James Macdonald, DO
NPI 1225142284 · Surgery Physician · Three Rivers, MI
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Macdonald, DO is a Surgery Physician provider in Three Rivers, MI (NPI 1225142284).
Provider details
- NPI number
- 1225142284
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101010987 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
98 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $88 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 19 | $69 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 17 | $49 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 16 | $225 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 13 | $54 |
Typical Medicare-allowed amounts for these services range $49–$225 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Colestipol Hcl | 20 |
| Famotidine | 20 |
| Metoclopramide Hcl | 16 |
| Linaclotidebrand: Linzess | 15 |
| Omeprazole | 13 |
| Sucralfate | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 701 S Health ParkwayThree Rivers, MI 49093Phone: (269) 278-1145Fax: (269) 273-9611
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Frequently asked questions
- What is James Macdonald's NPI number?
- James Macdonald's National Provider Identifier (NPI) is 1225142284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Macdonald's specialty?
- James Macdonald is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is James Macdonald located?
- James Macdonald's practice location on file with NPPES is 715 S Health Parkway, Three Rivers, MI 49093-8352.
- What is James Macdonald's phone number?
- The practice phone number listed in the NPPES registry for James Macdonald is (269) 273-8471.
- Does James Macdonald accept Medicare?
- James Macdonald is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Macdonald's NPI active?
- Yes — James Macdonald's NPI (1225142284) is active in the NPPES registry as of the last update on 2024-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.