DR. JAMES BRIAN MACDOUGALL MD
NPI 1235135823
Orthopaedic Surgery in Aberdeen, SD

Q: What is James Macdougall's NPI number?

The NPI number for James Macdougall is 1235135823. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is James Macdougall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for James Macdougall was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment

701 8TH AVE NW, STE A, ABERDEEN, SD 57401(605) 226-2663(605) 226-0095 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. James Brian Macdougall Md NPPES

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

DR. JAMES BRIAN MACDOUGALL MD (NPI 1235135823) is an individual orthopaedic surgery provider in Aberdeen, South Dakota, licensed in South Dakota (3324) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of Ohio State University College Of Medicine (1985).

NPPES Registry Identity

NPI1235135823

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAMES BRIAN MACDOUGALLCredential: MD

Location Address701 8TH AVE NW, STE AAberdeen, SD 57401-1803

Mailing AddressPo Box 1460Aberdeen, SD 57402-1460 · (605) 226-2663 · Fax (605) 226-0095

Phone(605) 226-2663

Fax(605) 226-0095

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1985

Enumeration DateJune 28, 2005

Last NPPES UpdateDecember 17, 2013

✔ NPI 1235135823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in SD · 3324

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

701 8TH AVE NW, Aberdeen, SD 57401

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Other Identifiers 6

Medicaid6400552SD

Medicare PIN200027357SD

Medicare PIN4476SD

Medicare PIN14646ND

Medicare UPINE70344

Medicare NSC1108470001SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 Brian Macdougall 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 ID6204729320

PECOS Enrollment IDI20100826001102, I20100915000981

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 34

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.

224 services184 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.

221 services194 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

121 services82 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

110 services96 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.

108 services81 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

105 services88 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

93 services67 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.

92 services91 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

89 services73 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

88 services88 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

44 services35 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

41 services32 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

40 services38 patients

X-ray for bone length assessment 77073

An X-ray for bone length assessment is a simple, non-invasive imaging test. It helps to evaluate the length of your bones and identify any discrepancies or abnormalities. This procedure is quick, painless, and provides valuable information for your healthcare provider.

38 services38 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

34 services26 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

34 services21 patients

X-ray lower and sacral spine, 2-3 views bending views 72120

This procedure involves taking X-ray images of your lower and sacral spine in 2-3 different angles while you bend. It helps in assessing spinal flexibility and identifying any abnormalities or injuries. It's safe, quick, and usually painless.

33 services33 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

32 services24 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.

32 services32 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

27 services27 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

25 services21 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

20 services16 patients

Aspiration of bone marrow for spine bone graft 20939

Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.

19 services19 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

19 services11 patients

Aspiration and/or injection of fluid from large joint 20610

18 services16 patients

X-ray of spine, 1 view 72020

An X-ray of the spine, 1 view, is a quick and painless imaging procedure. It uses radiation to capture images of the bones in your spine. It helps in detecting issues like fractures, infections, or tumors. You'll be positioned, the machine captures the image, and you're done. It's a safe, routine procedure.

18 services11 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

17 services15 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

16 services16 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

15 services15 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

15 services14 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

14 services12 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

13 services13 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430005

Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County

Emergency services Birthing friendly

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number430014

Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County

Emergency services Birthing friendly

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430097

Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County

Emergency services Birthing friendly

Community Memorial Hospital

Critical Access Hospitals · Redfield, SD

OwnershipGovernment - Local

CMS Certification Number431316

Location111 W 10th Ave Post Office Box 420Redfield, SD 57469 · Spink County

Mobridge Regional Hospital - Cah

Critical Access Hospitals · Mobridge, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431325

Location1401 10th Ave WestMobridge, SD 57601 · Walworth County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57401 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

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Other Providers at the Same Location NPPES 18

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

SANFORD HEALTH NETWORK

Orthopaedic Surgery

701 8TH AVE NW
ABERDEEN, SD 57401

Brown County (605) 226-2663

ELOY P MALSOM

Nurse Anesthetist, Certified Registered

701 8TH AVE NW
ABERDEEN, SD 57401

Brown County (605) 225-3300

DR. GARRETT MANFRED WOBST DPM

Podiatrist (Foot & Ankle Surgery)

701 8TH AVE NW
ABERDEEN, SD 57401

Brown County (605) 226-2663

MR. ALLEN WAYNE GIBSON PAC

Physician Assistant

701 8TH AVE NW, SUITE A
ABERDEEN, SD 57401

Brown County (605) 226-2663

DONALD JEROME FRISCO MD

Physical Medicine & Rehabilitation

701 8TH AVE NW, STE A
ABERDEEN, SD 57401

Brown County (605) 226-2663

MICHELLE LEADER

Physician Assistant

701 8TH AVE NW
ABERDEEN, SD 57401

Brown County (605) 226-2663

STEVEN V BEARE CRNA

Nurse Anesthetist, Certified Registered

701 8TH AVE NW
ABERDEEN, SD 57401

Brown County (605) 225-3300

BRIAN D ERMER PAC

Physician Assistant

701 8TH AVE NW, SUITE A
ABERDEEN, SD 57401

Brown County (605) 226-2663

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 Macdougall's NPI number?

The NPI number for James Macdougall is 1235135823. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is James Macdougall located?

James Macdougall practices at 701 8th Ave NW Ste A, Aberdeen, SD 57401. The listed phone number is (605) 226-2663.

What is James Macdougall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Macdougall enrolled in Medicare?

Yes. James Macdougall 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 Macdougall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list James Macdougall 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 Macdougall affiliated with any hospitals?

According to CMS data, James Macdougall is affiliated with Prairie Lakes Healthcare System, Inc, Avera St Lukes, Sanford Medical Center Aberdeen, Community Memorial Hospital and Mobridge Regional Hospital - Cah.

When was this NPI record last updated?

The NPPES record for James Macdougall was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.