Active NPI 1912318981 Individual Practitioner Male Practitioner

Dr. James Cutcliffe , DO

Surgery • Johnstown, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Cutcliffe, DO is a certified Surgery practicing in Johnstown, PA. With approximately 12 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2014, Dr. Cutcliffe delivers high-quality medical care to the local community at 1086 FRANKLIN ST.

Dr. Cutcliffe is affiliated with Surgical Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1086 Franklin St

Johnstown, PA 159054305

Telephone 8145341660

Fax 8145341680

Associated Practice Facility / Clinic

🏢 Conemaugh Health Initiatives Facility NPI 1427051440

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Johnstown, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -7.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

49 Specialists

Practicing in Johnstown, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cutcliffe (12 Years) 12 Yrs

Johnstown Specialty Average (19.5 Years) 19.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	80	$150.00	$122.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	39	$60.00	$48.17
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	35	$380.00	$102.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$200.00	$160.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$825.00	$242.36
45380 Biopsy of large bowel using an endoscope	17	17	$650.00	$190.42
43450 Dilation of esophagus	16	16	$185.00	$37.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$420.00	$112.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$200.00	$169.27
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$105.00	$86.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1810.00	$675.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$150.00	$126.67
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$600.00	$170.10

HCPCS Code & Description	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	111	68	$150.00	$118.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	40	$60.00	$47.54
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$380.00	$105.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$420.00	$115.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$140.00	$105.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$200.00	$146.21
45380 Biopsy of large bowel using an endoscope	21	21	$650.00	$188.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$150.00	$124.62
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$105.00	$80.82
45378 Diagnostic exam of large bowel using a flexible endoscope	17	16	$585.00	$142.70
43246 Insertion of stomach tube using a flexible endoscope	15	13	$645.00	$181.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$200.00	$166.35
43450 Dilation of esophagus	12	11	$185.00	$37.46
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$100.00	$79.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	91	43	$50.66	$37.63
99213 Established patient office or other outpatient visit, typically 15 minutes	56	39	$91.61	$87.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	34	$136.05	$123.17
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	39	$380.00	$106.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$175.76	$176.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$140.00	$103.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$825.00	$248.41
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$95.00	$18.23
45380 Biopsy of large bowel using an endoscope	12	12	$650.00	$164.50
43246 Insertion of stomach tube using a flexible endoscope	11	11	$645.00	$177.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	94	50	$50.00	$37.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	43	$175.00	$176.58
99213 Established patient office or other outpatient visit, typically 15 minutes	43	25	$90.00	$83.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$140.00	$104.78
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	38	$380.00	$109.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$135.00	$122.82
45380 Biopsy of large bowel using an endoscope	19	19	$650.00	$149.41
43246 Insertion of stomach tube using a flexible endoscope	15	15	$645.00	$190.32
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	12	$95.00	$18.43
43450 Dilation of esophagus	12	12	$185.00	$38.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	39	$49.32	$37.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$140.00	$99.03
99213 Established patient office or other outpatient visit, typically 15 minutes	47	36	$90.00	$70.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$175.00	$173.64
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$380.00	$110.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$420.00	$130.74
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$95.00	$18.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$50.00	$41.28
43246 Insertion of stomach tube using a flexible endoscope	12	12	$645.00	$179.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	27	$50.00	$37.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$140.00	$98.11
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$380.00	$102.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$175.00	$172.20
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$95.00	$17.79
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$90.00	$68.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$420.00	$127.93
45378 Diagnostic exam of large bowel using a flexible endoscope	13	12	$585.00	$170.15
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$420.00	$316.73

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA OT015922

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.

Hospital & Practice Group Affiliations

Surgical Clinic Pc

121 N 20th St, Opelika, AL 368015454

Phone: 3347456271

Practice Associates & Co-Workers

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

30 Associated Practitioners

Bradley Winegardner

Surgery

NPI 1003481334

Dr. Ruth Cho , DO

Surgery

NPI 1023468907

Doctor of Osteopathic Medicine (D.O.)

Dr. Brittany Steffens , DO

Surgery

NPI 1053160184

Doctor of Osteopathic Medicine (D.O.)

Dr. Krishna Vannemreddy , DO

Surgery

NPI 1063203958

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Silvis , DO

Surgery

NPI 1063832319

Doctor of Osteopathic Medicine (D.O.)

Zoe Wecht

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NPI 1093555294

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2014

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8145341660)

📍

Updated Business Mailing Address May 13, 2014

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8145341660)

👤

Provider Name / Credentials Updated May 13, 2014

Recorded as JAMES CUTCLIFFE, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2014

Surgery (License #OT015922 in PA)

🟢

Initial NPI Registration & Enumeration May 13, 2014

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: 1912318981

Entity Type:

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

Enumeration Date: May 13, 2014

Last Update: May 13, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1086 Franklin St

Johnstown, PA 159054305

Phone: 8145341660

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.