Active NPI 1225142284 Individual Practitioner Male Practitioner

Dr. James A Macdonald , DO

Surgery • Three Rivers, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Macdonald, DO is a certified Surgery practicing in Three Rivers, MI. With approximately 36 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 1990, Dr. Macdonald delivers high-quality medical care to the local community at 715 S HEALTH PARKWAY.

Dr. Macdonald is affiliated with Three Rivers Health System Inc 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, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

715 S Health Parkway

Three Rivers, MI 490938352

Telephone 2692738471

Fax 2692739680

Associated Practice Facility / Clinic

🏢 Three Rivers Health System, Inc Facility NPI 1063784247

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Three Rivers, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +7.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Three Rivers, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macdonald (36 Years) 36 Yrs

Three Rivers Specialty Average (28.5 Years) 28.5 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	33	28	$163.00	$88.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$164.00	$68.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	11	$122.00	$48.57
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1248.00	$225.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$100.00	$54.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$163.00	$84.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	15	$164.00	$77.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1248.00	$247.44
45380 Biopsy of large bowel using an endoscope	16	16	$1091.00	$161.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$158.80	$88.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$100.00	$54.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$199.56	$109.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$1248.00	$224.65
45380 Biopsy of large bowel using an endoscope	19	19	$1091.00	$159.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$782.00	$99.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	34	$119.95	$89.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$196.00	$110.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	16	$94.00	$54.74
45380 Biopsy of large bowel using an endoscope	18	18	$1091.00	$169.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	17	$1248.00	$253.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$117.71	$71.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$191.06	$105.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$252.55	$162.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	38	$115.00	$72.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$188.00	$105.34
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1200.00	$261.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$90.00	$43.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$188.00	$105.75
45380 Biopsy of large bowel using an endoscope	11	11	$1049.00	$171.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$112.95	$69.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$183.48	$101.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	21	$1173.91	$259.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$87.85	$41.93
45380 Biopsy of large bowel using an endoscope	12	12	$1026.33	$189.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$179.85	$100.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	11	$113.88	$24.85
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$110.83	$67.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$85.86	$41.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$237.55	$158.31

Medical Specialties & State Licenses

CMS Verified: 2024-11-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101010987

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

1225142284 (MI)

Hospital & Practice Group Affiliations

Three Rivers Health System Inc

715 S Health Pkwy, Three Rivers, MI 490938352

Phone: 2692738471

Secondary Practice Locations

701 S Health Parkway

Three Rivers, MI 49093

Phone: 2692781145

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Akiyoshi Kido , MD

Surgery

NPI 1053394528

Doctor of Medicine (M.D.)

Dr. Kenneth Wiencek , DO

Orthopaedic Surgery

NPI 1275515298

Doctor of Osteopathic Medicine (D.O.)

Dr. Manoj Mithal , MD

Physical Medicine & Rehabilitation

NPI 1336260645

Doctor of Medicine (M.D.)

Dr. Todd Ozdych , DO

Surgery

NPI 1578694907

Doctor of Osteopathic Medicine (D.O.)

Dr. Navin Pancholy , MD

Surgery

NPI 1700978509

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 19, 2024

Registered at 715 S HEALTH PARKWAY, THREE RIVERS, MI 490938352 (Tel: 2692738471)

📍

Updated Business Mailing Address June 12, 2023

Registered at 3245 HEALTH DR STE 100, GRANGER, IN 465301380

✅

NPI Profile Active February 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2015

Registered at 715 S HEALTH PKWY, THREE RIVERS, MI 490938352 (Tel: 2692738471)

📍

Updated Business Mailing Address February 23, 2015

Registered at 715 S HEALTH PKWY, THREE RIVERS, MI 490938352 (Tel: 2692738471)

👤

Provider Name / Credentials Updated February 23, 2015

Recorded as JAMES MACDONALD, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2015

Surgery (License #5101010987 in MI)

🟢

Initial NPI Registration & Enumeration August 18, 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: 1225142284

Entity Type:

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

Enumeration Date: August 18, 2006

Last Update: November 19, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3245 Health Dr Ste 100

Granger, IN 465301380

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.