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JAMES MERCURI
NPI 1902027071
Social Worker - Clinical in New Kensington, PA

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
781 CAMPBELL AVE, SUITE C, NEW KENSINGTON, PA 15068(412) 973-3250 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Mercuri NPPES

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

JAMES MERCURI (NPI 1902027071) is an individual clinical provider in New Kensington, Pennsylvania, licensed in Pennsylvania (CW016611) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1902027071
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAMES MERCURI
Location Address781 CAMPBELL AVE, SUITE CNew Kensington, PA 15068-4605
Mailing Address781 Campbell Ave, Suite CNew Kensington, PA 15068-4605
Phone(412) 973-3250
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 2, 2007
Last NPPES UpdateMay 24, 2021
✔ NPI 1902027071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW016611
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
781 CAMPBELL AVE, New Kensington, PA 15068
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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 Mercuri 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 ID6507990504
PECOS Enrollment IDI20100812000634
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 Reassignment

Medicare enrollment records show James Mercuri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upmc Community Medicine Inc
2.4 mi
Internal Medicine
356 FREEPORT ST, SUITE 205
New Kensington, PA 15068
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1245366384 (724) 335-8223

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15068 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
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

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 Mercuri's NPI number?

The NPI number for James Mercuri is 1902027071. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is James Mercuri located?

James Mercuri practices at 781 Campbell Ave Suite C, New Kensington, PA 15068. The listed phone number is (412) 973-3250.

What is James Mercuri's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is James Mercuri enrolled in Medicare?

Yes. James Mercuri 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 organization bills Medicare for James Mercuri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mercuri reassigns Medicare benefits to Upmc Community Medicine Inc (New Kensington, PA). The 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 Mercuri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Mercuri was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.