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DR. JAMES L FOSTER JR. M.D.
NPI 1235172230
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Macon, GA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
575 1ST ST, MACON, GA 31201(478) 743-9762(478) 746-6612 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James L Foster Jr. M.d. NPPES

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

DR. JAMES L FOSTER JR. M.D. (NPI 1235172230) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Macon, Georgia, licensed in Georgia (046099) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Medical College Of Georgia School Of Medicine (1997).

NPPES Registry Identity

NPI1235172230
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JAMES L FOSTER JR.Credential: M.D.
Location Address575 1ST STMacon, GA 31201-2825
Mailing Address575 1st StMacon, GA 31201-2825 · (478) 743-9762 · Fax (478) 746-6612
Phone(478) 743-9762
Fax(478) 746-6612
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1997
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1235172230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in GA · 046099
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
575 1ST ST, Macon, GA 31201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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 L Foster Jr. M.d. 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 ID2567404353
PECOS Enrollment IDI20050523000442
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 8

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.

Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
73 services67 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.
60 services59 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.
58 services51 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.
40 services40 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.
39 services33 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

MACON CARDIOVASCULAR INSTITUTE
Surgery
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. RANDALL B BROWN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. MAURICE M SOLIS M.D.
Surgery (Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
GAIL A. KLINE NP-C
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 742-7566
CHRISTY REBECCA ETHERIDGE FNP
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
MELISSA C. MCPHAIL FNP-BC
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
PATRICK KOHTZ M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. JOE H JOHNSON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762

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 Foster's NPI number?

The NPI number for James Foster is 1235172230. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is James Foster located?

James Foster practices at 575 1st St, Macon, GA 31201. The listed phone number is (478) 743-9762.

What is James Foster's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James Foster enrolled in Medicare?

Yes. James Foster 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 Foster accept?

Health plans from Alliant Health Plans, Inc. list James Foster 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 Foster affiliated with any hospitals?

According to CMS data, James Foster is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center and Sgmc Health.

When was this NPI record last updated?

The NPPES record for James Foster was last updated on September 11, 2020. 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.