JAMES PEPPLE M.D.
NPI 1558368191
Anesthesiology in Baltimore, MD
NPI Status: Active since June 28, 2005
Contact Information
2401 W BELVEDERE AVE
BALTIMORE, MD
ZIP 21215
Phone: (410) 601-5209
- Individual
- Male
- Years of Experience 52
- Anesthesiology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JAMES PEPPLE
This page provides the complete NPI Profile along with additional information for James Pepple, an anesthesiologist established in Baltimore, Maryland with a medical specialization in Anesthesiology and more than 52 years of experience. The healthcare provider is registered in the NPI registry with number 1558368191 assigned on June 2005. The practitioner's primary taxonomy code is 207L00000X with license number D0020349 (MD). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1558368191
- Provider Name
- JAMES PEPPLE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2401 W BELVEDERE AVE BALTIMORE, MD 21215
- Location Phone
- (410) 601-5209
- Mailing Address
- 68 S SERVICE RD SUITE 350 MELVILLE, NY 11747
- Mailing Phone
- (516) 945-3000
- Medical School Name
- OTHER
- Graduation Year
- 1974
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-28-2005
- Last Update Date
- 11-04-2009
- Code Navigator
An anesthesiologist like James Pepple manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
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
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0020349
- License State
- MD
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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 |
|---|---|---|---|
| B67040 | MEDICARE UPIN (02) | NY | |
| 317091800 | MEDICAID (05) | MD |
Medicare Participation & PECOS Enrollment Status
James Pepple 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 Pepple 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: 2365628005
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: I20110516000145, I20241106000441
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.
Anesthesia for other procedure on hip joint
Anesthesia for other procedure on lower leg, ankle, and foot bones
Anesthesia for other procedure on skin of arms, legs, and front body
Anesthesia for procedure for total knee joint replacement
Anesthesia for procedure on upper 2/3rd of thigh bone
Anesthesia for revision of total hip replacement
Anesthesia for total hip replacement
Injection of anesthetic agent and/or steroid into arm nerve bundle
Injection of anesthetic agent and/or steroid into lower back and leg nerve
Injection of anesthetic agent and/or steroid into thigh nerve
Insertion of artery tube for blood sampling or infusion through skin
Ultrasonic guidance for blood vessel access
Ultrasonic guidance for needle placement
Anesthesia for a hip joint procedure involves administering medication to block pain during surgery. It can be general (you're asleep) or regional (only a part of your body is numb). This allows the surgeon to work on your hip without causing discomfort.
This service was performed 11 times for 11 patientsAnesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
This service was performed 22 times for 21 patientsAnesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
This service was performed 13 times for 11 patientsAnesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
This service was performed 76 times for 74 patientsAnesthesia for a procedure on the upper 2/3rd of the thigh bone involves administering medication to numb the area or make you unconscious, ensuring you don't feel pain during the operation. It's a safe and routine part of surgical procedures.
This service was performed 15 times for 15 patientsAnesthesia for a hip replacement revision helps to manage pain and comfort during surgery. It can be general (you're asleep) or regional (you're awake but numb). The choice depends on your health, the surgeon's advice, and your preference.
This service was performed 13 times for 13 patientsAnesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
This service was performed 29 times for 28 patientsThis procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
This service was performed 13 times for 13 patientsThis procedure involves injecting an anesthetic or steroid into the lower back and leg nerve to alleviate pain. The injection helps reduce inflammation and numb the area, providing relief from discomfort. This is a common treatment for conditions such as sciatica and herniated discs.
