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JAMES FORD MCDONNELL MD
NPI 1093782831
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Maywood, IL

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
2160 S FIRST AVE, (LUH - NO. ENT., RM 2601), MAYWOOD, IL 60153(708) 216-3408(708) 216-3557 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2021, May 19, 2020 (2 updates tracked since 2020).

About James Ford Mcdonnell Md NPPES

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

JAMES FORD MCDONNELL MD (NPI 1093782831) is an individual pediatric ophthalmology and strabismus specialist in Maywood, Illinois, licensed in Illinois (036073690) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Northwestern University Feinberg Medical School (1985).

NPPES Registry Identity

NPI1093782831
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameJAMES FORD MCDONNELLCredential: MD
Location Address2160 S FIRST AVE, (LUH - NO. ENT., RM 2601)Maywood, IL 60153
Mailing Address2160 S First Ave, (luh - No. Ent., Rm 2601)Maywood, IL 60153 · (708) 216-3408 · Fax (708) 216-3557
Phone(708) 216-3408
Fax(708) 216-3557
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1985
Enumeration DateMarch 1, 2006
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1093782831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in IL · 036073690
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 36073690 (IL)
Also ListedPediatricsTaxonomy 208000000X · License 36073690 (IL)
2160 S FIRST AVE, Maywood, IL 60153
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Other Identifiers 1

Medicaid36073690IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Ford Mcdonnell 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 ID42247868
PECOS Enrollment IDI20050725000140
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.

Medicare Billing Reassignment

Medicare enrollment records show James Mcdonnell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Loyola University Medical Center
0.1 mi
General Practice
2160 S 1ST AVE
Maywood, IL 60153
  • Reassigned Medicare billing, Illinois enrollment
  • 1,138 clinicians in this Medicare group
NPI 1336159961 (708) 216-3215

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
125 services88 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
51 services40 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
39 services30 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
38 services37 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
28 services28 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

RACHEL JUDITH DAVIS PSYD
Psychiatry & Neurology (Psychiatry)
2160 S FIRST AVE, LOYOLA UNIVERSITY MEDICAL CENTER 101-1740
MAYWOOD, IL 60153
Cook County (708) 216-9000
FRANCIS HARFORD MD
Surgery
2160 S FIRST AVE, EMS BLDG., 3RD FLOOR
MAYWOOD, IL 60153
Cook County (708) 327-2647
SHERINE HANNA MD
Anesthesiology
2160 S FIRST AVE, BLDG., RM. 3102
MAYWOOD, IL 60153
Cook County (708) 216-8866
HOLLY KRAMER MD
Internal Medicine (Nephrology)
2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Cook County (708) 216-9000
TRAC XUAN NGHIEM MD
Emergency Medicine
2160 S FIRST AVE, EMS BLDG., RM. 2700
MAYWOOD, IL 60153
Cook County (708) 327-2700
MALIHA J SHAREEF MD
Pediatrics (Neonatal-Perinatal Medicine)
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 3307)
MAYWOOD, IL 60153
Cook County (708) 216-4403
PATRICK FAHEY MD
Internal Medicine (Critical Care Medicine)
2160 S FIRST AVE, LUH-NORTH ENT., RM. 7604
MAYWOOD, IL 60153
Cook County (708) 216-5402
COLEEN NAPOLITANO DPM
Orthopaedic Surgery
2160 S FIRST AVE, (7511 LEMONT RD, DARIEN, IL. 60561)
MAYWOOD, IL 60153
Cook County (630) 985-4989

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 Mcdonnell's NPI number?

The NPI number for James Mcdonnell is 1093782831. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is James Mcdonnell located?

James Mcdonnell practices at 2160 S First Ave (luh - No. Ent., Rm 2601), Maywood, IL 60153. The listed phone number is (708) 216-3408.

What is James Mcdonnell's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is James Mcdonnell enrolled in Medicare?

Yes. James Mcdonnell 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.

Which organization bills Medicare for James Mcdonnell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mcdonnell reassigns Medicare benefits to Loyola University Medical Center (Maywood, IL). The 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 Mcdonnell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mcdonnell accept?

Health plans from Oscar Health list James Mcdonnell 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 Mcdonnell affiliated with any hospitals?

According to CMS data, James Mcdonnell is affiliated with Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for James Mcdonnell was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.