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JAMES H CASSIANO M.D.
NPI 1841653268
Surgery in Pensacola, FL

Active since April 02, 2016PECOS EnrolledAccepts Medicare Assignment
79.26/100
CMS Quality Rating
123 BAPTIST WAY STE 2C, PENSACOLA, FL 32503(448) 227-6250 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Oct 3, 2024, Jun 10, 2021 and 1 more (4 updates tracked since 2016).

About James H Cassiano M.d. NPPES

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

JAMES H CASSIANO M.D. (NPI 1841653268) is an individual surgery provider in Pensacola, Florida, licensed in Florida (ME156711) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains a secondary practice location in Pensacola.

NPPES Registry Identity

NPI1841653268
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES H CASSIANOCredential: M.D.
Location Address123 BAPTIST WAY STE 2CPensacola, FL 32503-2254
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Phone(448) 227-6250
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2016
Enumeration DateApril 2, 2016
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1841653268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME156711
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License ME156711 (FL)
123 BAPTIST WAY STE 2C, Pensacola, FL 32503
Open in Google Maps ↗

Secondary Practice Location 1

Location 11890 Summit Blvd Ste 120Pensacola, FL 32503-3357 · Phone (850) 416-2959 · Fax (850) 416-4865

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

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 H Cassiano 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 ID9537454194
PECOS Enrollment IDI20220726001406
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 6

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 moderate level of decision making, if using time, 30 minutes or more 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.
76 services63 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.
45 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
34 services28 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.
28 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
27 services27 patients
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.
22 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

79.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability96
Improvement Activities40

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 Cassiano's NPI number?

The NPI number for James Cassiano is 1841653268. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is James Cassiano located?

James Cassiano practices at 123 Baptist Way Ste 2C, Pensacola, FL 32503. The listed phone number is (448) 227-6250.

What is James Cassiano's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Cassiano enrolled in Medicare?

Yes. James Cassiano 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.

What insurance does James Cassiano accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list James Cassiano 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 Cassiano affiliated with any hospitals?

According to CMS data, James Cassiano is affiliated with Sacred Heart Hospital, Baptist Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for James Cassiano was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.