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Active NPI 1922160639 Individual Practitioner Male Practitioner

James Edward Macbeth , PT

Physical Therapist • Warren, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Macbeth, PT is a certified Physical Therapist practicing in Warren, NJ. With approximately 43 years of clinical experience since completing medical education in 1983, James Macbeth delivers high-quality medical care to the local community at 23 MOUNTAIN BLVD.

James Macbeth accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, application of electrical stimulation with therapist present, each, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

23 Mountain Blvd
Suite 1

Warren, NJ 070595611

Telephone 9087568898
Fax 9087568899
Associated Practice Facility / Clinic
🏢 Physical Therapy Unlimited Pa Facility NPI 1174621874

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Warren, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
43 Yrs +31.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Warren, NJ (9814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macbeth (43 Years) 43 Yrs
Warren Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
657 46 $79.76 $30.06
97032 Application of electrical stimulation with therapist present, each 15 minutes
579 54 $76.00 $12.93
97140 Therapy procedure using manual technique, each 15 minutes
571 55 $78.00 $25.03
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
163 43 $85.00 $37.43
97035 Application of ultrasound, each 15 minutes
97 31 $76.00 $11.95
97012 Application of mechanical traction to 1 or more areas
74 16 $67.00 $13.37
97530 Therapy procedure using functional activities
51 13 $95.00 $43.34
97535 Training for self-care or home management, each 15 minutes
39 22 $67.00 $34.19
97163 Evaluation for physical therapy, typically 45 minutes
35 35 $145.00 $94.33
97164 Re-evaluation for physical therapy, typically 20 minutes
29 23 $90.00 $64.33
97162 Evaluation for physical therapy, typically 30 minutes
14 13 $145.00 $94.42

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License NJ 40QA00572900

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare
650022727 (NJ)
Commercial Insurance / Payer ID Cigna
8379444 (NJ)
Commercial Insurance / Payer ID Aetna
552313 (NJ)
Commercial Insurance / Payer ID Amerihealth
897317000 (NJ)
Commercial Insurance / Payer ID Cignaorthonet
31001 (NJ)
Commercial Insurance / Payer ID Oxford
TS152 (NJ)
Commercial Insurance / Payer ID Ghi
6602823 (NJ)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Kelsey Bigelli

Physical Therapy Assistant

NPI 1295671477
Nora Nolan , PTA

Physical Therapy Assistant

NPI 1366379307

Physical Therapist Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 01, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2009

Registered at 23 MOUNTAIN BLVD, SUITE 1, WARREN, NJ 070595611 (Tel: 9087568898)

📍
Updated Business Mailing Address December 01, 2009

Registered at 23 MOUNTAIN BLVD, SUITE 1, WARREN, NJ 070595611 (Tel: 9087568898)

👤
Provider Name / Credentials Updated December 01, 2009

Recorded as JAMES MACBETH, P.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2009

Physical Therapist (License #40QA00572900 in NJ)

🟢
Initial NPI Registration & Enumeration December 16, 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: 1922160639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2006
Last Update: December 01, 2009
Sole Proprietor: No

Mailing Address

23 Mountain Blvd, Suite 1

Warren, NJ 070595611

Phone: 9087568898

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.