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James Rummel JR.

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NPI Number Detailed Information

Provider Information:

Name: James Rummel JR.
Gender: M
Provider License Number If Given: 261966

NPI Information:

NPI: 1346520525
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/19/2011

Last Update Date: 10/10/2022

Reputation Report:

Provider Business Mailing Address:

Address: 100 SHENANGO AVE
Sharon, PA 16146
Phone Number: 7249623553
Fax Number: 7249623630

Provider Business Practice Location Address:

Address: 225 EDGEWOOD DRIVE EXT
Transfer, PA 16154
Phone Number: 7249623553
Fax Number: 7249623630

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any): 207Q00000X
State: PA

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About James Rummel JR.

James Rummel JR.( JAMES RUMMEL JR.) is Family Family Medicine Physician in Transfer, PA. The NPI Number for James Rummel JR. is 1346520525.
The current location address for James Rummel JR. is 225 EDGEWOOD DRIVE EXT Transfer, PA 16154 and the contact number is 7249623553 and fax number is 7249623630. The mailing address for James Rummel JR. is 100 SHENANGO AVE Sharon, PA 16146- 7249623553 (mailing address contact number - 7249623553).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for James Rummel JR.?


Answer: The NPI Number for James Rummel JR. is 1346520525

Where is James Rummel JR. located?


Answer: James Rummel JR. is located at 225 EDGEWOOD DRIVE EXT Transfer, PA 16154.

What is the specialty for James Rummel JR.?


Answer: The Specialty of James Rummel JR. is Family Family Medicine Physician.

Are there any online reviews for James Rummel JR.?


Answer: Yes! Check It Now.

Are there any other health care providers in Transfer, PA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by James Rummel JR.

Number of HCPCS 31
Number of Medicare Beneficiaries 138
Number of Services 215
Total Submitted Charge Amount 70710.7
Total Medicare Allowed Amount 21540.63
Total Medicare Payment Amount 10786.09
Total Medicare Standardized Payment Amount 11094.97
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 19
Number of Beneficiaries Age 65 to 74 51
Number of Beneficiaries Age 75 to 84 43
Number of Beneficiaries Age Greater 84 25
Number of Female Beneficiaries 65
Number of Male Beneficiaries 73
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 23
Number of Beneficiaries With Medicare Only Entitlement 115
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.13
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.19
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.22
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.2
Percent (%) of Beneficiaries Identified With Depression 0.25
Percent (%) of Beneficiaries Identified With Diabetes 0.33
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.59
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.28
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2134

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 7341
Number of Standardized 30-Day Fills 12729.833333
Aggregate Cost Paid for All Claims 780532.09
Number of Day's Supply for All Claims 368984
Number of Medicare Beneficiaries 930
Number of Claims, Including Refills, for Beneficiaries Age 65+ 5739
Including Refills, for Beneficiaries Age 65+ 10431.5
Beneficiaries Age 65+ 589796.99
Number of Day's Supply for All Claims for Beneficaries Age 65+ 303593
Number of Medicare Beneficiaries Age 65+ 764
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1359
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 5919
Aggregate Cost Paid for Generic Drugs 133676.81
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 63
Aggregate Cost Paid for Other Drugs 3731.54
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4315
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 476743.71
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3026
Aggregate Cost Paid for Claims Filled by 303788.38
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2935
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 364148.44
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 4406
by Low-Income Subsidy 416383.65
Total Claims of Opioid Drugs, Including 162
Aggregate Cost Paid for Opioid Drugs 11105.49
Opioid Claims 83
Opioid_Tot_Clms divided by the Tot_Clms 2.2067838169
Total Claims of Long-Acting Opioid Drugs 28
Aggregate Cost Paid for Long-Acting Opioid 5782.87
Number of Day's Supply of All Long-Acting 830
Long-Acting Opioid Claims 15
Opioid_LA_Tot_Clms divided by the 17.283950617
Total Claims of Antibiotic Drugs, Including 167
Aggregate Cost Paid for Antibiotic Drugs 1916.4
Antibiotic Claims 117
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 53
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 3207.88
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 20
Average Age of Beneficiaries 71.766666667
Number of Beneficiaries Age Less Than 65 166
Number of Beneficiaries Age 65 to 74 404
Number of Beneficiaries Age 75 to 84 243
Number of Female Beneficiaries 485
Number of Male Beneficiaries 445
Number of Non-Hispanic White 871
Number of Black or African American 29
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 23
Only Entitlement 665
Average Hierarchical Condition Category 1.1530781823

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