JAMES A DELLAVALLE MD
NPI 1861489031
Emergency Medicine in Johnson City, NY

Q: What is James Dellavalle's NPI number?

The NPI number for James Dellavalle is 1861489031. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is James Dellavalle's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for James Dellavalle was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

33-57 HARRISON ST, JOHNSON CITY, NY 13790(607) 763-6412(607) 763-5854 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About James A Dellavalle Md NPPES

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

JAMES A DELLAVALLE MD (NPI 1861489031) is an individual emergency medicine provider in Johnson City, New York, licensed in New York (158928) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Drexel University College Of Medicine (1977).

NPPES Registry Identity

NPI1861489031

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJAMES A DELLAVALLECredential: MD

Location Address33-57 HARRISON STJohnson City, NY 13790-2107

Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 763-6412 · Fax (607) 763-5854

Phone(607) 763-6412

Fax(607) 763-5854

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 1977

Enumeration DateOctober 4, 2005

Last NPPES UpdateMay 23, 2022

NPPES CertifiedMay 23, 2022

✔ NPI 1861489031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 158928

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 158928 (NY)

33-57 HARRISON ST, Johnson City, NY 13790

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Other Identifiers 1

Medicaid00750789NY

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James A Dellavalle 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 ID3678635026

PECOS Enrollment IDI20081219000204, I20100125000295

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 2

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.

88 services76 patients

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.

41 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

Endless Mountains Health Systems

Critical Access Hospitals · Montrose, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391306

Location100 Hospital DriveMontrose, PA 18801 · Susquehanna County

Emergency services

Barnes-Kasson County Hospital

Critical Access Hospitals · Susquehanna, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391309

Location2872 Turnpike StreetSusquehanna, PA 18847 · Susquehanna County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.57

Promoting Interoperability

Improvement Activities

Cost

64.87

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.

TASNIMA RIA ELAHI MD

Hospitalist