DR. JAMES EAST MD
NPI 1952763575
Radiology - Diagnostic Radiology in Burlington, VT

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
74.5/100
CMS Quality Rating
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-8359 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2025, Jan 27, 2022, Mar 23, 2016 (3 updates tracked since 2016).

About Dr. James East Md NPPES

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

DR. JAMES EAST MD (NPI 1952763575) is an individual diagnostic radiology provider in Burlington, Vermont, licensed in Vermont (042.0017165) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952763575
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JAMES EASTCredential: MD
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing AddressPo Box 2007East Syracuse, NY 13057-4507 · (315) 362-5285
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateApril 22, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1952763575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in VT · 042.0017165✔ Licensed in NY · 312547
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
111 COLCHESTER AVE, Burlington, VT 05401

Secondary Practice Locations 3

Location 116 Degrandpre Way Ste 600Plattsburgh, NY 12901-6454 · Phone (518) 563-0490
Location 2115 Porter DrMiddlebury, VT 05753-8629 · Phone (802) 388-4757
Location 375 Park StreetElizabethtown, NY 12932 · Phone (518) 873-3014

Accepted 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 East Md 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 ID2961797543
PECOS Enrollment IDI20211116002418, I20211117001052, I20251006001960
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

10

Medicare enrollment records show James East reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
General Acute Care Hospital
75 BEEKMAN ST
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York and Vermont enrollments
  • Also billed through NPI 1124189782 (Vermont)
  • 675 clinicians in this Medicare group
Advanced Practice Midwife
20 ARMORY LN
Vergennes, VT 05491
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1134457013 (Vermont)
  • 243 clinicians in this Medicare group
General Practice
75 PARK STREET
Elizabethtown, NY 12932
  • Reassigned Medicare billing, New York and Vermont enrollments
  • Also billed through NPI 1487923637 (New York)
  • 219 clinicians in this Medicare group
Family Medicine
130 FISHER RD
Berlin, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • 562 clinicians in this Medicare group
Critical Access
133 PARK ST
Malone, NY 12953
  • Reassigned Medicare billing, New York and Vermont enrollments
  • Also billed through NPI 1568735660 (Vermont)
  • 326 clinicians in this Medicare group
Diagnostic Radiology
170 E 77TH ST LOWR LEVEL
New York, NY 10075
  • Reassigned Medicare billing, Vermont enrollment
Specialist
10945 N PORT WASHINGTON RD STE 201
Mequon, WI 53092
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Premier Radiology Wisconsin LLC
  • 237 clinicians in this Medicare group
Diagnostic Radiology
14302 BRUCE B DOWNS BLVD
Tampa, FL 33613
  • Reassigned Medicare billing, Vermont enrollment
  • 3 clinicians in this Medicare group
Diagnostic Radiology
6740 E CAMELBACK RD STE 100
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Vermont enrollment
  • 3 clinicians in this Medicare group

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 24

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
863 services863 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
859 services859 patients
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552
Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.
129 services111 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
107 services92 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
62 services62 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
53 services52 patients

Hospital Affiliations CMS Care Compare 5

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

74.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
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.

Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Nurse Practitioner
111 COLCHESTER AVE
BURLINGTON, VT 05401

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 East's NPI number?

The NPI number for James East is 1952763575. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is James East located?

James East practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-8359.

What is James East's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James East enrolled in Medicare?

Yes. James East 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 East's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James East reassigns Medicare benefits to 10 organizations: University Of Vermont Medical Center Inc (Burlington, VT), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY), Porter Hospital Inc (Vergennes, VT), Elizabethtown Community Hospital (Elizabethtown, NY), Central Vermont Medical Center Inc (Berlin, VT) and 5 more organizations, listed in the Medicare section above. 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 East's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James East accept?

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

According to CMS data, James East is affiliated with Champlain Valley Physicians Hospital Medical Ctr, The University Of Vermont Health Network-Alice Hy, Porter Hospital, Inc, Ascension Columbia St Mary's Hospital Milwaukee and Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for James East was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.