JAMES ST PIERRE MD
NPI 1891751228
Internal Medicine - Cardiovascular Disease in New Britain, CT

Q: What is James St Pierre's NPI number?

The NPI number for James St Pierre is 1891751228. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is James St Pierre's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for James St Pierre was last updated on May 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 25, 2006PECOS EnrolledAccepts Medicare Assignment

1 LIBERTY SQUARE, NEW BRITAIN, CT 06051(860) 229-6811(860) 224-8088 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About James St Pierre Md NPPES

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

JAMES ST PIERRE MD (NPI 1891751228) is an individual cardiovascular disease provider in New Britain, Connecticut, licensed in Connecticut (038859) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1991).

NPPES Registry Identity

NPI1891751228

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJAMES ST PIERRECredential: MD

Location Address1 LIBERTY SQUARENew Britain, CT 06051

Mailing Address1 Liberty Square, Ste 1New Britain, CT 06051 · (860) 229-6811 · Fax (860) 224-8088

Phone(860) 229-6811

Fax(860) 224-8088

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1991

Enumeration DateApril 25, 2006

Last NPPES UpdateMay 16, 2008

✔ NPI 1891751228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CT · 038859

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1 LIBERTY SQUARE, New Britain, CT 06051

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Other Identifiers 5

Medicare UPINF92840

Other720930CT · Ctcare

Medicare ID-Type Unspecified060001365CT

Other50LEXINGTCT01CT · Anthem

Medicaid001388596CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James St Pierre 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 ID9133274855

PECOS Enrollment IDI20090902000195

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.

Medicare Billing Reassignments

Medicare enrollment records show James St Pierre reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Cardiology Associates

0.4 mi

Cardiovascular Disease

ONE LIBERTY SQUARE
New Britain, CT 06051

Reassigned Medicare billing, Connecticut enrollment
4 clinicians in this Medicare group

NPI 1821054099 (860) 229-6811

The Hospital Of Central Connecticut At New Britain General And Bradley

0.5 mi

Hospitalist

100 GRAND ST
New Britain, CT 06052

Reassigned Medicare billing, Connecticut enrollment
745 clinicians in this Medicare group

NPI 1063461481 (860) 224-5305

Hospital For Special Care

2.1 mi

Long Term Care Hospital

2150 CORBIN AVE
New Britain, CT 06053

Reassigned Medicare billing, Connecticut enrollment
70 clinicians in this Medicare group

NPI 1477534089 (860) 612-6309

Hartford Hospital

8.0 mi

Surgery

80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102

Reassigned Medicare billing, Connecticut enrollment
1,333 clinicians in this Medicare group

NPI 1407806391 (860) 545-7602

Trinity Health Of New England Provider Network Organization Inc

8.7 mi

Internal Medicine

114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105

Reassigned Medicare billing, Connecticut enrollment
1,186 clinicians in this Medicare group

NPI 1003882812 (860) 714-1325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

864 services628 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.

639 services297 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

616 services313 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

141 services116 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

102 services34 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.

81 services70 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

73 services72 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

54 services38 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.

53 services53 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

35 services34 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

32 services31 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.

28 services25 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.

26 services26 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

17 services17 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

11 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06051 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers11 claims11 services$35.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 St Pierre's NPI number?

The NPI number for James St Pierre is 1891751228. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is James St Pierre located?

James St Pierre practices at 1 Liberty Square, New Britain, CT 06051. The listed phone number is (860) 229-6811.

What is James St Pierre's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James St Pierre enrolled in Medicare?

Yes. James St Pierre 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.

Which organizations bill Medicare for James St Pierre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James St Pierre reassigns Medicare benefits to 5 organizations: Lexington Cardiology Associates (New Britain, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Hospital For Special Care (New Britain, CT), Hartford Hospital (Hartford, CT) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James St Pierre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James St Pierre accept?

Health plans from Anthem Blue Cross and Blue Shield list James St Pierre 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.

When was this NPI record last updated?

The NPPES record for James St Pierre was last updated on May 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.