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DR. JAMES GUIDO DISTEFANO JR. M.D.
NPI 1942513882
Orthopaedic Surgery - Sports Medicine in Alameda, CA

Active since July 21, 2010PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
947 MARINA VILLAGE PKWY, ALAMEDA, CA 94501(510) 522-6637 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Guido Distefano Jr. M.d. NPPES

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

DR. JAMES GUIDO DISTEFANO JR. M.D. (NPI 1942513882) is an individual sports medicine provider in Alameda, California, licensed in California (A103423) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1942513882
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. JAMES GUIDO DISTEFANO JR.Credential: M.D.
Location Address947 MARINA VILLAGE PKWYAlameda, CA 94501-1048
Mailing Address947 Marina Village PkwyAlameda, CA 94501-1048 · (510) 522-6637
Phone(510) 522-6637
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 21, 2010
Last NPPES UpdateAugust 28, 2013
✔ NPI 1942513882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · A103423
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
947 MARINA VILLAGE PKWY, Alameda, CA 94501
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Other Identifiers 1

Medicaid1427081165CA

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

Dr. James Guido Distefano Jr. M.d. 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 ID6800066648
PECOS Enrollment IDI20110902000315, I20130107000163
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 4

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
96 services13 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.
57 services39 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.
51 services36 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
27 services18 patients

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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAMEDA HEALTH PARTNERS, INC.
Clinic/Center
947 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Alameda County (510) 895-7344
DR. NICHOLAS HASSAN PIRNIA MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
947 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Alameda County (510) 522-6637

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 Distefano's NPI number?

The NPI number for James Distefano is 1942513882. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Where is James Distefano located?

James Distefano practices at 947 Marina Village Pkwy, Alameda, CA 94501. The listed phone number is (510) 522-6637.

What is James Distefano's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is James Distefano enrolled in Medicare?

Yes. James Distefano 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.

When was this NPI record last updated?

The NPPES record for James Distefano was last updated on August 28, 2013. 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.