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DR. JAMES CLEVELAND MAHER III M.D.
NPI 1013963180
Internal Medicine - Geriatric Medicine in Marshall, MI

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
92.05/100
CMS Quality Rating
720 US HIGHWAY 27 N, MARSHALL, MI 49068(269) 781-6600(269) 781-9228 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Cleveland Maher Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES CLEVELAND MAHER III M.D. (NPI 1013963180) is an individual geriatric medicine provider in Marshall, Michigan, licensed in Michigan (4301035339) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Oaklawn Hospital, and is a graduate of Ohio State University College Of Medicine (1974).

NPPES Registry Identity

NPI1013963180
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. JAMES CLEVELAND MAHER IIICredential: M.D.
Location Address720 US HIGHWAY 27 NMarshall, MI 49068-9609
Mailing Address720 Us Highway 27 NMarshall, MI 49068-9609 · (269) 781-6600 · Fax (269) 781-9228
Phone(269) 781-6600
Fax(269) 781-9228
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1974
Enumeration DateMay 26, 2006
Last NPPES UpdateDecember 5, 2014
✔ NPI 1013963180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MI · 4301035339
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
720 US HIGHWAY 27 N, Marshall, MI 49068
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0A37669MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Cleveland Maher Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618944323
PECOS Enrollment IDI20100116000389
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
34 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.19
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%38 patients3/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERI LYNN STRICKER PA-C
Physician Assistant
720 US HIGHWAY 27 N
MARSHALL, MI 49068
Calhoun County (269) 781-6600
TING-WAN YIP WORDEN
Nurse Practitioner (Pediatrics)
720 US HIGHWAY 27 N
MARSHALL, MI 49068
Calhoun County (269) 781-6600
JEREMIAH SCHNOOR M.D.
Internal Medicine
720 US HIGHWAY 27 N
MARSHALL, MI 49068
Calhoun County (269) 781-6600
DR. KARINA IVANETTE TORRES CRESPO MD
Internal Medicine
720 US HIGHWAY 27 N
MARSHALL, MI 49068
Calhoun County (269) 781-6600
LAURA ANNE PENCE M.D.
Family Medicine
720 US HIGHWAY 27 N
MARSHALL, MI 49068
Calhoun County (269) 781-6600
MAHBOOBEH SAIFIABOLHASSAN
Internal Medicine
720 US HIGHWAY 27 N
MARSHALL, MI 49068
Calhoun County (269) 781-6600
DAKOTA JAMES YEASTER PA-C
Physician Assistant
720 US HIGHWAY 27 N
MARSHALL, MI 49068
Calhoun County (269) 781-6600
DR. JOSE MANUEL VALLE M.D.
Internal Medicine
720 US HIGHWAY 27 N
MARSHALL, MI 49068
Calhoun County (269) 781-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Maher's NPI number?

The NPI number for James Maher is 1013963180. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is James Maher located?

James Maher practices at 720 Us Highway 27 N, Marshall, MI 49068. The listed phone number is (269) 781-6600.

What is James Maher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is James Maher enrolled in Medicare?

Yes. James Maher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Maher accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list James Maher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Maher affiliated with any hospitals?

According to CMS data, James Maher is affiliated with Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for James Maher was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.