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JAMES PETER CARALIS D.O.
NPI 1902829930
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Pontiac, MI

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
44555 WOODWARD AVE, SUITE 307, PONTIAC, MI 48341(248) 858-3939(248) 858-3844 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Peter Caralis D.o. NPPES

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

JAMES PETER CARALIS D.O. (NPI 1902829930) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Pontiac, Michigan, licensed in Michigan (5101007741) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1979).

NPPES Registry Identity

NPI1902829930
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJAMES PETER CARALISCredential: D.O.
Location Address44555 WOODWARD AVE, SUITE 307Pontiac, MI 48341-5031
Mailing Address44555 Woodward Ave, Suite 307Pontiac, MI 48341-5031 · (248) 858-3939 · Fax (248) 858-3844
Phone(248) 858-3939
Fax(248) 858-3844
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1979
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902829930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in MI · 5101007741
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
44555 WOODWARD AVE, Pontiac, MI 48341
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Other Identifiers 3

Medicaid4190333MI
Medicare UPINB44630
Medicare ID-Type UnspecifiedOM93490

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 Peter Caralis D.o. 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 ID3678677481
PECOS Enrollment IDI20070404000391
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 3

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 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.
58 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%118 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%115 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%132 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. SHAHID JAMIL M.D.
Psychiatry & Neurology (Psychiatry)
44555 WOODWARD AVE, STE 405
PONTIAC, MI 48341
Oakland County (248) 333-7100
DR. JENNIFER L HENDERSON D.O.
Anesthesiology
44555 WOODWARD AVE, SUITE 308
PONTIAC, MI 48341
Oakland County (248) 858-2509
MRS. MICHELLE MARIE MCDONALD PT
Physical Therapist
44555 WOODWARD AVE, SUITE 080
PONTIAC, MI 48341
Oakland County (248) 858-6950
JAMES CARALIS DO PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
44555 WOODWARD AVE, SUITE 307
PONTIAC, MI 48341
Oakland County (248) 858-3939
SJMH MEDICAL PRACTICE
Internal Medicine (Critical Care Medicine)
44555 WOODWARD AVE, SUITE 402
PONTIAC, MI 48341
Oakland County (248) 335-1110
WILLIAM GORDON M.D.P.C.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
44555 WOODWARD AVE, SUITE 307
PONTIAC, MI 48341
Oakland County (248) 858-3939
KARMO AESTHETIC CENTER PC
Plastic Surgery (Surgery of the Hand)
44555 WOODWARD AVE, STE 103
PONTIAC, MI 48341
Oakland County (248) 858-6777
DR. ALICIA NICOLE KIENINGER MD
Surgery
44555 WOODWARD AVE, SUITE 501
PONTIAC, MI 48341
Oakland County (248) 338-7171

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 Caralis's NPI number?

The NPI number for James Caralis is 1902829930. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is James Caralis located?

James Caralis practices at 44555 Woodward Ave Suite 307, Pontiac, MI 48341. The listed phone number is (248) 858-3939.

What is James Caralis's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James Caralis enrolled in Medicare?

Yes. James Caralis 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 Caralis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list James Caralis 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 Caralis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.