MICHAEL JAMES MCNAMARA MD
NPI 1083601397
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Franklin, TN

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
76.06/100
CMS Quality Rating
3000 EDWARD CURD LN, FRANKLIN, TN 37067(615) 791-2630(615) 791-2639 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Jun 8, 2023, Nov 30, 2018 (3 updates tracked since 2018).

About Michael James Mcnamara Md NPPES

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

MICHAEL JAMES MCNAMARA MD (NPI 1083601397) is an individual orthopaedic surgery of the spine provider in Franklin, Tennessee, licensed in Tennessee (MD20153) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of Duke University School Of Medicine (1983).

NPPES Registry Identity

NPI1083601397
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameMICHAEL JAMES MCNAMARACredential: MD
Location Address3000 EDWARD CURD LNFranklin, TN 37067-5791
Mailing Address3000 Edward Curd LnFranklin, TN 37067-5791 · (615) 791-2630
Fax(615) 791-2639
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1983
Enumeration DateOctober 3, 2005
Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1083601397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TN · MD20153
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 32402 (NC), 32922 (KY), MD20153 (TN)
3000 EDWARD CURD LN, Franklin, TN 37067

Accepted 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

Michael James Mcnamara Md 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 ID42362907
PECOS Enrollment IDI20090723000549, I20110218000182
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 25

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.

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.
645 services375 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
171 services170 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
130 services78 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.
127 services108 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
101 services101 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
86 services57 patients

Hospital Affiliations CMS Care Compare 4

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440029
Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County
Emergency services Birthing friendly

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440175
Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County
Emergency services Birthing friendly

Marshall Medical Center

Critical Access Hospitals · Lewisburg, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441309
Location1080 North Ellington ParkwayLewisburg, TN 37091 · Marshall County
Emergency services

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.

76.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Promoting Interoperability94
Improvement Activities40
Cost57.68

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
56%521 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
0%119 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
79%120 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,310 patients5/55-star benchmark: 100%
e-Prescribing
100%207 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%830 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,733 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,596 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,329 patients
0%1,329 patients
Provide Patients Electronic Access to Their Health Information
80%659 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%371 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 888 patients
Patients totalRate: 3% · 888 patients
3%888 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers13 claims13 services$54.34 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier12 claims12 services$805.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physician Assistant (Surgical)
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Occupational Therapist
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physical Therapist
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physical Therapy Assistant
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physician Assistant
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physical Therapist
3000 EDWARD CURD LN
FRANKLIN, TN 37067

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 Michael Mcnamara's NPI number?

The NPI number for Michael Mcnamara is 1083601397. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Michael Mcnamara located?

Michael Mcnamara practices at 3000 Edward Curd Ln, Franklin, TN 37067. The listed phone number is (615) 791-2630.

What is Michael Mcnamara's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Michael Mcnamara enrolled in Medicare?

Yes. Michael Mcnamara 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 Michael Mcnamara accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Michael Mcnamara 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 Michael Mcnamara affiliated with any hospitals?

According to CMS data, Michael Mcnamara is affiliated with Williamson Medical Center, Maury Regional Hospital, Southern Tennessee Regional Health System Lawrence and Marshall Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mcnamara was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.