JAMES DUNCKLEE D.O.
NPI 1225053317
Emergency Medicine in Philadelphia, PA

NPI Status: Active since July 12, 2006

Contact Information

3998 RED LION RD
EMERGENCY DEPT
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 612-4000
Fax: (215) 807-8235

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  • Individual
  • Male
  • Years of Experience 27
  • Emergency Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JAMES DUNCKLEE

This page provides the complete NPI Profile along with additional information for James Duncklee, a provider established in Philadelphia, Pennsylvania with a medical specialization in Emergency Medicine and more than 27 years of experience. He graduated from Lake Erie College Of Osteopathic Medicine, Erie in 1999. The healthcare provider is registered in the NPI registry with number 1225053317 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number OS011129L (PA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1225053317
Provider Name
JAMES DUNCKLEE D.O.
Gender
Male
Entity Type
Individual
Location Address
3998 RED LION RD EMERGENCY DEPT PHILADELPHIA, PA 19114
Location Phone
(215) 612-4000
Location Fax
(215) 807-8235
Mailing Address
PO BOX 8500-6335 PHILADELPHIA, PA 19178
Mailing Phone
(215) 807-8000
Mailing Fax
(215) 807-8235
Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
07-12-2006
Last Update Date
05-06-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS011129L
License State
PA
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1013477440004OTHER (01)PAPROMISE
30048593OTHER (01)KEYSTONE MERCY
2408090000OTHER (01)PAKEYSTONE
20045118OTHER (01)PAAMERIHEALTH
07645OTHER (01)PWHEALTH PARTNERS
I11342MEDICARE UPIN (02)PA 
092604JFGMEDICARE PIN (08)PA 
101347744-03OTHER (01)PAAMERICHOICE-FRANKFORD
1013477440001MEDICAID (05)PA 
1013477440002MEDICAID (05)PA 
001742168OTHER (01)PAHIGHMARK BS
001742168OTHER (01)PABS
30025560OTHER (01)PAKEYSTONE MERCY
101347744-01OTHER (01)PAAMERICHOICE- BUCKS
101347744-02OTHER (01)PAAMERICHOICE- TORRESDALE
092604JL1MEDICARE PIN (08)PA 
1742168OTHER (01)PAHIGHMARK BLUE SHIELD
2408090000OTHER (01)PAKEYSTONE, IBC
1013477440003MEDICAID (05)PA 
P00290590OTHER (01)PARAILROAD MEDICARE
452729OTHER (01)PAAETNA CONTRACT
2464180OTHER (01)PAUNITED HEALTHCARE
1358218OTHER (01)PACIGNA
1742168OTHER (01)PAPERSONAL CHOICE

Medicare Participation & PECOS Enrollment Status

James Duncklee is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

James Duncklee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7416920020

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050727000504

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 90 times for 89 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 70 times for 66 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 60 times for 57 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

This service was performed 65 times for 63 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.17 for a new patient copayment and $26.3 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19114 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. James Duncklee is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
RIDDLE MEMORIAL HOSPITAL1068 WEST BALTIMORE PIKE
MEDIA, PA 19063
(610) 566-9400Acute Care Hospitals

