JAMES CUTCLIFFE DO
NPI 1912318981
Surgery in Johnstown, PA

Q: What is James Cutcliffe's NPI number?

The NPI number for James Cutcliffe is 1912318981. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Q: What is James Cutcliffe's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Cutcliffe was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 13, 2014PECOS EnrolledAccepts Medicare Assignment

98.48/100

CMS Quality Rating

1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-1660(814) 534-1680 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About James Cutcliffe Do NPPES

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

JAMES CUTCLIFFE DO (NPI 1912318981) is an individual surgery provider in Johnstown, Pennsylvania, licensed in Pennsylvania (OT015922) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1912318981

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES CUTCLIFFECredential: DO

Location Address1086 FRANKLIN STJohnstown, PA 15905-4305

Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 534-1660 · Fax (814) 534-1680

Phone(814) 534-1660

Fax(814) 534-1680

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2014

Enumeration DateMay 13, 2014

✔ NPI 1912318981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · OT015922

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1086 FRANKLIN ST, Johnstown, PA 15905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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 Cutcliffe 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 ID8628298171

PECOS Enrollment IDI20190621002500

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 Cutcliffe reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ivy Creek Family Care Of Lake Martin

634 mi

Urgent Care

5958 HIGHWAY 49 S UNIT K
Dadeville, AL 36853

Reassigned Medicare billing, Alabama enrollment
118 clinicians in this Medicare group

NPI 1609572890 (256) 825-7821

Surgical Clinic PC

640 mi

Clinic/Center

121 N 20TH ST, BLDG 3
Opelika, AL 36801

Reassigned Medicare billing, Alabama enrollment
14 clinicians in this Medicare group

NPI 1295762540 (334) 745-6271

Ivy Creek Of Tallapoosa

640 mi

Rural

201 MARIARDEN RD
Dadeville, AL 36853

Reassigned Medicare billing, Alabama enrollment
44 clinicians in this Medicare group

NPI 1720273303 (256) 825-7821

Ivy Creek Of Elmore, LLC

661 mi

Rural Health

2256 GILMER AVE
Tallassee, AL 36078

Reassigned Medicare billing, Alabama enrollment
182 clinicians in this Medicare group

NPI 1558868323 (334) 283-2542

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 13

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 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.

132 services80 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

75 services39 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

37 services35 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.

35 services35 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

24 services24 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

17 services17 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

16 services16 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

14 services14 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.

14 services14 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.

13 services13 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

11 services11 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.

11 services11 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

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.

98.48/100

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

Scored as part of a group practice

Quality

82.26

Improvement Activities

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.

MEMORIAL MEDICAL CENTER

General Acute Care Hospital (Children)

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9503

JOSEPH W HENSLEY DO

Emergency Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-3745

NICOLE DOLHI DO

Emergency Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-3745

BRADLEY STEPHEN WINEGARDNER

Surgery

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-1660

SAI HARSHA BOBBA MD

Family Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9364

AYESHA HAQ MD

Internal Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9408

CHRISTINA DAVIS PA-C

Physician Assistant (Medical)

1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905

Cambria County (814) 534-5592

MRS. JAMIE ELIZABETH OKOPAL RN, CRNA

Nurse Anesthetist, Certified Registered

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9321

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 Cutcliffe's NPI number?

The NPI number for James Cutcliffe is 1912318981. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is James Cutcliffe located?

James Cutcliffe practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-1660.

What is James Cutcliffe's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Cutcliffe enrolled in Medicare?

Yes. James Cutcliffe 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 Cutcliffe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Cutcliffe reassigns Medicare benefits to 4 organizations: Ivy Creek Family Care Of Lake Martin (Dadeville, AL), Surgical Clinic PC (Opelika, AL), Ivy Creek Of Tallapoosa (Dadeville, AL) and Ivy Creek Of Elmore, LLC (Tallassee, AL). 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 Cutcliffe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Cutcliffe accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list James Cutcliffe 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 Cutcliffe was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.