Active NPI 1750347225 Individual Practitioner Male Practitioner

Dr. John Michael Mccune , MD

Surgery • Marshalltown, IA

Professional Overview & Biography Verified Profile Summary

Dr. John Mccune, MD is a certified Surgery practicing in Marshalltown, IA. With approximately 46 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1980, Dr. Mccune delivers high-quality medical care to the local community at 405 E. MAIN.

Dr. Mccune maintains professional affiliations with Unitypoint Health - Marshalltown, Allen Memorial Hospital Corporation and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of skin and tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

405 E. Main

Marshalltown, IA 501581928

Telephone 6417532752

Fax 6417536450

Associated Practice Facility / Clinic

🏢 Unitypoint Health - Marshalltown Facility NPI 1396279907

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1980

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marshalltown, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +14.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Marshalltown, IA (452 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccune (46 Years) 46 Yrs

Marshalltown Specialty Average (32.0 Years) 32.0 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
11042 Removal of skin and tissue, 20.0 sq cm or less	517	103	$373.21	$53.53
99213 Established patient office or other outpatient visit, typically 15 minutes	335	95	$168.86	$59.64
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	195	28	$124.32	$21.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	80	$104.46	$31.47
97597 Removal of tissue from wound, 20.0 sq cm or less	106	54	$230.00	$31.98
97598 Removal of tissue from wound, each additional 20.0 sq cm	43	11	$103.00	$21.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$229.29	$74.29
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$161.75	$43.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$239.18	$88.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	626	125	$356.88	$55.02
99213 Established patient office or other outpatient visit, typically 15 minutes	394	100	$171.42	$62.21
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	301	31	$118.45	$23.05
97597 Removal of tissue from wound, 20.0 sq cm or less	180	73	$230.00	$33.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	84	$106.00	$33.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$220.92	$77.63
17250 Application of chemical to stop tissue regrowth in wound	35	14	$240.00	$31.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$242.53	$88.65
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$154.91	$44.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	564	103	$306.46	$55.01
99213 Established patient office or other outpatient visit, typically 15 minutes	231	76	$172.00	$62.78
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	213	27	$95.00	$23.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	83	$106.00	$33.98
11042 Removal of skin and tissue, 20.0 sq cm or less	124	34	$307.00	$55.91
97597 Removal of tissue from wound, 20.0 sq cm or less	83	44	$241.00	$34.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	30	$106.00	$34.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$211.00	$75.71
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$138.00	$45.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	676	109	$287.00	$56.38
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	453	24	$90.00	$24.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	216	100	$99.00	$34.13
97597 Removal of tissue from wound, 20.0 sq cm or less	109	60	$223.00	$34.84
99183 Management and supervision of oxygen chamber therapy per session	108	12	$374.00	$102.51
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$160.00	$63.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$195.00	$79.86
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$127.00	$45.92
11042 Removal of skin and tissue, 20.0 sq cm or less	17	15	$287.00	$57.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	560	101	$280.82	$56.80
99183 Management and supervision of oxygen chamber therapy per session	245	15	$265.00	$105.49
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	194	23	$98.00	$25.27
99213 Established patient office or other outpatient visit, typically 15 minutes	179	71	$141.00	$48.91
11042 Removal of skin and tissue, 20.0 sq cm or less	96	39	$288.88	$54.28
99213 Established patient office or other outpatient visit, typically 15 minutes	92	36	$141.00	$48.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	58	$85.00	$24.50
97597 Removal of tissue from wound, 20.0 sq cm or less	64	34	$228.00	$35.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$207.00	$75.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$204.00	$72.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$312.00	$124.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$207.00	$75.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	47	$141.00	$46.99
11042 Removal of skin and tissue, 20.0 sq cm or less	133	46	$280.62	$55.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	34	$46.77	$24.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	18	$85.00	$23.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	12	$94.00	$37.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$207.00	$74.64
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$921.87	$244.92
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$74.14	$48.42
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$743.00	$176.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$312.00	$121.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$102.00	$74.75
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$702.45	$177.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$805.00	$91.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	60	$36.70	$24.13
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$55.82	$44.95
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$371.67	$176.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$86.58	$70.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$370.64	$168.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$271.27	$115.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	63	$35.00	$23.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$38.64	$25.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$260.00	$90.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$130.00	$68.08
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$45.00	$44.28
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$377.00	$165.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$185.00	$97.80

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IA 25059

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License OK 13116

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100193350A (OK)

Hospital & Practice Group Affiliations

Allen Memorial Hospital Corporation

1825 Logan Ave, Waterloo, IA 507031916

Phone: 3192353913

Unitypoint Health - Marshalltown

55 Unitypoint Way, Marshalltown, IA 501584749

Phone: 6417545145

Practice Associates & Co-Workers

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

6 Associated Practitioners

Jaime Hooley , PA

Physician Assistant - Medical

NPI 1053668475

Physician Assistant

Abigail Sharp , ARNP

Nurse Practitioner - Family

NPI 1487241956

Advanced Registered Nurse Practitioner

Maemie Miller , PA-C

Physician Assistant

NPI 1578074324

Physician Assistant (Certified)

Dr. Christine Lindgren , DO

Internal Medicine

NPI 1720169022

Doctor of Osteopathic Medicine (D.O.)

India Warren , PA-C

Physician Assistant

NPI 1790360907

Physician Assistant (Certified)

Maggie Potter , PA-S

Physician Assistant

NPI 1912792508

PAS

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 17, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2008

Registered at 405 E. MAIN, MARSHALLTOWN, IA 501581928 (Tel: 6417532752)

📍

Updated Business Mailing Address October 17, 2008

Registered at 405 E. MAIN, MARSHALLTOWN, IA 501581928 (Tel: 6417532752)

👤

Provider Name / Credentials Updated October 17, 2008

Recorded as JOHN MCCUNE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2008

Surgery (License #25059 in IA)

🟢

Initial NPI Registration & Enumeration April 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750347225

Entity Type:

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

Enumeration Date: April 25, 2006

Last Update: October 17, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

405 E. Main

Marshalltown, IA 501581928

Phone: 6417532752

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.