DR. JAMES JOHN BETZHOLD M.D.
NPI 1265432660
Internal Medicine - Gastroenterology in Albany, NY

NPI Status: Active since July 28, 2005

Contact Information

47 NEW SCOTLAND AVE
ALBANY, NY
ZIP 12208
Phone: (518) 262-8831
Fax: (518) 262-6453

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  • Individual
  • Male
  • Internal Medicine
  • Gastroenterology
  • PECOS Enrolled

About JAMES BETZHOLD

This page provides the complete NPI Profile along with additional information for James Betzhold, an internist established in Albany, New York with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1265432660 assigned on July 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 147626 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1265432660
Provider Name
DR. JAMES JOHN BETZHOLD M.D.
Gender
Male
Entity Type
Individual
Location Address
47 NEW SCOTLAND AVE ALBANY, NY 12208
Location Phone
(518) 262-8831
Location Fax
(518) 262-6453
Mailing Address
47 NEW SCOTLAND AVE ALBANY, NY 12208
Mailing Phone
(518) 262-8831
Mailing Fax
(518) 262-6453
Is Sole Proprietor?
Yes
Enumeration Date
07-28-2005
Last Update Date
07-08-2007
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An internist like James Betzhold is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
147626
License State
NY
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

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.

*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
53858GMEDICARE ID-TYPE UNSPECIFIED (04)NY 
B82112MEDICARE UPIN (02)NY 
00688986MEDICAID (05)NY 

Medicare Participation & PECOS Enrollment Status

James Betzhold 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

  • 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

Physician Visit Costs

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 12208 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.4
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $31.6
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

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

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* 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.

Reviews for DR. JAMES JOHN BETZHOLD M.D.

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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.
1265432660
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125834612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 8 + 3 + 4 + 6 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1265432660 is valid because the calculated check digit 0 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
1386649689 SAKINA RANGWALA M.D.
Individual
Anesthesiology47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-4305
1376540732DR. SHELLIE LYNN ASHER M.D.
Individual
Emergency Medicine47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-3773
1750388047DR. DAVID BARNERT M.D.
Individual
Anesthesiology47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-4300
1457358483MRS. ALISUN JEAN DAUS RD
Individual
Dietitian, Registered47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-6888
1578561718 MICHAEL GRUENTHAL M.D., PH.D.
Individual
Psychiatry & Neurology (Neurology)47 NEW SCOTLAND AVE ALBANY MEDICAL COLLEGE, MC70
ALBANY, NY 12208
(518) 262-2754
1487653101DR. SHARON LYNN ALGER-MAYER M.D.
Individual
Internal Medicine47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-5299
1770582538DR. WILLIAM GEORGE ALDERISIO M.D.
Individual
Internal Medicine (Cardiovascular Disease)47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-5076
1437159837DR. SCOTT HERBERT BEEGLE M.D.
Individual
Internal Medicine47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-5196
1154321552DR. MARY BRITA BERGEN-CHAGNON M.D.
Individual
Anesthesiology47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-4300
1407856818DR. JOEL MICHAEL BARTFIELD M.D.
Individual
Emergency Medicine47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-3773
1417957713DR. GARY LEO BERNARDINI M.D.
Individual
Psychiatry & Neurology (Neurology)47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-5226
1225030133 SULAGNA MOOKHERJEE M.D.
Individual
Internal Medicine (Cardiovascular Disease)47 NEW SCOTLAND AVE MC 44
ALBANY, NY 12208
(518) 262-5076
1821090747DR. ALAN SAMUEL BOULOS M.D.
Individual
Neurological Surgery47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-5088
1376545780DR. CHERYL A DESIMONE M.D.
Individual
Anesthesiology47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-4300
1992707319DR. PAUL JOSEPH DAVIS M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-5185
1417959834DR. NEIL SARKIS DEVEJIAN M.D.
Individual
Pediatrics (Pediatric Cardiology)47 NEW SCOTLAND AVE AMC CARDIOTHORACIC SURGERY GROUP
ALBANY, NY 12208
(518) 262-5470
1407858830DR. DARRYL JOHN DIRISIO M.D.
Individual
Neurological Surgery47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-5088
1740282151DR. MICHAEL W. DAILEY M.D.
Individual
Emergency Medicine47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-3773
1427050954DR. DZINTRA FREIMANE CELMINS M.D.
Individual
Psychiatry & Neurology (Neurology)47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-5226
1295737740DR. DAVID JAMES CONTI M.D.
Individual
Surgery47 NEW SCOTLAND AVE
ALBANY, NY 12208
(518) 262-5623

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265432660, enumerated in the NPI registry as an "individual" on July 28, 2005

The provider is located at 47 New Scotland Ave Albany, Ny 12208 and the phone number is (518) 262-8831

The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

The provider might be accepting Accepts: Medicare and Medicaid. 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 $126.4 with an average copayment of $31.6 for new patient appointments. Established patients should expect a typical charge of $97.08 and an average copayment of 24.27. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 28, 2005. 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.