DR. JAMES E MACE JR. MD
NPI 1427256163
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Milwaukee, WI

Active since July 04, 2007PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 955-6900(414) 955-0079 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 2, 2020, Oct 23, 2020, Jun 17, 2018 and 1 more (4 updates tracked since 2018).

About Dr. James E Mace Jr. Md NPPES

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

DR. JAMES E MACE JR. MD (NPI 1427256163) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Milwaukee, Wisconsin, licensed in Wisconsin (74334) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1427256163
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JAMES E MACE JR.Credential: MD
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 955-6900 · Fax (414) 955-0079
Fax(414) 955-0079
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 4, 2007
Last NPPES UpdateNovember 2, 20204 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
NPI 1427256163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in WI · 74334 Licensed in AL · 36821
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.

Also ListedSurgeryTaxonomy 208600000X · License 36821 (AL)
9200 W WISCONSIN AVE, Milwaukee, WI 53226

Secondary Practice Location 1

Location 1625 19th St SBirmingham, AL 35249 · Phone (205) 934-2536

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

Dr. James E Mace Jr. 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 ID446471163
PECOS Enrollment IDI20201204000605
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.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
12 services12 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.
11 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Pharmacist
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Genetic Counselor, MS
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Genetic Counselor, MS
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

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 Mace's NPI number?

The NPI number for James Mace is 1427256163. It was assigned to this individual provider in the NPPES registry on July 4, 2007.

Where is James Mace located?

James Mace practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 955-6900.

What is James Mace's specialty?

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

Is James Mace enrolled in Medicare?

Yes. James Mace 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 Mace accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list James Mace 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 Mace affiliated with any hospitals?

According to CMS data, James Mace is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for James Mace was last updated on November 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.