Active NPI 1215156336 Individual Practitioner Female Practitioner

Dr. Jamie L. Caughran , MD

Surgery • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jamie Caughran, MD is a certified Surgery practicing in Grand Rapids, MI. With approximately 24 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 2002, Dr. Caughran delivers high-quality medical care to the local community at 250 CHERRY ST SE.

Dr. Caughran maintains professional affiliations with Center For Physical Rehabilitation And Therapy Lp, Center For Physical Rehabilitation Inc, Advantage Health/Saint Mary'S Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include partial removal of breast, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

250 Cherry St Se

Grand Rapids, MI 495034608

Telephone 6166856756

Associated Practice Facility / Clinic

🏢 Saint Mary's Hospital Facility NPI 1801084769

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grand Rapids, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +5.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

128 Specialists

Practicing in Grand Rapids, MI (1479 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caughran (24 Years) 24 Yrs

Grand Rapids Specialty Average (18.9 Years) 18.9 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
19301 Partial removal of breast	14	11	$1623.00	$608.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$196.00	$92.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
19301 Partial removal of breast	35	26	$1623.00	$647.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$357.00	$177.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$357.00	$180.65
19301 Partial removal of breast	14	12	$1623.00	$649.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$187.00	$96.91
38900 Lymph node imaging during surgery	12	12	$337.00	$138.39
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1082.00	$220.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$115.70	$66.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$324.58	$183.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$170.33	$98.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$162.00	$79.25
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$110.00	$51.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$313.00	$155.96
19301 Partial removal of breast	15	14	$1237.93	$650.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$162.00	$77.23
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$110.00	$50.09
19301 Partial removal of breast	17	12	$1198.00	$632.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$313.00	$165.03
38900 Lymph node imaging during surgery	13	13	$372.69	$150.35
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1268.09	$237.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$92.00	$50.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$133.72	$77.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$264.13	$165.96
19301 Partial removal of breast	16	14	$1198.00	$628.13
38900 Lymph node imaging during surgery	11	11	$323.00	$139.14
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1073.00	$217.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$80.00	$49.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$231.00	$165.07
19301 Partial removal of breast	23	18	$1198.00	$615.99
38900 Lymph node imaging during surgery	21	21	$353.76	$145.35
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	21	21	$1124.10	$231.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$118.00	$76.92

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301080258

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

1215156336 (MI)

Hospital & Practice Group Affiliations

Advantage Health/saint Mary's Medical Group

10047 Crossroad Ct Se, Caledonia, MI 493167316

Phone: 6166858850

Advantage Health/saint Mary's Medical Group

250 Cherry St Se, Grand Rapids, MI 495034608

Phone: 6166855600

Center For Physical Rehabilitation Inc

5060 Cascade Rd, Grand Rapids, MI 495463808

Advantage Health/saint Mary's Medical Group

220 Cherry St Se, Grand Rapids, MI 495034608

Phone: 6166855050

Advantage Health/saint Mary's Medical Group

200 Jefferson Ave Se, Grand Rapids, MI 495034502

Phone: 6166855000

Center For Physical Rehabilitation And Therapy Lp

5060 Cascade Rd Se, Grand Rapids, MI 495463808

Practice Associates & Co-Workers

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

1 Associated Practitioners

Madisyn Gray , PA

Physician Assistant

NPI 1538410113

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 01, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2009

Registered at 250 CHERRY ST SE, GRAND RAPIDS, MI 495034608 (Tel: 6166856756)

📍

Updated Business Mailing Address October 01, 2009

Registered at 245 STATE ST SE, STE 221, GRAND RAPIDS, MI 495034328

👤

Provider Name / Credentials Updated October 01, 2009

Recorded as JAMIE CAUGHRAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2009

Surgery (License #4301080258 in MI)

🟢

Initial NPI Registration & Enumeration April 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215156336

Entity Type:

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

Enumeration Date: April 25, 2007

Last Update: October 01, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

245 State St Se, Ste 221

Grand Rapids, MI 495034328

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.