Active NPI 1003867318 Individual Practitioner Male Practitioner

Dr. James Leslie Frank , MD

Surgery • Chicopee, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Frank, MD is a certified Surgery practicing in Chicopee, MA. With approximately 43 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1983, Dr. Frank delivers high-quality medical care to the local community at 444 MONTGOMERY ST.

Dr. Frank is affiliated with Riverbend Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

444 Montgomery St

Chicopee, MA 010201997

Telephone 4135943111

Fax 4135987115

Associated Practice Facility / Clinic

🏢 Mwa, Pc Facility NPI 1013011683

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Chicopee, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +16.7 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Chicopee, MA (1077 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Frank (43 Years) 43 Yrs

Chicopee Specialty Average (26.3 Years) 26.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	24	$158.75	$73.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$296.82	$128.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	17	$88.40	$48.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	44	$210.00	$117.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	25	$150.00	$79.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	34	$210.00	$103.99
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$200.00	$93.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	16	$150.00	$72.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	181	126	$190.28	$95.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	62	$150.00	$73.80
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$179.56	$76.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	32	$91.00	$59.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$253.64	$117.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$292.71	$135.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	20	$831.45	$247.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	19	$210.00	$106.07
47562 Removal of gallbladder using an endoscope	13	13	$1781.38	$584.93
19301 Partial removal of breast	12	12	$1314.08	$656.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	90	$168.00	$78.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	60	$138.48	$75.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$230.00	$113.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	41	$249.00	$112.33
99442 Telephone medical discussion with physician, 11-20 minutes	34	33	$157.88	$78.10
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$154.00	$80.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$91.00	$47.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	18	$748.00	$221.88
38900 Lymph node imaging during surgery	16	16	$275.19	$152.22
19301 Partial removal of breast	16	15	$1364.63	$721.96
47562 Removal of gallbladder using an endoscope	14	14	$1624.77	$684.26
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1049.14	$267.83
49650 Repair of groin hernia using an endoscope	11	11	$1450.82	$494.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	114	$168.00	$77.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	117	67	$138.00	$73.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$230.00	$111.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$249.00	$113.27
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$154.00	$79.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$91.00	$47.42
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$748.00	$266.54
19125 Removal of breast growth, open procedure	20	20	$1035.00	$473.01
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$918.00	$233.62
38900 Lymph node imaging during surgery	14	14	$259.00	$147.06
19301 Partial removal of breast	13	12	$1213.00	$642.68
47562 Removal of gallbladder using an endoscope	11	11	$1685.27	$703.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	121	83	$138.00	$75.54
99213 Established patient office or other outpatient visit, typically 15 minutes	96	77	$168.00	$75.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$230.00	$111.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	39	$249.00	$112.58
47562 Removal of gallbladder using an endoscope	27	27	$1627.19	$675.78
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	23	$748.00	$234.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$352.00	$171.70
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$154.00	$77.26
49650 Repair of groin hernia using an endoscope	12	12	$1244.58	$476.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	79	$168.00	$75.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	48	$138.00	$72.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$230.00	$109.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	27	$77.00	$40.10
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	33	$790.74	$226.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$249.00	$110.94
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$154.00	$77.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$352.00	$162.66
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	23	$21.00	$10.45
80053 Blood test, comprehensive group of blood chemicals	21	21	$32.00	$14.20
47562 Removal of gallbladder using an endoscope	17	17	$1640.41	$619.56

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 74409

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License CT 044062

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003088813 (CT)

Medicaid State Provider ID

110050218A (MA)

Hospital & Practice Group Affiliations

Riverbend Medical Group Inc

444 Montgomery St, Chicopee, MA 010201969

Phone: 4135943111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Rose Bernal-Larioza , MD

Physical Medicine & Rehabilitation

NPI 1053529453

Doctor of Medicine (M.D.)

Dr. Oded Rencus , MD

Obstetrics & Gynecology

NPI 1063470292

Doctor of Medicine (M.D.)

Analy Duong , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1073135240

PHYSICIANASSISTANT

Colin Robinson , PA

Physician Assistant - Medical

NPI 1104496959

Physician Assistant

Dr. Samir Mujalli , MD

Surgery

NPI 1154371136

Doctor of Medicine (M.D.)

Dr. Lydia Sarro , MD

Pediatrics

NPI 1154385607

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active January 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2017

Registered at 444 MONTGOMERY ST, CHICOPEE, MA 010201997 (Tel: 4135943111)

📍

Updated Business Mailing Address January 17, 2017

Registered at 444 MONTGOMERY ST, CHICOPEE, MA 010201969 (Tel: 4135943111)

👤

Provider Name / Credentials Updated January 17, 2017

Recorded as JAMES FRANK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2017

Surgery (License #74409 in MA)

✅

NPI Profile Active March 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2011

Registered at 444 MONTGOMERY ST, CHICOPEE, MA 010201997 (Tel: 4135943111)

📍

Updated Business Mailing Address March 18, 2011

Registered at 444 MONTGOMERY ST, CHICOPEE, MA 010201969 (Tel: 4135943111)

👤

Provider Name / Credentials Updated March 18, 2011

Recorded as JAMES FRANK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2011

Surgery (License #74409 in MA)

🟢

Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003867318

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 12, 2006

Last Update: January 17, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

444 Montgomery St

Chicopee, MA 010201969

Phone: 4135943111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.