Active NPI 1467403048 Individual Practitioner Male Practitioner

Dr. James R Olney , MD

Surgery • Clinton, IA

Professional Overview & Biography Verified Profile Summary

Dr. James Olney, MD is a registered healthcare professional specializing in Surgery in Clinton, IA. Practice services are available at 915 13TH AVE N under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, measurement of lymphedema extracellular fluid, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 13th Ave N

Clinton, IA 527325067

Telephone 5632432511

Fax 5632430817

Associated Practice Facility / Clinic

🏢 Mercy Home Care & Hospice-Clinton Facility NPI 1407842552

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clinton, IA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Clinton, IA (452 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$126.07	$71.44
93702 Measurement of lymphedema extracellular fluid	31	19	$240.00	$128.12
45380 Biopsy of large bowel using an endoscope	22	22	$999.45	$146.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$375.00	$101.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$482.50	$157.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$175.00	$103.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	98	98	$1280.50	$153.14
99213 Established patient office or other outpatient visit, typically 15 minutes	84	79	$132.14	$70.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$263.29	$101.84
93702 Measurement of lymphedema extracellular fluid	53	21	$240.00	$116.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	15	$155.81	$69.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	42	42	$1625.07	$244.78
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$1064.35	$176.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$183.67	$103.14
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	31	31	$90.00	$5.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$1113.66	$79.69
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	25	$50.00	$7.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$341.74	$155.56
36415 Insertion of needle into vein for collection of blood sample	18	18	$17.11	$2.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$473.24	$194.00
76642 Limited ultrasound scan of 1 breast	17	14	$125.00	$48.78
71046 X-ray of chest, 2 views	17	17	$97.94	$18.07
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	16	16	$90.00	$53.17
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	14	$50.79	$8.46
84132 Blood potassium level	13	13	$35.54	$5.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$753.33	$179.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	90	$132.77	$67.77
45380 Biopsy of large bowel using an endoscope	95	95	$1357.00	$127.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$191.00	$98.40
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	62	62	$90.00	$5.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	54	54	$1741.00	$244.86
93702 Measurement of lymphedema extracellular fluid	51	17	$240.00	$112.23
36415 Insertion of needle into vein for collection of blood sample	48	47	$16.00	$2.94
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	41	41	$50.00	$7.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	37	$188.00	$100.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$290.00	$153.69
76642 Limited ultrasound scan of 1 breast	38	31	$125.00	$47.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	35	$1176.00	$87.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	13	$83.00	$40.86
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	32	$49.00	$9.40
84132 Blood potassium level	31	30	$35.00	$5.57
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	31	31	$780.00	$176.60
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	24	24	$30.00	$22.83
77065 Diagnostic mammography of 1 breast	24	24	$211.75	$85.81
84520 Urea nitrogen level to assess kidney function	22	21	$36.00	$4.78
82565 Blood creatinine level	22	21	$37.00	$6.20
71046 X-ray of chest, 2 views	22	22	$97.27	$18.00
82435 Blood chloride level	21	20	$36.00	$5.57
84295 Blood sodium level	21	20	$35.00	$5.82
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$740.00	$176.74
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$1230.00	$173.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$465.00	$192.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$4229.00	$304.99
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$84.29	$17.76
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	14	$1605.00	$617.90
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1058.00	$68.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	86	$130.00	$67.66
45380 Biopsy of large bowel using an endoscope	78	78	$1357.00	$156.38
36415 Insertion of needle into vein for collection of blood sample	64	63	$16.00	$2.94
84132 Blood potassium level	58	57	$35.00	$5.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	20	$164.00	$68.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$191.00	$99.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	50	$188.00	$97.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$290.00	$150.46
76642 Limited ultrasound scan of 1 breast	42	37	$127.02	$49.70
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	37	$1741.00	$244.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	25	$83.00	$40.31
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$780.00	$176.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$465.00	$191.33
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	27	27	$50.00	$7.50
93702 Measurement of lymphedema extracellular fluid	26	11	$240.00	$110.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	25	$49.00	$10.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$1176.00	$75.54
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	23	23	$30.00	$21.93
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	23	23	$209.00	$84.53
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	23	$82.22	$18.05
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	22	22	$1605.00	$603.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$316.00	$129.01
71020 X-ray of chest, 2 views, front and side	19	19	$100.42	$16.26
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$4229.00	$318.27
49505 Repair of groin hernia (5 years or older)	15	15	$2182.40	$525.20
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1230.00	$177.61
19301 Partial removal of breast	13	12	$1734.04	$595.63
82565 Blood creatinine level	13	13	$37.00	$2.18
84295 Blood sodium level	13	13	$35.00	$2.05
84520 Urea nitrogen level to assess kidney function	13	13	$36.00	$2.12
82435 Blood chloride level	13	13	$36.00	$2.12

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IA 28277

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

0075374 (IA)

Commercial Insurance / Payer ID Midlands Choice

19348

Commercial Insurance / Payer ID Wellmark Bc/bs

20773 (IA)

Commercial Insurance / Payer ID Health Alliance

018857

Commercial Insurance / Payer ID John Deere Health

IA0136

Commercial Insurance / Payer ID Iowa Health Solutions

27203

Practice Associates & Co-Workers

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

40 Associated Practitioners

Billie Tack , ARNP

Nurse Practitioner - Women's Health

NPI 1003866674

Advanced Registered Nurse Practitioner

Dr. Suheil Barakat , MD

Internal Medicine

NPI 1013975259

Doctor of Medicine (M.D.)

Dr. William Ingram , MD

Family Medicine

NPI 1013996636

Doctor of Medicine (M.D.)

Ashlee Sheridan

Nurse Practitioner - Family

NPI 1083323638

Holly Romer , RD, LD, CDE

Dietitian, Registered

NPI 1104234681

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Dr. Donald Flory , MD

Family Medicine

NPI 1124078266

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 March 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2013

Registered at 915 13TH AVE N, CLINTON, IA 527325067 (Tel: 5632432511)

📍

Updated Business Mailing Address March 15, 2013

Registered at 915 13TH AVE N, CLINTON, IA 527325067 (Tel: 5632432511)

👤

Provider Name / Credentials Updated March 15, 2013

Recorded as JAMES OLNEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2013

Surgery (License #28277 in IA)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467403048

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: March 15, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

915 13th Ave N

Clinton, IA 527325067

Phone: 5632432511

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.