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JAMES PATTERSON MD
NPI 1972600708
Internal Medicine - Hematology & Oncology in West Chester, PA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
440 E MARSHALL ST, STE 201, WEST CHESTER, PA 19380(610) 738-2500(610) 738-2540 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Patterson Md NPPES

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

JAMES PATTERSON MD (NPI 1972600708) is an individual hematology & oncology provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD059922L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Eastern Virginia Medical School (1994).

NPPES Registry Identity

NPI1972600708
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJAMES PATTERSONCredential: MD
Location Address440 E MARSHALL ST, STE 201West Chester, PA 19380
Mailing Address440 E Marshall St, Ste 201West Chester, PA 19380 · (610) 738-2500 · Fax (610) 738-2540
Phone(610) 738-2500
Fax(610) 738-2540
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1994
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 3, 2015
✔ NPI 1972600708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PA · MD059922L
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License MD059922L (PA)
440 E MARSHALL ST, West Chester, PA 19380
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Other Identifiers 3

Medicare UPINH09962
Medicaid0017961850001PA
Medicare PIN035202L4KPA

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 Patterson 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 ID749319655
PECOS Enrollment IDI20100602000098
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 8

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 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.
276 services129 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.
231 services178 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.
111 services59 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.
71 services70 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.
37 services37 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier37 claims37 services$18.37 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier48 claims50 services$35.75 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier48 claims438 services$1.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHERYL A JOHNSON MD
Internal Medicine (Hematology & Oncology)
440 E MARSHALL ST, STE 201
WEST CHESTER, PA 19380
Chester County (610) 738-2500
MRS. JULIA L BAHN CRNP
Nurse Practitioner (Pediatrics)
440 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 436-8611
AMY BAUMGARTNER AKINS M.D.
Pediatrics
440 E MARSHALL ST, THIRD FLOOR NORTH, SUITE 300
WEST CHESTER, PA 19380
Chester County (610) 436-8611
DR. GLENN A. BURKLAND DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
440 E MARSHALL ST, SUITE 301
WEST CHESTER, PA 19380
Chester County (610) 918-3200
JOANNE W BOYK CRNP
Nurse Practitioner (Adult Health)
440 E MARSHALL ST, STE 201
WEST CHESTER, PA 19380
Chester County (610) 738-2500
DR. MEHER BURKI M.D.
Internal Medicine (Hematology & Oncology)
440 E MARSHALL ST, SUITE 201
WEST CHESTER, PA 19380
Chester County (610) 738-2500
DR. NOVA MONTEIRO M.D.
Pediatrics
440 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 436-8611
SUSAN KUTCHINSKY CRNP
Nurse Practitioner (Perinatal)
440 E MARSHALL ST, SUITE 101
WEST CHESTER, PA 19380
Chester County (610) 738-7710

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 Patterson's NPI number?

The NPI number for James Patterson is 1972600708. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is James Patterson located?

James Patterson practices at 440 E Marshall St Ste 201, West Chester, PA 19380. The listed phone number is (610) 738-2500.

What is James Patterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is James Patterson enrolled in Medicare?

Yes. James Patterson 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.

Is James Patterson affiliated with any hospitals?

According to CMS data, James Patterson is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Paoli Hospital and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for James Patterson was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.