Reviews for JAMES DUNCKLEE D.O.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225053317
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
224505632
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 0 + 5 + 6 + 3 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1225053317 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326034976 NICOLE LAURA REICHNER CRNP
Individual
Registered Nurse (Emergency)3998 RED LION RD EMERGENCY MEDICINE
PHILADELPHIA, PA 19114
(215) 612-4000
1265412753DR. MARINA DEWI LIEM MD
Individual
Radiology (Diagnostic Radiology)3998 RED LION RD
PHILADELPHIA, PA 19114
(215) 612-4021
1881664316DR. CARL S RUBIN D.O.
Individual
Radiology (Diagnostic Radiology)3998 RED LION RD
PHILADELPHIA, PA 19114
(215) 612-4021
1447221452 JULES S YAVIL D.O.
Individual
Radiology (Diagnostic Radiology)3998 RED LION RD
PHILADELPHIA, PA 19114
(215) 612-4021
1184697153 GLORIA E HESTER MD
Individual
Pediatrics3998 RED LION RD SUITE 215
PHILADELPHIA, PA 19114
(215) 632-5437
1134184468ARIA HEALTH PHYSICIAN SERVICES-SURGERY
Organization
Surgery3998 RED LION RD SUITE 235
PHILADELPHIA, PA 19114
(215) 632-3630
1538117825 JOHN A. HEIM M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3998 RED LION RD SUITE 214
PHILADELPHIA, PA 19114
(215) 612-5050
1386682136 ROBERT L. QUIGLEY M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3998 RED LION RD SUITE 214
PHILADELPHIA, PA 19114
(215) 612-5050
1093755829JOEL P MILLER DO PC
Organization
Internal Medicine (Cardiovascular Disease)3998 RED LION RD SUITE 209
PHILADELPHIA, PA 19114
(215) 824-2859
1891737540DR. VICTOR A SOLON M.D.
Individual
Internal Medicine3998 RED LION RD SUITE 202
PHILADELPHIA, PA 19114
(215) 969-4003
1952344079 CAROLYN M. GAYDOS RD, LDN
Individual
Dietitian, Registered (Nutrition, Renal)3998 RED LION RD NUTRITION CENTER, FRANKFORD HOSPITAL
PHILADELPHIA, PA 19114
(215) 612-4863
1740219955 ALFRED R. BOGUCKI M.D.
Individual
Surgery (Trauma Surgery)3998 RED LION RD SUITE 211
PHILADELPHIA, PA 19114
(215) 824-4559
1801826284 ROBERT M GOLUB M.D.
Individual
Surgery3998 RED LION RD SUITE 235
PHILADELPHIA, PA 19114
(215) 632-3630
1639109796 ANDREI BELSKY M.D.
Individual
Anesthesiology3998 RED LION RD ANESTHESIA DEPARTMENT
PHILADELPHIA, PA 19114
(215) 612-4088
1255361325 ASHRAFE EWIDA M.D.
Individual
Anesthesiology3998 RED LION RD ANESTHESIA DEPARTMENT
PHILADELPHIA, PA 19114
(215) 612-4088
1912937905 BRION J. GROSS M.D.
Individual
Anesthesiology3998 RED LION RD ANESTHESIA DEPT
PHILADELPHIA, PA 19114
(215) 612-4088
1740210889 RESTITUTO M. ALISUAG M.D.
Individual
Anesthesiology3998 RED LION RD ANESTHESIA DEPARTMENT
PHILADELPHIA, PA 19114
(215) 612-4088
1770514507 ANDREW R. OGDEN D.O.
Individual
Emergency Medicine3998 RED LION RD
PHILADELPHIA, PA 19114
(215) 612-4000
1508899428 HAROLD J. GAUTHIER M.D.
Individual
Emergency Medicine3998 RED LION RD EMERGENCY DEPARTMENT
PHILADELPHIA, PA 19114
(215) 612-4000
1609809318 GEORGE C. HOBBIB M.D.
Individual
Emergency Medicine3998 RED LION RD EMERGENCY DEPARTMENT
PHILADELPHIA, PA 19114
(215) 612-4000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225053317, enumerated in the NPI registry as an "individual" on July 12, 2006

The provider is located at 3998 Red Lion Rd Emergency Dept Philadelphia, Pa 19114 and the phone number is (215) 612-4000

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider has more than 27 years of experience. He graduated from Lake Erie College Of Osteopathic Medicine, Erie in 1999.

The provider might be accepting Accepts: Medicare, Medicaid, AmeriHealth, Highmark Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $105.21 and an average copayment of 26.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.

The practitioner is affiliated to the following hospital(s): RIDDLE MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.