1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Internal Medicine
  6. NPI Profile

DR. JAMES MARK CLEARY MD/PHD
NPI 1922062397
Internal Medicine - Medical Oncology in Boston, MA

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
44 BINNEY ST, DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02115(617) 632-3000 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Mark Cleary Md/phd NPPES

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

DR. JAMES MARK CLEARY MD/PHD (NPI 1922062397) is an individual medical oncology provider in Boston, Massachusetts, licensed in Massachusetts (226742) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2003).

NPPES Registry Identity

NPI1922062397
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. JAMES MARK CLEARYCredential: MD/PHD
Location Address44 BINNEY ST, DANA-FARBER CANCER INSTITUTEBoston, MA 02115-6013
Mailing Address10 Emerson Pl, Apt. 23hBoston, MA 02114-2204 · (617) 515-2041
Phone(617) 632-3000
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2003
Enumeration DateApril 13, 2006
Last NPPES UpdateFebruary 17, 2010
✔ NPI 1922062397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in MA · 226742
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License 226742 (MA)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 226742 (MA)
44 BINNEY ST, Boston, MA 02115
Open in Google Maps ↗

Accepted Insurance

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

Dr. James Mark Cleary Md/phd 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 ID1456488550
PECOS Enrollment IDI20100421000769
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 Cleary reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dana-Farber Cancer Institute, Inc.
0.1 mi
General Acute Care Hospital
450 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1346433257 (Massachusetts)
  • 1,026 clinicians in this Medicare group
NPI 1851333686 (617) 632-3000

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 6

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.
148 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
98 services35 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.
50 services26 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.
37 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
Promoting Interoperability100
Improvement Activities40

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.

MS. LAURIE APPLEBY N.P.
Nurse Practitioner (Adult Health)
44 BINNEY ST
BOSTON, MA 02115
Suffolk County (617) 632-2648
MS. ALEXANDRA SUSANA PEREZ M.S.
Genetic Counselor, MS
44 BINNEY ST, SMITH BUILDING 271
BOSTON, MA 02115
Suffolk County (617) 582-8283
JAMES DOUGLAS GRIFFIN MD
Internal Medicine (Medical Oncology)
44 BINNEY ST, DANA-FARBER CANCER INSTITUTE
BOSTON, MA 02115
Suffolk County (617) 632-3360
HEATHER ANNE TRAFTON PA C
Physician Assistant
44 BINNEY ST, DANA PARKER CANCER INSTITUTE
BOSTON, MA 02115
Suffolk County (617) 525-7379
SHILPA M HATTANGADI MD
Pediatrics (Pediatric Hematology-Oncology)
44 BINNEY ST
BOSTON, MA 02115
Suffolk County (617) 632-6296
JO ANN FUGAZZOTTO APRN-BC
Nurse Practitioner (Acute Care)
44 BINNEY ST, SUITE SW460
BOSTON, MA 02115
Suffolk County (617) 632-6934
DR. RAMEEN BEROUKHIM MD
Internal Medicine (Medical Oncology)
44 BINNEY ST
BOSTON, MA 02115
Suffolk County (617) 632-3779
DR. SUSAN D BLOCK MD
Psychiatry & Neurology (Psychiatry)
44 BINNEY ST, SW411
BOSTON, MA 02115
Suffolk County (617) 632-6181

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 Cleary's NPI number?

The NPI number for James Cleary is 1922062397. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is James Cleary located?

James Cleary practices at 44 Binney St Dana-Farber Cancer Institute, Boston, MA 02115. The listed phone number is (617) 632-3000.

What is James Cleary's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is James Cleary enrolled in Medicare?

Yes. James Cleary 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 Cleary's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Cleary reassigns Medicare benefits to Dana-Farber Cancer Institute, Inc. (Boston, MA). 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 Cleary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Cleary accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list James Cleary 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 Cleary affiliated with any hospitals?

According to CMS data, James Cleary is affiliated with Beth Israel Deaconess Medical Center and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for James Cleary was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.