DR. JAMES FETTEN M.D.
NPI 1811966435
Internal Medicine - Hematology & Oncology in New York, NY

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
91.57/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10065(646) 888-4236 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James Fetten M.d. NPPES

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

DR. JAMES FETTEN M.D. (NPI 1811966435) is an individual hematology & oncology provider in New York, New York, licensed in New York (168479-1) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1811966435
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. JAMES FETTENCredential: M.D.
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 16, 2006
Last NPPES UpdateSeptember 20, 2018
NPI 1811966435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 168479-1
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1275 YORK AVE, New York, NY 10065

Other Identifiers 1

Medicaid01274533NY

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 Fetten 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 ID8527196963
PECOS Enrollment IDI20100506000022
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 5

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, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
417 services98 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
124 services83 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
55 services55 patients
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.
40 services28 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

91.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.43
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.

Urology
1275 YORK AVE
NEW YORK, NY 10065
Anesthesiology
1275 YORK AVE, RM M301
NEW YORK, NY 10065
Radiology (Diagnostic Radiology)
1275 YORK AVE
NEW YORK, NY 10065
Pathology (Anatomic Pathology & Clinical Pathology)
1275 YORK AVE
NEW YORK, NY 10065
Radiology (Radiation Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Infectious Disease)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Pulmonary Disease)
1275 YORK AVE
NEW YORK, NY 10065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811966435, enumerated as an "individual" on March 16, 2006.

The provider is located at 1275 YORK AVE NEW YORK, NY 10065 and the phone number is (646) 888-4236.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

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