DR. JAMES PATRICK MACDONALD M.D.
NPI 1083610216
Pediatrics - Sports Medicine in Columbus, OH
About Dr. James Patrick Macdonald M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES PATRICK MACDONALD M.D. (NPI 1083610216) is an individual sports medicine provider in Columbus, Ohio, licensed in Ohio (35095653) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains 11 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 11
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. James Patrick Macdonald M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show James Macdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43205
- Reassigned Medicare billing, Ohio enrollment
- 976 clinicians in this Medicare group
Columbus, OH 43205
- Reassigned Medicare billing, Ohio enrollment
- 1,246 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
COLUMBUS, OH 43205
COLUMBUS, OH 43205
COLUMBUS, OH 43205
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 Macdonald's NPI number?
The NPI number for James Macdonald is 1083610216. It was assigned to this individual provider in the NPPES registry on June 22, 2005.
Where is James Macdonald located?
James Macdonald practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-4950.
What is James Macdonald's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.
Is James Macdonald enrolled in Medicare?
Yes. James Macdonald is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for James Macdonald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Macdonald reassigns Medicare benefits to 2 organizations: Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Macdonald accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and CareSource list James Macdonald 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 Macdonald was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.