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DR. JAMES P MCDERMOTT DO
NPI 1255389185
Specialist in Manahawkin, NJ

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
602 ROUTE 72 EAST, SUITE 1, MANAHAWKIN, NJ 08050(609) 978-9870(609) 978-9873 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James P Mcdermott Do NPPES

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

DR. JAMES P MCDERMOTT DO (NPI 1255389185) is an individual specialist in Manahawkin, New Jersey, licensed in New Jersey (25MB06633300) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1994).

NPPES Registry Identity

NPI1255389185
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JAMES P MCDERMOTTCredential: DO
Location Address602 ROUTE 72 EAST, SUITE 1Manahawkin, NJ 08050-2899
Mailing Address602 Route 72 East, Suite 1Manahawkin, NJ 08050-2899 · (609) 978-9870 · Fax (609) 978-9873
Phone(609) 978-9870
Fax(609) 978-9873
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1994
Enumeration DateMay 4, 2006
Last NPPES UpdateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1255389185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MB06633300
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
602 ROUTE 72 EAST, Manahawkin, NJ 08050
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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 P Mcdermott Do 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 ID8527060201
PECOS Enrollment IDI20070208000582
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
137 services137 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
129 services129 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.
67 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. AMADI REZAI MD
Obstetrics & Gynecology
602 ROUTE 72 EAST, SUITE 1
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9870

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 Mcdermott's NPI number?

The NPI number for James Mcdermott is 1255389185. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is James Mcdermott located?

James Mcdermott practices at 602 Route 72 East Suite 1, Manahawkin, NJ 08050. The listed phone number is (609) 978-9870.

What is James Mcdermott's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is James Mcdermott enrolled in Medicare?

Yes. James Mcdermott 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 Mcdermott accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Mcdermott 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 Mcdermott affiliated with any hospitals?

According to CMS data, James Mcdermott is affiliated with Community Medical Center, Monmouth Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for James Mcdermott was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.