JAMES MACDONALD MD
NPI 1366526469
Family Medicine in Nashville, TN
About James Macdonald Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES MACDONALD MD (NPI 1366526469) is an individual family medicine provider in Nashville, Tennessee, licensed in Tennessee (MD29564) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
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.
Accepted 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 Macdonald 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Williamson Medical Center
Acute Care Hospitals · Franklin, TNVanderbilt University Medical Center
Acute Care Hospitals · Nashville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Macdonald's NPI number?
The NPI number for James Macdonald is 1366526469. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is James Macdonald located?
James Macdonald practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.
What is James Macdonald's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Macdonald enrolled in Medicare?
Yes. James Macdonald 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 Macdonald accept?
Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list James Macdonald 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 Macdonald affiliated with any hospitals?
According to CMS data, James Macdonald is affiliated with Williamson Medical Center and Vanderbilt University Medical Center.
When was this NPI record last updated?
The NPPES record for James Macdonald was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.