DR. JAMES STEPHEN ALBERTOLI MD
NPI 1780686337
Surgery - Plastic and Reconstructive Surgery in Frederick, MD

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
56 THOMAS JOHNSON DR, SUITE 100, FREDERICK, MD 21702(301) 698-9999(301) 698-9699 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James Stephen Albertoli Md NPPES

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

DR. JAMES STEPHEN ALBERTOLI MD (NPI 1780686337) is an individual plastic and reconstructive surgery provider in Frederick, Maryland, licensed in Maryland (D44403) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1988).

NPPES Registry Identity

NPI1780686337
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JAMES STEPHEN ALBERTOLICredential: MD
Location Address56 THOMAS JOHNSON DR, SUITE 100Frederick, MD 21702-4599
Mailing Address56 Thomas Johnson Dr, Suite 100Frederick, MD 21702-4599 · (301) 698-9999 · Fax (301) 698-9699
Fax(301) 698-9699
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1988
Enumeration DateAugust 12, 2005
Last NPPES UpdateMarch 20, 2008
NPI 1780686337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in MD · D44403
Definition

A surgeon who specializes in plastic and reconstructive surgery.

56 THOMAS JOHNSON DR, Frederick, MD 21702

Other Identifiers 2

Medicare PIN427PMD
Medicare UPING05506MD

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 Stephen Albertoli 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 ID3870692403
PECOS Enrollment IDI20070622000420
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 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.
182 services96 patients
New patient office or other outpatient visit, 45-59 minutes 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.
109 services109 patients
Injection of anesthetic agent and/or steroid into other nerve or branch 64450
This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
45 services44 patients
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040
This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.
19 services16 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
16 services15 patients
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm 11626
This procedure involves the surgical removal of a cancerous growth on the scalp, neck, hands, or feet that measures over 4.0 cm. It is performed under local anesthesia and may require stitches. The goal is to eliminate all cancer cells and prevent further spread.
15 services11 patients

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
65%93 patients3/55-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.

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.

Plastic Surgery
56 THOMAS JOHNSON DR, SUITE 100
FREDERICK, MD 21702
Clinic/Center (Ambulatory Surgical)
56 THOMAS JOHNSON DR, SUITE 100
FREDERICK, MD 21702
Family Medicine
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Family Medicine
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Family Medicine
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Family Medicine
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Nurse Practitioner (Family)
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Nurse Practitioner (Family)
56 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780686337, enumerated as an "individual" on August 12, 2005.

The provider is located at 56 THOMAS JOHNSON DR SUITE 100 FREDERICK, MD 21702 and the phone number is (301) 698-9999.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.