
Mailing Address1941 Bishop Ln Ste 1018Louisville, KY 40218-1928 · (502) 456-6211 · Fax (502) 456-4440
Fax(502) 456-4440
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2007
Enumeration DateApril 7, 2009
Last NPPES UpdateDecember 5, 20223 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1750524773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in IN · 01073165A✔ Licensed in KY · 45128
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1850 STATE ST, New Albany, IN 47150

Secondary Practice Location 1

Location 12630 Grant Line RdNew Albany, IN 47150-4053 · Phone (812) 945-0145

Other Identifiers 5

Medicaid201212120AIN
Medicaid7100243640KY
OtherP01287147IN · Medicare Rr
Other000000866250KY · Anthem
Other50062356KY · Passport

Accepted Insurance

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 P Rizzo 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 ID9234377565
PECOS Enrollment IDI20140123000464
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 20

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,286 services654 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
492 services106 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
233 services187 patients
Cell examination of specimen, concentration technique 88108
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
210 services183 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
196 services154 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
121 services76 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Physicians' Medical Center LLC

Acute Care Hospitals · New Albany, IN
OwnershipPhysician
CMS Certification Number150172
Location4023 Reas LnNew Albany, IN 47150 · Floyd County

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151306
Location642 W Hospital RdPaoli, IN 47454 · Orange County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47150 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

86.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.27
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.

Anesthesiology
1850 STATE ST
NEW ALBANY, IN 47150
Nurse Anesthetist, Certified Registered
1850 STATE ST
NEW ALBANY, IN 47150
Pathology (Anatomic Pathology & Clinical Pathology)
1850 STATE ST, PATHOLOGY DEPT
NEW ALBANY, IN 47150
Anesthesiology
1850 STATE ST
NEW ALBANY, IN 47150
Anesthesiology
1850 STATE ST
NEW ALBANY, IN 47150
Pharmacist
1850 STATE ST
NEW ALBANY, IN 47150
Hospitalist
1850 STATE ST
NEW ALBANY, IN 47150
Nurse Practitioner (Family)
1850 STATE ST
NEW ALBANY, IN 47150

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 Rizzo's NPI number?

The NPI number for James Rizzo is 1750524773. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Where is James Rizzo located?

James Rizzo practices at 1850 State St, New Albany, IN 47150. The listed phone number is (502) 456-6211.

What is James Rizzo's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is James Rizzo enrolled in Medicare?

Yes. James Rizzo 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.

What insurance does James Rizzo accept?

Health plans from CareSource list James Rizzo 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 Rizzo affiliated with any hospitals?

According to CMS data, James Rizzo is affiliated with Baptist Health Floyd, Physicians' Medical Center LLC, Indiana University Health Paoli Hospital, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for James Rizzo was last updated on December 5, 2022. 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.