Active NPI 1508062894 Individual Practitioner Male Practitioner

Dr. James F Cromie , MD

Surgery • Kalispell, MT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Cromie, MD is a certified Surgery practicing in Kalispell, MT. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Cromie delivers high-quality medical care to the local community at 1333 SURGICAL SERVICES WAY.

Dr. Cromie is affiliated with Kalispell Regional Medical Center Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1333 Surgical Services Way

Kalispell, MT 599014844

Telephone 4067515392

Associated Practice Facility / Clinic

🏢 Kalispell Regional Medical Center, Inc. Facility NPI 1972748127

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kalispell, MT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -1.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

11 Specialists

Practicing in Kalispell, MT (144 Statewide)

Telehealth Adoption Rate

27.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cromie (19 Years) 19 Yrs

Kalispell Specialty Average (20.3 Years) 20.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	27	$107.90	$94.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$128.16	$129.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$816.00	$79.85
49650 Repair of groin hernia using an endoscope	19	19	$1149.79	$462.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$79.16	$79.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$170.94	$172.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$398.29	$168.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$63.00	$63.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$158.79	$139.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$307.25	$129.42
43283 Lengthening of esophagus using an endoscope	12	12	$368.00	$156.15

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	32	32	$132.47	$124.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	23	$134.00	$134.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	21	$91.00	$91.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$183.08	$169.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$76.00	$76.14
49650 Repair of groin hernia using an endoscope	19	19	$1097.53	$440.41
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$61.00	$61.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$309.00	$130.61
47562 Removal of gallbladder using an endoscope	13	13	$1526.00	$669.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$164.00	$71.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$101.19	$91.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$134.00	$134.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$154.11	$125.79
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$69.56	$61.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$99.38	$77.19
47562 Removal of gallbladder using an endoscope	15	15	$1678.70	$684.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$395.00	$170.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$309.00	$135.54
49650 Repair of groin hernia using an endoscope	12	12	$1261.94	$504.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	39	$75.00	$49.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	37	$69.00	$24.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	32	$125.00	$37.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$422.00	$130.43
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	30	27	$24.00	$5.24
99221 Initial hospital inpatient care per day, typically 30 minutes	26	25	$312.50	$96.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$104.96	$75.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	20	$720.00	$102.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	18	$230.00	$69.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$125.00	$106.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$135.00	$123.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1330.00	$249.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$26.00	$8.83
45380 Biopsy of large bowel using an endoscope	14	14	$1112.00	$158.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$80.00	$72.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$170.00	$161.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	64	$75.00	$50.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	34	$230.00	$71.09
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	58	58	$24.00	$5.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	48	$102.04	$77.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	45	$69.00	$25.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$623.00	$199.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$422.00	$131.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$135.00	$127.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	31	$133.21	$109.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	22	$125.00	$38.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	28	$720.00	$119.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$170.00	$165.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	24	$1330.00	$257.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$80.00	$75.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	19	$26.00	$9.10
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$310.00	$99.20
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$599.00	$105.95
45380 Biopsy of large bowel using an endoscope	14	14	$1112.00	$123.06

Medical Specialties & State Licenses

CMS Verified: 2024-02-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MT 91827

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 ME MD22427

Surgery

NUCC Taxonomy Code: 208600000X

State License CO TL2492

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Maine License

MD22427 (ME)

Commercial Insurance / Payer ID Physician Training Licens

TL2492 (CO)

Hospital & Practice Group Affiliations

Kalispell Regional Medical Center Inc

350 Heritage Way, Kalispell, MT 599013167

Kalispell Regional Medical Center Inc

1333 Surgical Services Way, Kalispell, MT 599014844

Phone: 4067515392

Kalispell Regional Medical Center Inc

298 Osloski Rd, Eureka, MT 599179058

Phone: 4062977713

Kalispell Regional Medical Center Inc

1600 Hospital Way, Whitefish, MT 599377849

Phone: 4068633500

Kalispell Regional Medical Center Inc

1111 Baker Ave, Whitefish, MT 599372908

Phone: 4068586899

Kalispell Regional Medical Center Inc

310 Sunnyview Ln, Kalispell, MT 599013129

Phone: 4067516725

Kalispell Regional Medical Center Inc

320 Sunnyview Ln, Kalispell, MT 599013129

Phone: 4067563526

Secondary Practice Locations

802 2nd St Se

Cut Bank, MT 594273329

Phone: 4068732251

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Neal Wilkinson , MD

Surgery - Surgical Oncology

NPI 1083616643

Doctor of Medicine (M.D.)

Joan Driscoll , APRN

Nurse Practitioner - Acute Care

NPI 1194903377

Advanced Practice Registered Nurse

Dr. Ida Wilson , MD

Surgery

NPI 1235660663

Doctor of Medicine (M.D.)

Dr. Randall Zuckerman , MD

Surgery

NPI 1265496947

Doctor of Medicine (M.D.)

Douglas Day , PA-C

Physician Assistant - Medical

NPI 1386290625

Physician Assistant (Certified)

Maggie Ahmad , CRNP

Nurse Practitioner - Family

NPI 1396253704

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location October 11, 2021

Registered at 1333 SURGICAL SERVICES WAY, KALISPELL, MT 599014844 (Tel: 4067515392)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2021

Surgery (License #MD22427 in ME)

📍

Updated Business Mailing Address June 04, 2021

Registered at 1333 SURGICAL SERVICES WAY, KALISPELL, MT 599014844

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2021

Surgery (License #91827 in MT)

📍

Updated Business Mailing Address July 30, 2019

Registered at 71 HORIZON VW, COLCHESTER, VT 054466928 (Tel: 8027748796)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2019

Surgery (License #MD22427 in ME)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4200 E 9TH AVE, CAMPUS BOX C302, DENVER, CO 802620001 (Tel: 3033157449)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4200 E 9TH AVE, CAMPUS BOX C302, DENVER, CO 802620001 (Tel: 3033157449)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES CROMIE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #TL2492 in CO)

🟢

Initial NPI Registration & Enumeration June 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1508062894

Entity Type:

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

Enumeration Date: June 22, 2007

Last Update: February 19, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1333 Surgical Services Way

Kalispell, MT 599014844

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.