DR. JAMES PALMA M.D.
NPI 1821114091
Internal Medicine - Gastroenterology in New York, NY

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
57 W 57TH ST, SUITE 1107, NEW YORK, NY 10019(212) 838-2200(212) 838-2111 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. James Palma M.d. NPPES

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

DR. JAMES PALMA M.D. (NPI 1821114091) is an individual gastroenterology provider in New York, New York, licensed in New York (170169) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1984).

NPPES Registry Identity

NPI1821114091
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JAMES PALMACredential: M.D.
Location Address57 W 57TH ST, SUITE 1107New York, NY 10019-2802
Mailing Address57 W 57th St, Suite 1107New York, NY 10019-2802 · (212) 838-2200 · Fax (212) 838-2111
Fax(212) 838-2111
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1984
Enumeration DateMarch 21, 2007
Last NPPES UpdateJanuary 14, 2015
NPI 1821114091 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 NY · 170169
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.
57 W 57TH ST, New York, NY 10019

Other Identifiers 14

Other8202323NY · Cigna Health Insurance
OtherNP253NY · Oxford Health Plans
Other170169-B26NY · Healthfirst
Other39F121NY · Blue Shield
OtherPH18467NY · Acess
Other728652NY · Aetna Health Plans
Other900539234NY · Affinity
Medicaid01362481NY
OtherDOC013609-0NY · Vns Choice
Other130409000278NY · Fideliscare
Other170169NY · Metroplus
Other2400156-98Ghi
Other4115120NY · Aetna Us Healthcare
Medicare UPINE44743NY

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 Palma 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 ID3173602935
PECOS Enrollment IDI20080505000481
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 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 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.
92 services71 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
53 services43 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 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services41 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
41 services39 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
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.

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
79%124 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
93%483 patients4/55-star benchmark: 99%
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.

Counselor
57 W 57TH ST
NEW YORK, NY 10019
Orthopaedic Surgery
57 W 57TH ST, 15TH FLOOR
NEW YORK, NY 10019
Chiropractor
57 W 57TH ST, SUITE 1012
NEW YORK, NY 10019
Dentist
57 W 57TH ST, SUITE 511-512
NEW YORK, NY 10019
Specialist
57 W 57TH ST, SUITE #1107
NEW YORK, NY 10019
Specialist
57 W 57TH ST, SUITE 1406
NEW YORK, NY 10019
Clinic/Center (Ambulatory Surgical)
57 W 57TH ST
NEW YORK, NY 10019
Psychologist
57 W 57TH ST, SUITE 604
NEW YORK, NY 10019

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 Palma's NPI number?

The NPI number for James Palma is 1821114091. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is James Palma located?

James Palma practices at 57 W 57th St Suite 1107, New York, NY 10019. The listed phone number is (212) 838-2200.

What is James Palma's specialty?

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

Is James Palma enrolled in Medicare?

Yes. James Palma 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.

When was this NPI record last updated?

The NPPES record for James Palma was last updated on January 14, 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.