Dr Michael James, MD - Medicare Orthopedic Surgery in Pittsburgh, PA

Dr Michael James, MD is a medicare enrolled "Orthopaedic Surgery" physician in Pittsburgh, Pennsylvania. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 3200 S Water St, Pittsburgh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (403) 860-9335.

Dr Michael James is licensed to practice in ZZ (license number 143833) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912650185.

Contact Information

Dr Michael James, MD
3200 S Water St,
Pittsburgh, PA 15203-2307
(403) 860-9335
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael James
GenderMale
SpecialityOrthopedic Surgery
Experience8 Years
Location3200 S Water St, Pittsburgh, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael James graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1912650185
  • Provider Enumeration Date: 01/28/2022
  • Last Update Date: 04/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193179315
  • Enrollment ID: I20230921002754

Medical Identifiers

Medical identifiers for Dr Michael James such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912650185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 143833 (ZZ)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301498

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael James allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael James is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael James, MD
607 12th Ave Ne,
Calgary, AB T2E1B-2

Ph: () -
Dr Michael James, MD
3200 S Water St,
Pittsburgh, PA 15203-2307

Ph: (403) 860-9335

Reviews and Comments


Orthopaedic Surgery Doctors in Pittsburgh, PA

Dr. Timothy Joseph Sauber Ii, MD
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Phone: 877-660-6777    Fax: 412-359-8055
Dr. Anthony Abimbade Oyekan, MD
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Practice Location: 3471 5th Ave Ste 1010, Pittsburgh, PA 15213
Phone: 412-605-3277    
Alexander Patrick Hoffman, M.D.
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Practice Location: 3471 5th Ave, Kaufmann Medical Building - Suite 1010, Pittsburgh, PA 15213
Phone: 412-605-3277    
Dr. Nicholas George Sotereanos, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1307 Federal St Ste 2, Pittsburgh, PA 15212
Phone: 877-660-6777    Fax: 412-359-8055
William Hogan,
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 320 E North Ave, Pittsburgh, PA 15212
Phone: 412-708-1511    
Peter G Mangone, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1350 Locust St Ste 220, Pittsburgh, PA 15219
Phone: 412-232-9080    Fax: 412-232-9075
Dr. Robert G Liss, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5820 Centre Ave, Pittsburgh, PA 15206
Phone: 412-661-5500    Fax: 412-661-4365

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.