JAMES J O'BRIEN MD
NPI 1770578031
Internal Medicine - Cardiovascular Disease in Albany, NY

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
86.55/100
CMS Quality Rating
CAPITAL CARDIOLOGY ASSOCIATES PC, 7 SOUTHWOODS BLVD, ALBANY, NY 12211(518) 292-6000(518) 292-6050 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James J O'brien Md NPPES

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

JAMES J O'BRIEN MD (NPI 1770578031) is an individual cardiovascular disease provider in Albany, New York, licensed in New York (203505) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1770578031
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAMES J O'BRIENCredential: MD
Location AddressCAPITAL CARDIOLOGY ASSOCIATES PC, 7 SOUTHWOODS BLVDAlbany, NY 12211-2526
Mailing AddressCapital Cardiology Associates Pc, 7 Southwoods BlvdAlbany, NY 12211-2526 · (518) 292-6000 · Fax (518) 292-6050
Fax(518) 292-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJanuary 30, 2015
NPI 1770578031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 203505
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.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 203505 (NY)
CAPITAL CARDIOLOGY ASSOCIATES PC, Albany, NY 12211

Other Identifiers 6

Medicaid3128041MA
Other060067441NY · Rr Medicare
Medicare PINCC8775NY
Medicare UPINF44311
Medicaid01816733NY
Medicaid1007527VT

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 J O'brien 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 ID4385726777
PECOS Enrollment IDI20091222000672
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 50

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.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
6,248 services13 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
953 services121 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
936 services297 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
734 services518 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.
653 services471 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
578 services190 patients

Hospital Affiliations CMS Care Compare 5

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia 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

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12211 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

86.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.58
Promoting Interoperability100
Improvement Activities40
Cost57.88

Reported Quality Measures

Controlling High Blood Pressure
74%282 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
73%26 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
77%2,851 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%1,493 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%1,181 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 345 patients
Patients screened: 99% · 345 patients
98%58 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%619 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%848 patients4/55-star benchmark: 91%
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Acute Care)
CAPITAL CARDIOLOGY ASSOCIATES PC, 7 SOUTHWOODS BLVD
ALBANY, NY 12211

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 O'brien's NPI number?

The NPI number for James O'brien is 1770578031. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is James O'brien located?

James O'brien practices at Capital Cardiology Associates PC 7 Southwoods Blvd, Albany, NY 12211. The listed phone number is (518) 292-6000.

What is James O'brien's specialty?

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

Is James O'brien enrolled in Medicare?

Yes. James O'brien 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 O'brien affiliated with any hospitals?

According to CMS data, James O'brien is affiliated with Albany Medical Center Hospital, St Peter's Hospital, Columbia Memorial Hospital, Bassett Healthcare and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for James O'brien was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.