DR. JAMES C CUSACK MD NPI 1104809425

NPI Information

  • NPI: 1104809425
  • Provider Name: DR. JAMES C CUSACK, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 FRUIT ST
    YAW 7B
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 724-4043

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NPI Details

DR. James C Cusack, MD is a surgery in Boston, MA. The provider is 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. DR. James C Cusack, MD NPI is 1104809425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
YAW 7B
BOSTON, MA
ZIP 02114
Phone: (617) 724-4043
Fax: (617) 724-3895

The NPI 1104809425 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Complicated repair of wound of trunk, each additional 5.0 cm or less (HCPCS:13102)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS:13122)
  • Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm (HCPCS:11604)
  • Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm (HCPCS:11606)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Colonoscopy (HCPCS:NAN13)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/21/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery74063MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A31493MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
2074063OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3J11385OTHERMASSACHUSETTSBCBS MA
40117781MEDICAIDMASSACHUSETTS
5E93300MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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