JAMES JOHN MACNEAL DO
NPI 1366692287
Emergency Medicine in Marshfield, WI
About James John Macneal Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES JOHN MACNEAL DO (NPI 1366692287) is an individual emergency medicine provider in Marshfield, Wisconsin, licensed in Wisconsin (56837) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and maintains a secondary practice location in Janesville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James John Macneal 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.
Medicare Billing Reassignments
18Medicare enrollment records show James Macneal reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,283 clinicians in this Medicare group
Waupaca, WI 54981
- Reassigned Medicare billing, Wisconsin enrollment
- 110 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 106 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 174 clinicians in this Medicare group
Berlin, WI 54923
- Reassigned Medicare billing, Wisconsin enrollment
- 104 clinicians in this Medicare group
Chetek, WI 54728
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1700963048 (Wisconsin)
- 1,351 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 103 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Fort Memorial Hospital
Acute Care Hospitals · Fort Atkinson, WIBeloit Health System
Acute Care Hospitals · Beloit, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MARSHFIELD, WI 54449
MARSHFIELD, WI 54449
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 Macneal's NPI number?
The NPI number for James Macneal is 1366692287. It was assigned to this individual provider in the NPPES registry on September 28, 2008.
Where is James Macneal located?
James Macneal practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5511.
What is James Macneal's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is James Macneal enrolled in Medicare?
Yes. James Macneal 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.
Which organizations bill Medicare for James Macneal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Macneal reassigns Medicare benefits to 18 organizations: Marshfield Clinic Inc (Marshfield, WI), Mchs Hospitals Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI), Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Thedacare Medical Center - New London, Inc. (New London, WI) and 13 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Macneal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Macneal accept?
Health plans from CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and Sanford Health Plan list James Macneal 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 Macneal affiliated with any hospitals?
According to CMS data, James Macneal is affiliated with Fort Memorial Hospital and Beloit Health System.
When was this NPI record last updated?
The NPPES record for James Macneal was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.
# James John Macneal, DO · NPI 1366692287
Emergency Medicine physician in Marshfield, Wisconsin. Individual provider, active in the CMS NPPES registry since September 28, 2008.
## Identity
- **NPI:** 1366692287 (Entity type: Individual)
- **Enumerated:** September 28, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 56837 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N OAK AVE, Marshfield, WI 54449-5703
- **Phone:** (715) 387-5511 · **Fax:** (715) 387-5240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 18 organizations under Medicare reassignment (form CMS-855R): Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); Mchs Hospitals Inc (NPI 1093221434, Marshfield, WI); Memorial Hospital, Inc (NPI 1679746747, Neillsville, WI); Thedacare Medical Center - Waupaca, Inc. (NPI 1780782680, Waupaca, WI); Thedacare Medical Center - New London, Inc. (NPI 1538127220, New London, WI); and 13 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 1366692287 (WI); Other 1366692287 (WI); Other MACNEJAM (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1366692287) · Data from the CMS NPPES public registry.