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JAMES A PILLA D.O.
NPI 1801891593
Internal Medicine - Gastroenterology in Moon Township, PA

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
725 CHERRINGTON PKWY, SUITE 100, MOON TOWNSHIP, PA 15108(412) 262-1000(412) 262-4607 Get Directions Write a Review

NPPES record last updated: October 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James A Pilla D.o. NPPES

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

JAMES A PILLA D.O. (NPI 1801891593) is an individual gastroenterology provider in Moon Township, Pennsylvania, licensed in Pennsylvania (OS010991L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1994).

NPPES Registry Identity

NPI1801891593
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJAMES A PILLACredential: D.O.
Location Address725 CHERRINGTON PKWY, SUITE 100Moon Township, PA 15108-4318
Mailing Address725 Cherrington Pkwy, Suite 100Moon Township, PA 15108-4318 · (412) 262-1000 · Fax (412) 262-4607
Phone(412) 262-1000
Fax(412) 262-4607
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1994
Enumeration DateJune 17, 2005
Last NPPES UpdateOctober 12, 2010
✔ NPI 1801891593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · OS010991L
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
725 CHERRINGTON PKWY, Moon Township, PA 15108
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Other Identifiers 11

OtherPI924251PA · Highmark Bc/bs
Medicaid118905PA
Other000000195093OH · Anthem Bc/bs
Medicare ID-Type UnspecifiedPI4046481OH
Medicare ID-Type Unspecified100015086PA · Railroad Medicare
Medicaid2242791OH
Medicaid02581542NY
Other00025613701NY · Univera
Medicare UPINH34340
Medicare ID-Type Unspecified047054GLBPA
Medicaid0018397740002PA

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 A Pilla D.o. 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 ID9234143934
PECOS Enrollment IDI20080226000657
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
132 services86 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
75 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
64 services60 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services48 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.
46 services44 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
36 services36 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15108 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

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.

PERIOPERATIVE ANESTHESIA PHYSICIANS, PC
Anesthesiology
725 CHERRINGTON PKWY
CORAOPOLIS, PA 15108
Allegheny County (412) 262-1000
PERIOPERATIVE ANESTHESIA CONSULTANTS, INC.
Anesthesiology
725 CHERRINGTON PKWY
CORAOPOLIS, PA 15108
Allegheny County (412) 889-7838
DR. STEPHEN J THOMAS MD
Specialist
725 CHERRINGTON PKWY, STE 200
MOON TOWNSHIP, PA 15108
Allegheny County (412) 262-7800
MISS KAYLA J BELACK MOT
Occupational Therapist
725 CHERRINGTON PKWY
MOON TOWNSHIP, PA 15108
Allegheny County (412) 741-1619
SUSAN A. SILVER M.D.
Pathology (Anatomic Pathology)
725 CHERRINGTON PKWY, SUITE 100
MOON TOWNSHIP, PA 15108
Allegheny County (412) 262-1000
DR. LESTER STINE M.D.
Internal Medicine (Gastroenterology)
725 CHERRINGTON PKWY, SUITE 100
MOON TOWNSHIP, PA 15108
Allegheny County (412) 262-1000
DR. ERNEST STANLEY M.D.
Internal Medicine (Gastroenterology)
725 CHERRINGTON PKWY, SUITE 100
MOON TWP, PA 15108
Allegheny County (412) 262-1000
DR. JON A LEVY MD
Specialist
725 CHERRINGTON PKWY, STE 200
MOON TOWNSHIP, PA 15108
Allegheny County (412) 262-7800

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 Pilla's NPI number?

The NPI number for James Pilla is 1801891593. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is James Pilla located?

James Pilla practices at 725 Cherrington Pkwy Suite 100, Moon Township, PA 15108. The listed phone number is (412) 262-1000.

What is James Pilla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is James Pilla enrolled in Medicare?

Yes. James Pilla 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 Pilla affiliated with any hospitals?

According to CMS data, James Pilla is affiliated with Upmc Mercy, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for James Pilla was last updated on October 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.