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JAMES M METZ MD
NPI 1790717007
Radiology - Radiation Oncology in Philadelphia, PA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD., CONCOURSE LEVEL, PHILADELPHIA, PA 19104(215) 662-2428(215) 349-5923 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James M Metz Md NPPES

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

JAMES M METZ MD (NPI 1790717007) is an individual radiation oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD067335L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1995).

NPPES Registry Identity

NPI1790717007
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameJAMES M METZCredential: MD
Location Address3400 CIVIC CENTER BLVD., CONCOURSE LEVELPhiladelphia, PA 19104-4306
Mailing Address3400 Civic Center Blvd., Concourse LevelPhiladelphia, PA 19104-4306 · (215) 662-2428 · Fax (215) 649-5923
Phone(215) 662-2428
Fax(215) 349-5923
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1995
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 9, 2015
✔ NPI 1790717007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in PA · MD067335L
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
3400 CIVIC CENTER BLVD., Philadelphia, PA 19104
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH22628
Medicaid0018048770001PA
Medicare PIN040594PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 M Metz 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 ID8527013507
PECOS Enrollment IDI20050314000473
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 Reassignments

2

Medicare enrollment records show James Metz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
Same address
Surgery
3400 CIVIC CENTER BLVD, 4 WEST PAVILLION
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1033507157 (215) 662-2626
Clinical Health Care Associates Of New Jersey, PC
10 mi
Pulmonary Disease
409 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 382 clinicians in this Medicare group
NPI 1508019241 (856) 429-0505

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
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.

MONA AL MUKADDAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BLVD., WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
KATALIN SUSZTAK MD
Internal Medicine (Nephrology)
3400 CIVIC CENTER BLVD., 1ST FLOOR, SUITE 300 S
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2638
ILDIKO CSIKI MD
Radiology (Diagnostic Ultrasound)
3400 CIVIC CENTER BLVD., RAD ONC/TRC 2 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN CURRAN CAPELL MD
Dermatology
3400 CIVIC CENTER BLVD., 1-330S PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737
DR. ALEXANDER LIN MD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD., CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
RENYU LIU MD
Anesthesiology
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
KRISTEN N KOBALY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BLVD., WEST PAVILION 4TH FL, SUITE 4-900 W
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
KAITLIN ELIZABETH CIOTOLI CRNP
Nurse Practitioner (Women's Health)
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310

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 Metz's NPI number?

The NPI number for James Metz is 1790717007. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is James Metz located?

James Metz practices at 3400 Civic Center Blvd. Concourse Level, Philadelphia, PA 19104. The listed phone number is (215) 662-2428.

What is James Metz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is James Metz enrolled in Medicare?

Yes. James Metz 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 organizations bill Medicare for James Metz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Metz reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ). Each 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 Metz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Metz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Metz 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 Metz affiliated with any hospitals?

According to CMS data, James Metz is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for James Metz was last updated on September 9, 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.