Active NPI 1689771479 Individual Practitioner Male Practitioner

Dr. James A Malgieri , MD

Surgery • Cleveland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Malgieri, MD is a certified Surgery practicing in Cleveland, OH. With approximately 47 years of clinical experience since graduating from Georgetown University School Of Medicine in 1979, Dr. Malgieri delivers high-quality medical care to the local community at 9500 EUCLID AVE.

Dr. Malgieri accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9500 Euclid Ave

Cleveland, OH 441950001

Telephone 8002232273

Associated Practice Facility / Clinic

🏢 The Cleveland Clinic Foundation Facility NPI 1548251689

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +26.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

233 Specialists

Practicing in Cleveland, OH (1313 Statewide)

Telehealth Adoption Rate

24.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Malgieri (47 Years) 47 Yrs

Cleveland Specialty Average (20.2 Years) 20.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$423.00	$62.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$1216.00	$172.02
19301 Partial removal of breast	23	21	$3578.26	$650.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$270.82	$63.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$990.00	$174.63
19301 Partial removal of breast	26	26	$3677.00	$644.04
38792 Injection of radioactive material for x-ray identification of lymph node	18	18	$200.00	$15.75
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$2334.00	$243.70
19303 Total removal of breast	14	14	$5796.43	$948.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$624.25	$138.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$481.00	$80.18
19125 Removal of breast growth, open procedure	11	11	$2429.00	$449.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$302.21	$48.08
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$247.00	$65.45
19301 Partial removal of breast	24	23	$3482.29	$679.00
19125 Removal of breast growth, open procedure	17	17	$2208.00	$447.81
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	17	$2371.65	$246.58
38900 Lymph node imaging during surgery	15	14	$825.00	$139.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$720.00	$133.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$381.00	$95.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	77	77	$218.32	$48.95
19301 Partial removal of breast	37	33	$3433.35	$675.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$672.22	$134.86
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	34	34	$2122.00	$234.54
49505 Repair of groin hernia (5 years or older)	31	31	$2711.74	$529.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$110.00	$35.57
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$240.00	$66.70
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$240.00	$66.70
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$251.00	$48.95
38900 Lymph node imaging during surgery	13	13	$825.00	$140.34
19125 Removal of breast growth, open procedure	12	12	$2208.00	$406.38
49560 Repair of incisional or abdominal hernia	12	12	$3934.00	$748.93
19303 Total removal of breast	12	12	$5492.50	$1011.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	86	86	$184.58	$50.42
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$232.66	$50.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$106.17	$25.77
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$233.00	$51.16
49505 Repair of groin hernia (5 years or older)	26	26	$2728.04	$531.74
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	21	21	$2223.05	$237.90
19301 Partial removal of breast	20	18	$3510.15	$685.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$558.12	$129.26
38900 Lymph node imaging during surgery	12	11	$825.00	$142.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	105	105	$183.00	$49.93
99213 Established patient office or other outpatient visit, typically 15 minutes	60	48	$226.00	$50.63
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$226.00	$50.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	22	$352.00	$72.11
49505 Repair of groin hernia (5 years or older)	27	27	$2821.59	$526.91
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	25	25	$2122.00	$229.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$97.00	$25.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$319.00	$75.64
19301 Partial removal of breast	21	20	$3343.00	$660.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$186.00	$39.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$548.00	$128.03
49560 Repair of incisional or abdominal hernia	18	17	$3934.00	$714.16
49568 Placement of mesh to repair incisional or abdominal hernia	17	17	$1610.00	$263.04
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$183.00	$50.22
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$3847.00	$727.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	88	88	$189.18	$49.55
99213 Established patient office or other outpatient visit, typically 15 minutes	79	65	$219.00	$49.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	23	$344.80	$71.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$108.06	$24.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$323.33	$75.16
49505 Repair of groin hernia (5 years or older)	24	24	$2845.92	$526.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$548.00	$126.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$357.14	$77.08
19301 Partial removal of breast	13	13	$3343.00	$647.01
49560 Repair of incisional or abdominal hernia	13	12	$3934.00	$672.55
49568 Placement of mesh to repair incisional or abdominal hernia	12	11	$1610.00	$269.94
60500 Removal or exploration of parathyroid glands	11	11	$5343.00	$956.75
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$2122.00	$236.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	84	84	$187.69	$49.37
99213 Established patient office or other outpatient visit, typically 15 minutes	77	69	$218.92	$49.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	30	$181.00	$38.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	37	$334.29	$70.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$94.00	$24.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$547.45	$126.71
49505 Repair of groin hernia (5 years or older)	25	25	$2732.08	$526.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$318.28	$75.06
19301 Partial removal of breast	19	18	$3343.00	$644.76
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$2122.00	$228.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$339.00	$76.66
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$3851.00	$679.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$679.18	$133.62

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35045112

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0575891 (OH)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kristin Johnson , CNP

Nurse Practitioner

NPI 1003074873

Certified Nurse Practitioner

Monica Lynn Shein , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003094772

Certified Registered Nurse Anesthetist

Dr. Kelly Richter , MD

Family Medicine - Sports Medicine

NPI 1003847815

Doctor of Medicine (M.D.)

Dr. Richard Lederman , MD

Psychiatry & Neurology - Neurology

NPI 1003850090

Doctor of Medicine (M.D.)

Dr. Thomas Gretter , MD

Psychiatry & Neurology - Neurology

NPI 1003852468

Doctor of Medicine (M.D.)

Dr. Richard Burgess , MD

Psychiatry & Neurology - Neurology

NPI 1003852757

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2008

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 8002232273)

📍

Updated Business Mailing Address February 05, 2008

Registered at 6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 441312139 (Tel: 8002232273)

👤

Provider Name / Credentials Updated February 05, 2008

Recorded as JAMES MALGIERI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2008

Surgery (License #35045112 in OH)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689771479

Entity Type:

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

Enumeration Date: September 20, 2006

Last Update: February 05, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6000 W Creek Rd, Suite 10

Independence, OH 441312139

Phone: 8002232273

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.