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JAMES G MCDOWELL JR. M.D.
NPI 1437156270
Surgery in Springfield, TN

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
417 NORTHCREST DR, SPRINGFIELD, TN 37172(615) 384-8211(615) 384-8211 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James G Mcdowell Jr. M.d. NPPES

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

JAMES G MCDOWELL JR. M.D. (NPI 1437156270) is an individual surgery provider in Springfield, Tennessee, licensed in Tennessee (MD36191) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Hendersonville Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437156270
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES G MCDOWELL JR.Credential: M.D.
Location Address417 NORTHCREST DRSpringfield, TN 37172-3973
Mailing Address417 Northcrest DrSpringfield, TN 37172-3973 · (615) 384-8211 · Fax (615) 384-5859
Phone(615) 384-8211
Fax(615) 384-8211
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1998
Enumeration DateJuly 7, 2005
Last NPPES UpdateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1437156270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · MD36191
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

417 NORTHCREST DR, Springfield, TN 37172
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Secondary Practice Locations 2

Location 1353 New Shackle Island Rd Ste 102AHendersonville, TN 37075-2359 · Phone (615) 991-5885 · Fax (615) 384-5859
Location 2410 42nd Ave N Ste 400Nashville, TN 37209-3658 · Phone (615) 329-7887 · Fax (615) 346-6225

Other Identifiers 1

Medicaid3893175TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 G Mcdowell Jr. M.d. 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 ID7719961739
PECOS Enrollment IDI20040616001556
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 6

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, 20-29 minutes 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.
58 services42 patients
Other procedure on stomach 43999
"Other procedure on stomach" refers to various medical interventions that aren't classified under common stomach procedures. These can include diagnostic procedures, removal of foreign bodies, or treatment of specific conditions. The exact process will depend on the patient's unique health needs.
20 services13 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
17 services15 patients
Hernia repair (minimally invasive) NAN16
Hernia repair is a surgery to fix a hernia - a condition where an organ pushes through an opening in the muscle or tissue that holds it in place. Minimally invasive hernia repair involves small incisions, a tiny camera, and special surgical tools. This method often leads to quicker recovery, less pain, and reduced scarring compared to traditional surgery.
0 services1 patient
Hernia repair - groin (open) NAN19
Hernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
0 services1 patient

Hospital Affiliations CMS Care Compare

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

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37172 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 16

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

JOEL Q PEAVYHOUSE MD
Orthopaedic Surgery
417 NORTHCREST DR
SPRINGFIELD, TN 37172
Robertson County (615) 382-5204
NORTHCREST PHYSICIAN SERVICES INC
Internal Medicine
417 NORTHCREST DR, 430 NORTHCREST DR
SPRINGFIELD, TN 37172
Robertson County (615) 382-5710
DR. MARK SALAVAS SANDERS M.D.
Specialist
417 NORTHCREST DR
SPRINGFIELD, TN 37172
Robertson County (615) 384-8211
JONATHAN M. KROSER M.D.
Surgery
417 NORTHCREST DR
SPRINGFIELD, TN 37172
Robertson County (615) 384-4369
DANIEL L DAVIS M.D.
Surgery
417 NORTHCREST DR
SPRINGFIELD, TN 37172
Robertson County (615) 384-8211
KEITH L. GOLDBERG MD
Surgery
417 NORTHCREST DR
SPRINGFIELD, TN 37172
Robertson County (615) 384-8211
SURGICAL ALLIANCE OF MIDDLE TENNESSEE
Specialist
417 NORTHCREST DR
SPRINGFIELD, TN 37172
Robertson County (615) 384-8211
SURGICAL ALLIANCE OF MIDDLE TENNESSEE, PLC
Surgery
417 NORTHCREST DR
SPRINGFIELD, TN 37172
Robertson County (615) 384-8211

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 Mcdowell's NPI number?

The NPI number for James Mcdowell is 1437156270. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is James Mcdowell located?

James Mcdowell practices at 417 Northcrest Dr, Springfield, TN 37172. The listed phone number is (615) 384-8211.

What is James Mcdowell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Mcdowell enrolled in Medicare?

Yes. James Mcdowell 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 Mcdowell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and BlueCross BlueShield of Tennessee and 2 other insurers list James Mcdowell 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 Mcdowell affiliated with any hospitals?

According to CMS data, James Mcdowell is affiliated with Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for James Mcdowell was last updated on September 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.