James Doran, MD
NPI 1942249610 · Family Medicine Physician · Higganum, CT
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Doran, MD is a Family Medicine Physician provider in Higganum, CT (NPI 1942249610).
Provider details
- NPI number
- 1942249610
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 51345 (CT)
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
20 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
776 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 294 | $133 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 195 | $17 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 113 | $135 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 97 | $95 |
| Administration of Influenza Virus VaccineG0008 | 42 | $34 |
| Automated Urinalysis Test |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 112 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 543 | 144 |
| Lisinopril | 298 | 76 |
| Levothyroxine Sodium | 223 | 57 |
| Rosuvastatin Calcium | 217 | 56 |
| Losartan Potassium | 213 | 52 |
| Amlodipine Besylate | 177 | 54 |
| Metformin Hcl |
Practice location
Mailing address
Additional practice locations (1)
- 629 Middle Tpke EManchester, CT 06040-3731Phone: (860) 649-6900Fax: (860) 647-0469
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Frequently asked questions
- What is James Doran's NPI number?
- James Doran's National Provider Identifier (NPI) is 1942249610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Doran's specialty?
- James Doran is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Doran located?
- James Doran's practice location on file with NPPES is 415 Killingworth Rd, Higganum, CT 06441-4392.
- What is James Doran's phone number?
- The practice phone number listed in the NPPES registry for James Doran is (860) 345-8535.
- Does James Doran accept Medicare?
- James Doran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Doran's NPI active?
- Yes — James Doran's NPI (1942249610) is active in the NPPES registry as of the last update on 2025-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.