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DR. JAMES DITARANTO DO
NPI 1992814016
Family Medicine in Leesburg, VA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
19500 SANDRIDGE WAY STE 200, LEESBURG, VA 20176(703) 840-7300(703) 840-7301 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2020, Sep 2, 2020, Dec 21, 2018 (3 updates tracked since 2018).

About Dr. James Ditaranto Do NPPES

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

DR. JAMES DITARANTO DO (NPI 1992814016) is an individual family medicine provider in Leesburg, Virginia, licensed in Virginia (0102049947) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1992814016
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES DITARANTOCredential: DO
Location Address19500 SANDRIDGE WAY STE 200Leesburg, VA 20176-3689
Mailing Address19500 Sandridge Way Ste 200Leesburg, VA 20176-3689 · (703) 840-7300 · Fax (703) 840-7301
Phone(703) 840-7300
Fax(703) 840-7301
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1984
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1992814016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102049947
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19500 SANDRIDGE WAY STE 200, Leesburg, VA 20176
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11225 Martha Custis Dr Ste C1Alexandria, VA 22302-2040 · Phone (703) 671-2700 · Fax (703) 671-7007
Location 21005 N Glebe Rd Ste 710Arlington, VA 22201-5766 · Phone (571) 302-3903 · Fax (571) 302-3904
Location 38081 Innovation Park Dr Ste 200Fairfax, VA 22031-4867 · Phone (571) 472-7000 · Fax (571) 472-7001
Location 43300 Gallows Rd Fl 1Falls Church, VA 22042-3307 · Phone (703) 776-4005 · Fax (703) 776-7068
Location 53580 Joseph Siewick Dr Ste 306Fairfax, VA 22033-1764 · Phone (703) 391-4520 · Fax (703) 391-4521
Location 66355 Walker Ln Ste 500Alexandria, VA 22310-3251 · Phone (703) 373-3718 · Fax (703) 822-2190

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar 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 Ditaranto 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 ID2860464476
PECOS Enrollment IDI20040812000552, I20180220000451
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 Ditaranto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inova Health Care Services
17 mi
Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1669511051 (District of Columbia)
  • 2,379 clinicians in this Medicare group
NPI 1275886418 (703) 938-5300

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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
193 services87 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.
115 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Detection test by immunoassay with direct visual observation for respiratory syncytial virus 87807
This is a test to identify the respiratory syncytial virus, a common cause of lung and respiratory tract infections. It uses immunoassay, a method that detects the virus through a reaction between the virus and specific antibodies. The result is visually observed.
22 services20 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
21 services19 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
21 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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 Ditaranto's NPI number?

The NPI number for James Ditaranto is 1992814016. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is James Ditaranto located?

James Ditaranto practices at 19500 Sandridge Way Ste 200, Leesburg, VA 20176. The listed phone number is (703) 840-7300.

What is James Ditaranto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Ditaranto enrolled in Medicare?

Yes. James Ditaranto 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 Ditaranto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ditaranto reassigns Medicare benefits to Inova Health Care Services (Vienna, VA). 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 Ditaranto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ditaranto accept?

Health plans from Oscar Health list James Ditaranto 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 Ditaranto affiliated with any hospitals?

According to CMS data, James Ditaranto is affiliated with Inova Loudoun Hospital, Inova Fairfax Hospital and Inova Fair Oaks Hospital.

When was this NPI record last updated?

The NPPES record for James Ditaranto was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.