JAMES V JR. PELLICANE (MD, FACS) – Surgery Physician, NPI 1093704454

JAMES V JR. PELLICANE (MD, FACS) is a healthcare provider. based in Midlothian, Virginia. specializing in GENERAL SURGERY. They hold the professional credentials MD, FACS. They hold a License No. 0101045452 (VA). The NPI Number for JAMES V JR. PELLICANE (MD, FACS) is 1093704454

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JAMES V JR. PELLICANE (MD, FACS)
NPI
1093704454
Phone
(804) 594-3130
Address
14051 ST FRANCIS BLVD
Enumeration Date
18 October 2005
Last Update Date
20 November 2009

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
0042244816
Group Practice PAC ID
8022440056
Professional Enrollment ID
I20050921000478
Address ID
VA232261928RI5875XRDXX300
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

935 GENERAL SURGERY in VA

Provider Addresses for JAMES V JR. PELLICANE (MD, FACS)

  • 14051 ST FRANCIS BLVD

    SUITE 2210

    MIDLOTHIAN, VA 231143201

    Phone: (804) 594-3130

    Fax: (804) 594-3030

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: AXOGEN ($214).

Total Amount

$396

General + Research + Ownership

Payments

6

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2005-09-21

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
I20050921000478IGeneral SurgeryVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes210181$0
76642Limited ultrasound scan of 1 breast165149$0
19301Partial removal of breast8677$0
76998Ultrasonic guidance during surgery7676$0
99203New patient office or other outpatient visit, 30-44 minutes7474$0
View full utilization report →

Insurance plans in this area (ZIP 23114)

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Provider's Procedures

JAMES V JR. PELLICANE (MD, FACS) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYVA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1514

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: 8022440056View full group profile
NameSpecialtyState
General SurgeryVA
N E U R O L O G YMA
General SurgeryVA
-VA
-VA
General SurgeryNC
Cardiac SurgeryVA
-VA
E N D O C R I N O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YVA

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Frequently asked questions

Is JAMES V JR. PELLICANE (MD, FACS) listed with a National Provider Identifier?
Yes — JAMES V JR. PELLICANE (MD, FACS) has NPI 1093704454 on file in the registry.
Is there an active status for JAMES V JR. PELLICANE (MD, FACS)?
For scheduling context, JAMES V JR. PELLICANE (MD, FACS) is shown as active in the registry.
What area of care is associated with JAMES V JR. PELLICANE (MD, FACS)?
JAMES V JR. PELLICANE (MD, FACS)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
Is JAMES V JR. PELLICANE (MD, FACS) associated with Midlothian?
Public fields place JAMES V JR. PELLICANE (MD, FACS) around Midlothian, Virginia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JAMES V JR. PELLICANE (MD, FACS) is noted as October 18, 2005 where the registry provides it.

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