1. Home
  2. Directory
  3. Florida
  4. Longwood
  5. Psychiatry Neurology
  6. NPI Profile

DR. JAMES S MCDONOUGH
NPI 1063468700
Psychiatry & Neurology - Psychiatry in Longwood, FL

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
455 W WARREN AVE, LONGWOOD, FL 32750(407) 262-2220(407) 834-5011 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James S Mcdonough NPPES

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

DR. JAMES S MCDONOUGH (NPI 1063468700) is an individual psychiatry provider in Longwood, Florida, licensed in Florida (ME91562) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1063468700
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JAMES S MCDONOUGH
Location Address455 W WARREN AVELongwood, FL 32750-4002
Mailing Address455 W Warren AveLongwood, FL 32750-4002 · (407) 262-2220 · Fax (407) 834-5011
Phone(407) 262-2220
Fax(407) 834-5011
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 25, 2006
Last NPPES UpdateMarch 11, 2011
✔ NPI 1063468700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME91562
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
455 W WARREN AVE, Longwood, FL 32750
Open in Google Maps ↗

Other Identifiers 5

Medicaid271252100FL
Medicare PINU4014ZFL
Medicare ID-Type UnspecifiedI23035
Medicare PINU4014YFL
Medicare PINU4014XFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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 S Mcdonough 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 ID4082672647
PECOS Enrollment IDI20041229000314
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 7

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
858 services218 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
443 services164 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
393 services157 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
163 services13 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
56 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32750 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 20

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

KIMBERLY DAWN MILLER-SMITH
Speech-Language Pathologist
455 W WARREN AVE
LONGWOOD, FL 32750
Seminole County (407) 260-0551
MARCIAL SERRANO M.D.
Psychiatry & Neurology (Psychiatry)
455 W WARREN AVE
LONGWOOD, FL 32750
Seminole County (407) 262-2220
DR. JONATHAN D HIRSCHAUER
Psychiatry & Neurology (Psychiatry)
455 W WARREN AVE
LONGWOOD, FL 32750
Seminole County (407) 262-2220
DR. SURAJ MODI
Psychiatry & Neurology (Psychiatry)
455 W WARREN AVE
LONGWOOD, FL 32750
Seminole County (407) 262-2220
ORLANDO HEALTH MEDICAL GROUP INC
Psychiatry & Neurology (Psychiatry)
455 W WARREN AVE
LONGWOOD, FL 32750
Seminole County (407) 262-2220
STEPHANIE SIMMONS PT
Physical Therapist
455 W WARREN AVE
LONGWOOD, FL 32750
Seminole County (407) 260-0551
BRITTANY MONTALVO
Speech-Language Pathologist
455 W WARREN AVE, STE 200
LONGWOOD, FL 32750
Seminole County (407) 260-0551
CONNOR J MCVEY PA-C
Physician Assistant
455 W WARREN AVE
LONGWOOD, FL 32750
Seminole County (407) 262-2220

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 Mcdonough's NPI number?

The NPI number for James Mcdonough is 1063468700. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is James Mcdonough located?

James Mcdonough practices at 455 W Warren Ave, Longwood, FL 32750. The listed phone number is (407) 262-2220.

What is James Mcdonough's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Mcdonough enrolled in Medicare?

Yes. James Mcdonough 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 Mcdonough accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list James Mcdonough 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.

When was this NPI record last updated?

The NPPES record for James Mcdonough was last updated on March 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.