This service was performed 15 times for 14 patientsThis procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
This service was performed 102 times for 97 patientsThis procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
This service was performed 42 times for 41 patientsUltrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
This service was performed 22 times for 22 patientsUltrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
This service was performed 117 times for 113 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | 948 |
| Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized | ||
| Pre-operative OSA assessment | 96% | 990 |
| Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA) | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Use of QCDR to support clinical decision making | Yes | N/A |
| Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities. | ||
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 Pepple is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SINAI HOSPITAL OF BALTIMORE | 2401 WEST BELVEDERE AVENUE BALTIMORE, MD 21215 | (410) 601-5131 | Acute Care Hospitals |
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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. | |||||||||
| 1 | 5 | 5 | 8 | 3 | 6 | 8 | 1 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 6 | 6 | 16 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 6 + 6 + 1 + 6 + 1 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1558368191 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1679576086 | MR. HERBERT GRAHAM MATHEWS III Individual | Pharmacist (Pharmacotherapy) | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-0674 |
| 1346244175 | DR. COLBY ALLYN MILLER PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-8882 |
| 1386640993 | STEVEN BLUESTEIN C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1366448987 | WON CHA M.D. Individual | Anesthesiology | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1184620718 | CRAIG COPELIN C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1265438899 | KATHY CROWLEY C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1144226770 | JOHN FAN M.D. Individual | Anesthesiology | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1750388385 | LIGUANG HUANG M.D. Individual | Anesthesiology | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1023014636 | JUPING BAO M.D. Individual | Anesthesiology | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1568469112 | PILAR SHEARIN C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1245237890 | NEERAJ VERMA M.D. Individual | Anesthesiology | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1235136656 | JOHN CHRIST CRNA Individual | Nurse Anesthetist, Certified Registered | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1346247772 | SON DAO M.D. Individual | Anesthesiology | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1699772038 | JAIME MOCCA C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1598762932 | BOBBY JOHNSON M.D. Individual | Anesthesiology | 2401 W BELVEDERE AVE BALTIMORE, MD 21215 (410) 601-5209 |
| 1336149194 | MONICA AGREE MD Individual | Anesthesiology | 2401 W BELVEDERE AVE ANESTHESIA DEPARTMENT BALTIMORE, MD 21215 (410) 601-5209 |
| 1164422929 | MARY CLOTHIER CRNA Individual | Nurse Anesthetist, Certified Registered | 2401 W BELVEDERE AVE ANESTHESIA DEPARTMENT BALTIMORE, MD 21215 (410) 601-5209 |
| 1881694438 | GARY GLOWAC CRNA Individual | Nurse Anesthetist, Certified Registered | 2401 W BELVEDERE AVE ANESTHESIA DEPARTMENT BALTIMORE, MD 21215 (410) 601-5209 |
| 1962402511 | JOSEPH LAKE CRNA Individual | Nurse Anesthetist, Certified Registered | 2401 W BELVEDERE AVE ANESTHESIA DEPARTMENT BALTIMORE, MD 21215 (410) 601-5209 |
| 1063412658 | KELVIN YEE MD Individual | Anesthesiology | 2401 W BELVEDERE AVE ANESTHESIA DEPARTMENT BALTIMORE, MD 21215 (410) 601-5209 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558368191, enumerated in the NPI registry as an "individual" on June 28, 2005
The provider is located at 2401 W Belvedere Ave Baltimore, Md 21215 and the phone number is (410) 601-5209
The provider's speciality is Anesthesiology with taxonomy code 207L00000X
The provider has more than 52 years of experience.
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.
The most common procedures or services performed by this practitioner are: Anesthesia for other procedure on hip joint, Anesthesia for other procedure on lower leg, ankle, and foot bones, Anesthesia for other procedure on skin of arms, legs, and front body, Anesthesia for procedure for total knee joint replacement, Anesthesia for procedure on upper 2/3rd of thigh bone, Anesthesia for revision of total hip replacement, Anesthesia for total hip replacement, Injection of anesthetic agent and/or steroid into arm nerve bundle, Injection of anesthetic agent and/or steroid into lower back and leg nerve, Injection of anesthetic agent and/or steroid into thigh nerve, Insertion of artery tube for blood sampling or infusion through skin, Ultrasonic guidance for blood vessel access and Ultrasonic guidance for needle placement.
The practitioner is affiliated to the following hospital(s): SINAI HOSPITAL OF BALTIMORE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 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].
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