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James C Conley , PA

Physician Assistant โ€ข Biddeford, ME

Active NPI 1235367764 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1 Medical Center Dr
Biddeford, ME 040059422

Call 2072837000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Medical Center Dr

Biddeford, ME 040059422

Telephone 2072837000
Organization at the Same NPPES Address or Phone
Southern Maine Imaging Associates, Inc Facility NPI 1114904521

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mainegeneral Medical Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2008

Medicare patients

87 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $5,831 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $3,372 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

109 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$893 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

James Conley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists James Conley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Biddeford and Maine

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Biddeford, ME (2024, 24 clinicians with data). Median for this group: 145. Middle half: 90 to 280.

Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant in Maine (2024, 505 clinicians with data). Median for this group: 148. Middle half: 68 to 278.

Medicare-allowed amount

A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Biddeford, ME (2024, 24 clinicians with data). Median for this group: $12,499. Middle half: $5,824 to $26,656.

A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Maine (2024, 505 clinicians with data). Median for this group: $10,709. Middle half: $4,761 to $20,532.

Paid by Medicare

A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant in Biddeford, ME (2024, 24 clinicians with data). Median for this group: $9,749. Middle half: $4,041 to $19,822.

A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant in Maine (2024, 505 clinicians with data). Median for this group: $7,751. Middle half: $3,502 to $14,514.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Biddeford, ME (2024, 20 clinicians with data). Median for this group: 154. Middle half: 102 to 746.

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Maine (2024, 548 clinicians with data). Median for this group: 237. Middle half: 81 to 949.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Biddeford, ME (2024, 20 clinicians with data). Median for this group: $1,426. Middle half: $451 to $79,425.

A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Maine (2024, 548 clinicians with data). Median for this group: $3,237. Middle half: $625 to $106,961.

41 active clinicians are listed under Physician Assistant with a practice address in Biddeford, ME (979 in Maine).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Biddeford

9.8% of these 41 clinicians have the CMS telehealth indicator.

80.5% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2019โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
67 67 $106.85 $76.16
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
14 14 $71.14 $52.05

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 46 388 $79.89 46
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 20 200 $170.22 20
Doxycycline Monohydrate Doxycycline Monohydrate 19 166 $380.45 19
Mupirocin Mupirocin 11 275 $128.74 11
Albuterol Sulfate Hfa Albuterol Sulfate 11 181 $134.14 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES ME PA246

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maine State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State License
PA246 (ME)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20121113000541

Enrollment State Jurisdiction

ME

PECOS Control ID

7719138155

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mainegeneral Medical Center

149 N St, Waterville, ME 04901

Phone: 2078721000

Mainegeneral Medical Center

211 Main St, Waterville, ME 049016117

Phone: 2078773400

Mainegeneral Medical Center

15 Enterprise Dr, Augusta, ME 043307997

Phone: 2076218880

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1467013268

Doctor of Medicine (M.D.)

Mary Adorisio , PA-C

Physician Assistant

NPI 1356078802

Physician Assistant (Certified)

NPI 1104205293

Doctor of Medicine (M.D.)

Dr. Matthew Baskind , MD

Internal Medicine

NPI 1861936403

Doctor of Medicine (M.D.)

Dr. Elizabeth Beil , MD

Emergency Medicine

NPI 1265708937

Doctor of Medicine (M.D.)

Dr. Justin Berkner , DO

Emergency Medicine

NPI 1497307375

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location January 31, 2023

Registered at 1 MEDICAL CENTER DR, BIDDEFORD, ME 040059422 (Tel: 2072837000)

๐Ÿ“
Updated Business Mailing Address January 31, 2023

Registered at 81 HAMILTON ST, SOUTH PORTLAND, ME 041064453 (Tel: 2072722893)

โœ…
NPI Profile Active June 23, 2009

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 23, 2009

Registered at 200 KENNEDY MEMORIAL DR, WATERVILLE, ME 049014526 (Tel: 2078613152)

๐Ÿ“
Business Mailing Address (Initial Record) June 23, 2009

Registered at 200 KENNEDY MEMORIAL DR, WATERVILLE, ME 049014526 (Tel: 2078613152)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 23, 2009

Recorded as JAMES CONLEY, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2009

Physician Assistant (license number reported to NPPES: ME PA246)

๐ŸŸข
Initial NPI Registration & Enumeration June 23, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235367764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2009
Last Update: January 31, 2023
Sole Proprietor: No

Other Physician Assistants in Biddeford

All Physician Assistants in Biddeford

Mailing Address

81 Hamilton St

South Portland, ME 041064453

Phone: 2072722893

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.