Active NPI 1679539811 Individual Practitioner Male Practitioner

Dr. James Patrick Clancy , MD

Surgery • Saint Joseph, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Clancy, MD is a certified Surgery practicing in Saint Joseph, MI. With approximately 34 years of clinical experience since graduating from Wayne State University School Of Medicine in 1992, Dr. Clancy delivers high-quality medical care to the local community at 2990 NILES RD.

Dr. Clancy is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level 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

2990 Niles Rd

Saint Joseph, MI 490858607

Telephone 2699833368

Fax 2699832758

Associated Practice Facility / Clinic

🏢 Surgical Specialists Of St. Joseph, P.c. Facility NPI 1144382789

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Saint Joseph, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +16.4 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

16 Specialists

Practicing in Saint Joseph, MI (1479 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clancy (34 Years) 34 Yrs

Saint Joseph Specialty Average (17.6 Years) 17.6 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$755.00	$164.30

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	38	33	$100.00	$54.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$402.00	$127.91

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	69	50	$97.30	$55.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$392.40	$132.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$369.75	$156.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$111.46	$37.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$241.17	$124.70

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	60	45	$95.62	$54.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	23	$109.48	$37.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$385.30	$133.92
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$162.24	$71.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$237.33	$127.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$364.08	$165.15
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$158.36	$85.02

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	83	52	$91.72	$43.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	23	$104.28	$39.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$367.80	$138.29
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$154.44	$72.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$226.22	$106.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$348.09	$162.99

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	82	55	$88.12	$43.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	26	$101.94	$38.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$353.69	$135.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$217.06	$105.57
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$149.33	$73.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$339.18	$160.48

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	101	59	$83.14	$40.76
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$139.53	$71.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	17	$94.56	$38.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$334.22	$134.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$314.52	$159.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$175.16	$71.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$208.32	$103.65

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	150	82	$78.77	$41.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$191.45	$100.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	14	$154.96	$70.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	18	$90.12	$38.37
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$132.30	$71.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$298.53	$150.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$427.80	$197.84

Medical Specialties & State Licenses

CMS Verified: 2024-03-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301 060275

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

4170377 10 (MI)

Medicaid State Provider ID

100257957 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

5300 Memorial Dr, Two Rivers, WI 542413923

Phone: 9207937300

Practice Associates & Co-Workers

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

3 Associated Practitioners

Hillary Edgerly , NP

Nurse Practitioner

NPI 1386376002

Nurse Practitioner

Dr. Dennis Rasbach , MD

Surgery

NPI 1386600526

Doctor of Medicine (M.D.)

Dr. Glen Hastings , MD

Surgery

NPI 1669439550

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 April 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2014

Registered at 2990 NILES RD, SAINT JOSEPH, MI 490858607 (Tel: 2699833368)

📍

Updated Business Mailing Address April 15, 2014

Registered at 2990 NILES RD, SAINT JOSEPH, MI 490858607 (Tel: 2699833368)

👤

Provider Name / Credentials Updated April 15, 2014

Recorded as JAMES CLANCY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Surgery (License #4301 060275 in MI)

🟢

Initial NPI Registration & Enumeration April 25, 2006

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: 1679539811

Entity Type:

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

Enumeration Date: April 25, 2006

Last Update: March 04, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2990 Niles Rd

Saint Joseph, MI 490858607

Phone: 2699833368

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.