MR. JAMES N CAVALLARO (PA-C) – Surgical Physician Assistant, NPI 1730166729

MR. JAMES N CAVALLARO (PA-C) is a healthcare provider. based in St louis park, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9864 (MN). The NPI Number for MR. JAMES N CAVALLARO (PA-C) is 1730166729

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES N CAVALLARO (PA-C)
NPI
1730166729
Phone
(952) 993-3230
Address
3931 LOUISIANA AVE S
Enumeration Date
29 December 2005
Last Update Date
11 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
2003 (23 years ago)
PAC ID
1658365259
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20040414000959
Address ID
MN554265000ST3931XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

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Provider Addresses for MR. JAMES N CAVALLARO (PA-C)

  • Louisiana Avenue South, Brooklawns, Saint Louis Park, Hennepin County, Minnesota, 55416:55426, United States

    ST LOUIS PARK, MN 554265000

    Phone: (952) 993-3230

    Fax: (952) 993-7148

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040414000959IPhysician AssistantMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1030Injection, methylprednisolone acetate, 40 mg244123$0
99214Established patient office or other outpatient visit, 30-39 minutes132132$0
99213Established patient office or other outpatient visit, 20-29 minutes10588$0
20550Injection into tendon or ligament9165$0
99203New patient office or other outpatient visit, 30-44 minutes5757$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Provider's Procedures

MR. JAMES N CAVALLARO (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMN20610Aspiration and/or injection of large joint or joint capsule2319

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What number should I use to identify MR. JAMES N CAVALLARO (PA-C) for billing?
Administrative and clinical systems typically use NPI 1730166729 for MR. JAMES N CAVALLARO (PA-C).
Quick check: is MR. JAMES N CAVALLARO (PA-C) active?
Public NPPES data shows MR. JAMES N CAVALLARO (PA-C) with an active NPI status right now.
What type of care does MR. JAMES N CAVALLARO (PA-C) provide?
MR. JAMES N CAVALLARO (PA-C)'s profile centers on Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MR. JAMES N CAVALLARO (PA-C)?
The directory associates MR. JAMES N CAVALLARO (PA-C) with St Louis Park, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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