Active NPI 1013956861 Individual Practitioner Male Practitioner

Dr. James A Mcelroy , MD FACS

Surgery • Marietta, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Mcelroy, MD FACS is a certified Surgery practicing in Marietta, OH. With approximately 30 years of clinical experience since graduating from Ohio State University College Of Medicine in 1996, Dr. Mcelroy delivers high-quality medical care to the local community at 400 MATTHEW ST.

Dr. Mcelroy is affiliated with Camden-Clark Physician Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Matthew St
Ste 401

Marietta, OH 457501662

Telephone 7403742252

Fax 7403744974

Associated Practice Facility / Clinic

🏢 Ohio Valley Allergy And Asthma Center. Llc. Facility NPI 1295792398

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marietta, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +6.9 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Marietta, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcelroy (30 Years) 30 Yrs

Marietta Specialty Average (23.1 Years) 23.1 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	69	$202.00	$74.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	83	$459.00	$165.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	25	$303.00	$110.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$182.00	$82.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$293.00	$127.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$310.00	$126.31

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	194	99	$193.04	$77.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	111	110	$459.00	$166.88
99291 Critical care, first 30-74 minutes	47	30	$667.00	$207.65
99238 Hospital discharge day management, 30 minutes or less	25	25	$197.92	$78.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	16	$122.04	$49.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$310.00	$121.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	94	50	$444.48	$217.10
99213 Established patient office or other outpatient visit, typically 15 minutes	77	65	$125.88	$66.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	25	$143.52	$70.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	20	$206.52	$101.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$188.45	$97.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$188.66	$79.97
99292 Critical care, each additional 30 minutes	16	16	$222.94	$108.97
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$469.80	$148.92
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$379.28	$183.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$265.31	$134.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	144	70	$444.48	$218.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	37	$144.44	$70.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$156.34	$99.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	23	$206.52	$98.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	24	$78.30	$37.81
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$101.42	$67.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$272.08	$133.90
99292 Critical care, each additional 30 minutes	15	13	$222.94	$109.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$256.46	$135.81
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$284.02	$81.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	105	54	$444.48	$224.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	49	$158.45	$77.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$272.08	$136.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	40	$78.30	$39.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	37	$144.44	$72.47
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$101.42	$51.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$50.72	$25.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$401.62	$203.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	15	$206.52	$104.57
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$469.80	$175.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$284.02	$109.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$523.62	$260.27
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$201.72	$102.45

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	104	83	$159.06	$77.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	100	76	$77.30	$38.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	69	$268.77	$134.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	47	$140.76	$71.73
99291 Critical care, first 30-74 minutes	50	37	$447.41	$220.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$273.74	$123.21
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$105.95	$50.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$379.17	$199.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$53.01	$25.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$156.05	$75.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$185.28	$102.56
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$421.46	$188.40
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$421.10	$180.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$284.02	$70.10

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	42	39	$226.94	$76.86
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$152.38	$50.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$354.46	$126.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$61.60	$38.47
99291 Critical care, first 30-74 minutes	13	11	$591.12	$219.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$215.05	$134.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$207.38	$131.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$219.35	$76.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	24	$59.40	$37.79
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$147.33	$49.86
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	13	$1003.54	$148.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$748.23	$85.40

Medical Specialties & State Licenses

CMS Verified: 2020-08-13

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35073417M

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

2206348 (OH)

Medicaid State Provider ID

1000127000 (WV)

Commercial Insurance / Payer ID Anthem

000000696938 (OH)

Commercial Insurance / Payer ID Rrmcr

P00475910 (OH)

Commercial Insurance / Payer ID Anthem

000000490580 (OH)

Hospital & Practice Group Affiliations

Camden-Clark Physician Corporation

608 Washington Blvd, Belpre, OH 457142465

Phone: 6813423455

Camden-Clark Physician Corporation

800 Grand Central Mall, Vienna, WV 261054100

Phone: 3044853300

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Charles Levy , MD

Neurological Surgery

NPI 1043270408

Doctor of Medicine (M.D.)

Dr. Tuan Nguyen , MD

Surgery

NPI 1043464183

Doctor of Medicine (M.D.)

Dr. Lane Lee , DO

Surgery - Vascular Surgery

NPI 1073600979

Doctor of Osteopathic Medicine (D.O.)

Kristeva Knab , PA-C

Physician Assistant

NPI 1073984829

Physician Assistant (Certified)

Stacy Devol , CCNS

Clinical Nurse Specialist - Acute Care

NPI 1164865465

Jessica Board , NP

Nurse Practitioner - Family

NPI 1164970919

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2011

Registered at 400 MATTHEW ST, STE 401, MARIETTA, OH 457501662 (Tel: 7403742252)

📍

Updated Business Mailing Address October 05, 2011

Registered at PO BOX 449, MARIETTA, OH 457500449 (Tel: 7403744500)

👤

Provider Name / Credentials Updated October 05, 2011

Recorded as JAMES MCELROY, MD FACS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2011

Surgery (License #35073417M in OH)

🟢

Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013956861

Entity Type:

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

Enumeration Date: June 06, 2006

Last Update: August 13, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 449

Marietta, OH 457500449

Phone: 7403744500

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.