JAMES W MCDOWELL MD
NPI 1255370482
Family Medicine in Macon, MO

Q: What is James Mcdowell's NPI number?

The NPI number for James Mcdowell is 1255370482. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is James Mcdowell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Mcdowell was last updated on July 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 05, 2006PECOS EnrolledAccepts Medicare Assignment

1201 N RUTHERFORD ST, MACON, MO 63552(660) 385-8900(660) 385-8708 Get Directions Write a Review

NPPES record last updated: July 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James W Mcdowell Md NPPES

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

JAMES W MCDOWELL MD (NPI 1255370482) is an individual family medicine provider in Macon, Missouri, licensed in Missouri (MD101614) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hannibal Regional Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (1991).

NPPES Registry Identity

NPI1255370482

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES W MCDOWELLCredential: MD

Location Address1201 N RUTHERFORD STMacon, MO 63552-2020

Mailing Address1205 N Missouri StMacon, MO 63552-2095 · (660) 385-8700 · Fax (660) 385-8701

Phone(660) 385-8900

Fax(660) 385-8708

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1991

Enumeration DateJune 5, 2006

Last NPPES UpdateJuly 12, 2013

✔ NPI 1255370482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · MD101614

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1201 N RUTHERFORD ST, Macon, MO 63552

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Other Identifiers 3

Medicare UPINF30226MO

Medicare ID-Type Unspecified002013920MO

Medicaid203393129MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

James W Mcdowell 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 ID9537070495

PECOS Enrollment IDI20100619000169

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

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 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.

41 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260025

Location6000 Hospital DrHannibal, MO 63401 · Marion County

Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260068

Location1600 E BroadwayColumbia, MO 65201 · Boone County

Emergency services Birthing friendly

Moberly Regional Medical Center

Acute Care Hospitals · Moberly, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260074

Location1515 Union AveMoberly, MO 65270 · Randolph County

Emergency services

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number260141

LocationOne Hospital DriveColumbia, MO 65212 · Boone County

Emergency services Birthing friendly

Macon County Samaritan Memorial Hospital

Critical Access Hospitals · Macon, MO

OwnershipGovernment - Local

CMS Certification Number261313

Location1205 North Missouri StMacon, MO 63552 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63552 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 27

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers109 claims228 services$6.41 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers16 claims16 services$2.57 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers42 claims47 services$1.15 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier18 claims18 services$24.36 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers25 claims32 services$9.37 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers16 claims16 services$111.90 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers16 claims44 services$44.25 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers15 claims15 services$71.73 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers20 claims20 services$23.80 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers26 claims26 services$21.69 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers29 claims165 services$3.21 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers14 claims14 services$14.25 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims330 services$3.05 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims6,909 services$0.48 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers35 claims35 services$18.84 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers24 claims24 services$858.41 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$8.47 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers112 claims112 services$108.36 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$38.16 avg. paid by Medicare

Azathioprine, oral, 50 mg J7500

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims1,170 services$1.08 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers20 claims1,200 services$4.32 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers40 claims5,760 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers21 claims1,740 services$0.80 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers21 claims21 services$28.29 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers29 claims29 services$193.49 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier12 claims12 services$18.95 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers66 claims66 services$24.46 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 12

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

JAMIE MARIE KAUFFMAN DO

Family Medicine