Active NPI
James M Mattucci Jr., MD
- Orthopaedic Surgery Physician
- Kingston, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD067772L
- Practice address
- 390 Pierce St
Kingston, PA 18704-5532 - Phone
- (570) 288-3535
- Fax
- (570) 288-0804
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD067772L | PA | Primary |
Addresses
Primary practice location
390 Pierce St
Kingston, PA 18704-5532
Mailing address
390 Pierce St
Kingston, PA 18704-5532
Phone (570) 288-3535
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1444722 | Other | PA | BS |
| 0018537730002 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | james.mattucci.1@21771.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Temple University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
1000 Meade St
Dunmore, PA 18512-3195
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
390 Pierce St
Kingston, PA 18704-5532
Phone (570) 408-0410
4 E Main St
Nanticoke, PA 18634-1602
Phone (570) 735-7474
575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 552-8938
6011 Sr
Suite 6
Tunkhannock, PA 18657-7753
Phone (570) 836-7600
Hospital & facility affiliations
- Commonwealth Home Health & Hospice of Wilkes-Barre
- Accentcare Health of Pennsylvania
- Associated Family Home Care, Inc.
- Traditional Home Health Care
- Wilkes-Barre General Hospital
- Regional Hospital of Scranton
- Geisinger-Community Medical Center
- John Heinz Institute of Rehabilitation Medicine
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 78.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 13 |
| Knee replacement | 21 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD067772L | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Physician Network LLC | Current | Accepting new patients |
Locations
1000 Meade St
Ste 106
Dunmore, PA 18512
Phone (570) 207-0171
390 Pierce St
Kingston, PA 18704
Phone (570) 288-3535
4 E Main St
Nanticoke, PA 18634
Phone (570) 258-3939
6011 Sr 6
Tunkhannock, PA 18657
Phone (570) 836-7600
Interoperability endpoints
- james.mattucci.1@21771.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Kingston, PA
- NPI 1003238635
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kingston, PA
- NPI 1609871409
-
- Home Health Agency
- Forty Fort, PA
- NPI 1710129762
-
- Endocrinology, Diabetes & Metabolism Physician
- Scranton, PA
- NPI 1306439856
Hospital
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1366444507
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1972652063
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1467850149
Hospital
-
- Radiology Clinic/Center
- Scranton, PA
- NPI 1548648272
Hospital
-
- Radiology Clinic/Center
- Scranton, PA
- NPI 1124405592
Hospital
-
- Physical Therapy Clinic/Center
- Scranton, PA
- NPI 1336526276
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Scranton, PA
- NPI 1417334350
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1528070778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 PIERCE ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045532",
"telephone_number": "570-288-3535",
"fax_number": "570-288-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 PIERCE ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045532",
"telephone_number": "570-288-3535",
"fax_number": "570-288-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTUCCI",
"first_name": "JAMES",
"middle_name": "M",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD067772L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "1444722",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018537730002",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "james.mattucci.1@21771.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "390 Pierce St",
"city": "Kingston",
"state": "PA",
"country_code": "US",
"postal_code": "187045532",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.