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JAMES EDWARD MCDONOUGH
NPI 1457823536
Emergency Medicine in Palm Springs, CA

Active since December 29, 2018PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262(949) 292-7348 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2023, Dec 29, 2018 (2 updates tracked since 2018).

About James Edward Mcdonough NPPES

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

JAMES EDWARD MCDONOUGH (NPI 1457823536) is an individual emergency medicine provider in Palm Springs, California, licensed in Texas (T4975) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457823536
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES EDWARD MCDONOUGH
Location Address1150 N INDIAN CANYON DRPalm Springs, CA 92262-4872
Mailing Address21562 Honeysuckle StTrabuco Canyon, CA 92679-3475
Phone(949) 292-7348
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 29, 2018
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1457823536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · T4975✔ Licensed in CA · 20416
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1150 N INDIAN CANYON DR, Palm Springs, CA 92262
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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 Edward Mcdonough 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 ID2961898887
PECOS Enrollment IDI20230518000808
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 11

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
602 services578 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
578 services540 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
174 services170 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
160 services157 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
159 services158 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
30 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92262 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.01
Improvement Activities40

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.

MICHAEL OLSGAARD
Emergency Medicine
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6830
DESERT HOSPITALIST GROUP INC
Family Medicine
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (619) 471-4372
DR. MUHAMMAD ASIF TAQI M.D.
Psychiatry & Neurology (Vascular Neurology)
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 416-4511
STEPHANIE J CARO MD
Student in an Organized Health Care Education/Training Program
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (619) 319-7043
DR. JEFFERY W. DAVIES D.O.
Emergency Medicine
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6511
DR. THIEN THANH NGUYEN DO
Internal Medicine
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6511
CEP AMERICA - INTENSIVISTS PC
Internal Medicine (Critical Care Medicine)
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6511
ELIZABETH POPESCU DO
Student in an Organized Health Care Education/Training Program
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6511

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 Mcdonough's NPI number?

The NPI number for James Mcdonough is 1457823536. It was assigned to this individual provider in the NPPES registry on December 29, 2018.

Where is James Mcdonough located?

James Mcdonough practices at 1150 N Indian Canyon Dr, Palm Springs, CA 92262. The listed phone number is (949) 292-7348.

What is James Mcdonough's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Mcdonough enrolled in Medicare?

Yes. James Mcdonough 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 Mcdonough accept?

Health plans from Baylor Scott and White Health Plan, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list James Mcdonough 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.

When was this NPI record last updated?

The NPPES record for James Mcdonough was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.