1. Home
  2. Directory
  3. Pennsylvania
  4. Doylestown
  5. Hospitalist
  6. NPI Profile

JAMES BORIS DO
NPI 1902477474
Hospitalist in Doylestown, PA

Active since July 06, 2021PECOS EnrolledAccepts Medicare Assignment
595 W STATE ST, DOYLESTOWN, PA 18901(215) 345-2885(215) 345-2552 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2024, Jun 6, 2024, Jul 6, 2021 (3 updates tracked since 2021).

About James Boris Do NPPES

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

JAMES BORIS DO (NPI 1902477474) is an individual hospitalist provider in Doylestown, Pennsylvania, licensed in Pennsylvania (OS023493) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Doylestown Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1902477474
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJAMES BORISCredential: DO
Location Address595 W STATE STDoylestown, PA 18901-2554
Mailing AddressPo Box 829641Philadelphia, PA 19182-9641 · (267) 370-5285 · Fax (215) 230-3725
Phone(215) 345-2885
Fax(215) 345-2552
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 6, 2021
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1902477474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · OS023493
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
595 W STATE ST, Doylestown, PA 18901
Open in Google Maps ↗

Secondary Practice Location 1

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (484) 622-1199

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Boris Do 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 ID3072059690
PECOS Enrollment IDI20240719000318
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

3

Medicare enrollment records show James Boris reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Via Affiliates
0.1 mi
Anatomic Pathology & Clinical Pathology
595 W STATE ST
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 268 clinicians in this Medicare group
NPI 1194557637 (215) 345-2625
Clinical Specialty Associates
0.2 mi
Obstetrics & Gynecology
102 PROGRESS DR STE 202
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
NPI 1306734934 (215) 230-5296
Hospitalist Medicine Physicians Of Pennsylvania, P.C.
209 mi
Internal Medicine
225 S CENTER AVE
Somerset, PA 15501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
  • 274 clinicians in this Medicare group
NPI 1639464308 (814) 443-5000

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 5

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.

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.
364 services156 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
87 services85 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.
80 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
36 services36 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.
17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

DAVID SHEEHAN D.O.
Radiology (Vascular & Interventional Radiology)
595 W STATE ST, DOYLESTOWN RADIOLOGY ASSOCIATES
DOYLESTOWN, PA 18901
Bucks County (215) 345-2849
DANIEL JOSEPH SLADE
Radiology (Diagnostic Radiology)
595 W STATE ST
DOYLESTOWN, PA 18901
Bucks County No phone listed
XUECHEN JIANG
Registered Nurse (Critical Care Medicine)
595 W STATE ST
DOYLESTOWN, PA 18901
Bucks County (215) 345-2200
DALE F WILSON MD
Anesthesiology
595 W STATE ST
DOYLESTOWN, PA 18901
Bucks County (215) 348-1523
STEVEN M MCDONALD MD
Anesthesiology
595 W STATE ST
DOYLESTOWN, PA 18901
Bucks County (215) 348-1523
JOYCE A SHEVCHUK CRNA
Nurse Anesthetist, Certified Registered
595 W STATE ST
DOYLESTOWN, PA 18901
Bucks County (215) 348-1523
DR. NAVEEN SIDDAVATAM KUMAR REDDY M.D
Hospitalist
595 W STATE ST
DOYLESTOWN, PA 18901
Bucks County (215) 345-2885
XIJUN ZHU
Anesthesiology
595 W STATE ST
DOYLESTOWN, PA 18901
Bucks County (215) 345-2200

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 Boris's NPI number?

The NPI number for James Boris is 1902477474. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is James Boris located?

James Boris practices at 595 W State St, Doylestown, PA 18901. The listed phone number is (215) 345-2885.

What is James Boris's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Boris enrolled in Medicare?

Yes. James Boris 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 Boris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Boris reassigns Medicare benefits to 3 organizations: Via Affiliates (Doylestown, PA), Clinical Specialty Associates (Doylestown, PA) and Hospitalist Medicine Physicians Of Pennsylvania, P.C. (Somerset, PA). 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 Boris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Boris accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Boris 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 Boris affiliated with any hospitals?

According to CMS data, James Boris is affiliated with Doylestown Hospital, Abington Memorial Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for James Boris was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.