Active NPI 1053302091 Individual Practitioner Male Practitioner

Dr. James Henry Mcquiston , DO

Surgery • Macomb Township, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Mcquiston, DO is a certified Surgery practicing in Macomb Township, MI. With approximately 43 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 1983, Dr. Mcquiston delivers high-quality medical care to the local community at 17375 HALL RD.

Dr. Mcquiston maintains professional affiliations with Mclaren Thumb Region, Regional Trauma Care Pc, Northeast Surgical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17375 Hall Rd

Macomb Township, MI 480444060

Telephone 5862280550

Fax 5862288125

Associated Practice Facility / Clinic

🏢 Northeast Surgical Group Pc Facility NPI 1700984200

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Macomb Township, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +2.2 yrs vs City Avg

City Avg: 40.8 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Macomb Township, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcquiston (43 Years) 43 Yrs

Macomb Township Specialty Average (40.8 Years) 40.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	94	50	$144.37	$86.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	40	$194.83	$119.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$135.05	$79.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$362.58	$173.90
76536 Ultrasound of head and neck	28	27	$177.23	$104.24
99238 Hospital discharge day management, 30 minutes or less	15	15	$190.00	$81.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$224.83	$132.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	47	$195.00	$121.14
99213 Established patient office or other outpatient visit, typically 15 minutes	69	49	$189.46	$85.93
76536 Ultrasound of head and neck	31	31	$222.41	$112.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	20	$141.49	$80.54
99238 Hospital discharge day management, 30 minutes or less	27	27	$188.96	$81.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$268.02	$127.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$352.00	$176.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	91	$204.82	$89.92
76536 Ultrasound of head and neck	58	58	$222.73	$117.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	28	$194.76	$104.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	19	$140.30	$73.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$360.13	$202.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$286.63	$126.39
99238 Hospital discharge day management, 30 minutes or less	18	18	$188.44	$73.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$385.79	$173.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	104	$202.62	$91.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	56	$194.88	$106.27
76536 Ultrasound of head and neck	66	62	$216.48	$120.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	34	$138.97	$74.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$374.11	$206.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	22	$286.49	$135.57
99238 Hospital discharge day management, 30 minutes or less	26	26	$188.92	$74.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$107.16	$39.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	95	$125.88	$74.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	105	54	$194.24	$108.51
76536 Ultrasound of head and neck	57	55	$206.24	$119.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	30	$133.96	$76.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	42	$359.53	$212.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$307.32	$173.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	21	$194.88	$113.64
99238 Hospital discharge day management, 30 minutes or less	23	23	$190.00	$75.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$100.00	$41.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	122	$127.38	$73.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	75	$343.73	$205.74
76536 Ultrasound of head and neck	74	68	$206.24	$116.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	72	41	$194.72	$103.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	43	$134.39	$74.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	25	$194.88	$109.93
99238 Hospital discharge day management, 30 minutes or less	31	31	$186.13	$70.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$307.32	$165.97
99291 Critical care, first 30-74 minutes	23	13	$573.23	$225.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	19	$100.00	$41.14
99219 Hospital observation care, typically 50 minutes	16	16	$300.00	$135.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	124	$126.00	$72.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	58	$135.24	$74.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	36	$194.88	$108.57
76536 Ultrasound of head and neck	72	68	$206.24	$117.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	38	$194.70	$103.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	65	$346.35	$205.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$307.32	$166.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	25	$100.40	$40.61
99238 Hospital discharge day management, 30 minutes or less	28	28	$187.14	$72.76
99220 Hospital observation care, typically 70 minutes	16	16	$400.00	$185.39
99226 Subsequent observation care, typically 35 minutes per day	11	11	$230.00	$104.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	121	$126.80	$69.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	111	51	$195.32	$97.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	43	$194.88	$105.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	73	$352.97	$192.08
76536 Ultrasound of head and neck	71	66	$206.24	$113.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	44	$132.30	$70.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	32	$100.83	$38.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$307.32	$162.13
99238 Hospital discharge day management, 30 minutes or less	32	32	$183.75	$68.38
99291 Critical care, first 30-74 minutes	29	16	$570.31	$215.73
99220 Hospital observation care, typically 70 minutes	16	16	$400.00	$174.52
99219 Hospital observation care, typically 50 minutes	13	13	$294.35	$128.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$233.75	$134.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$72.83	$38.43

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101008641

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

1912266 (MI)

Hospital & Practice Group Affiliations

Regional Trauma Care Pc

1000 Harrington St, Mount Clemens, MI 480432920

Phone: 5864933814

Mclaren Thumb Region

1100 S Van Dyke, Bad Axe, MI 484139615

Northeast Surgical Group Pc

17375 Hall Rd, Macomb, MI 480444060

Phone: 5862280550

Mclaren Macomb

1000 Harrington St, Mount Clemens, MI 480432920

Phone: 8104938000

Mclaren Macomb

37399 Garfield Rd, Clinton Township, MI 480363672

Mclaren Thumb Region

1100 S Van Dyke Rd, Bad Axe, MI 484139615

Phone: 9892699521

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Kari Hortos , DO

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1144293622

Doctor of Osteopathic Medicine (D.O.)

Corie Seelbach

Surgery

NPI 1487995106

Dr. Michael D'almeida , DO

Surgery

NPI 1578553640

Doctor of Osteopathic Medicine (D.O.)

Dr. Douglas Paulk , DO

Surgery

NPI 1750372405

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Smith , DO

Surgery

NPI 1881684983

Doctor of Osteopathic Medicine (D.O.)

Dr. Roy Hanks , DO

Surgery

NPI 1912997073

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2015

Registered at 17375 HALL RD, MACOMB TOWNSHIP, MI 480444060 (Tel: 5862280550)

📍

Updated Business Mailing Address January 21, 2015

Registered at 17375 HALL RD, MACOMB TOWNSHIP, MI 480444060 (Tel: 5862280550)

👤

Provider Name / Credentials Updated January 21, 2015

Recorded as JAMES MCQUISTON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2015

Surgery (License #5101008641 in MI)

🟢

Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. James Mcquiston. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053302091

Entity Type:

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

Enumeration Date: October 31, 2005

Last Update: January 21, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17375 Hall Rd

Macomb Township, MI 480444060

Phone: 5862280550

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.