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JAMES EDWARD MCNALLY M.D.
NPI 1568423895
Family Medicine in Jennings, LA

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
1322 ELTON RD, SUITE D, JENNINGS, LA 70546(337) 824-1111(337) 824-1122 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Edward Mcnally M.d. NPPES

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

JAMES EDWARD MCNALLY M.D. (NPI 1568423895) is an individual family medicine provider in Jennings, Louisiana, licensed in Louisiana (024927) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2000).

NPPES Registry Identity

NPI1568423895
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES EDWARD MCNALLYCredential: M.D.
Location Address1322 ELTON RD, SUITE DJennings, LA 70546-4138
Mailing Address1322 Elton Rd, Suite DJennings, LA 70546-4138 · (337) 824-1111 · Fax (337) 824-1122
Phone(337) 824-1111
Fax(337) 824-1122
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2000
Enumeration DateMarch 28, 2006
Last NPPES UpdateFebruary 29, 2016
✔ NPI 1568423895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 024927
Definition
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.
1322 ELTON RD, Jennings, LA 70546
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Other Identifiers 4

Medicare UPINH46507
Medicare ID-Type Unspecified4A586LA
Other450506014LA · Tax Id
Medicaid1423297LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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 Edward Mcnally 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 ID5991697062
PECOS Enrollment IDI20040325000950
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.

Medicare Billing Reassignment

Medicare enrollment records show James Mcnally reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ochsner American Legion Hospital LLC
Same address
Rural Health
1322 ELTON RD STE F
Jennings, LA 70546
  • Reassigned Medicare billing, Louisiana enrollment
  • 48 clinicians in this Medicare group
NPI 1538800503 (337) 824-8868

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
170 services81 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
101 services97 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
75 services55 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.
37 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Acadia General Hospital

Acute Care Hospitals · Crowley, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190044
Location1305 Crowley Rayne HighwayCrowley, LA 70526 · Acadia County
Emergency services

Ochsner American Legion Hospital

Acute Care Hospitals · Jennings, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190053
Location1634 Elton RoadJennings, LA 70546 · Jeffrson Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70546 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers27 claims90 services$6.93 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier14 claims14 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims31 services$1.22 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims3,584 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$200.61 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$21.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. RICHARD EARL EDWARDS III M.D.
Family Medicine
1322 ELTON RD, SUITE P
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-2282
CHRISTIAN FAITH LEWIS FNP
Nurse Practitioner (Family)
1322 ELTON RD, SUITE P
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-2282
DR. MARIA MIGDALIA FONTANEZ MD
Pediatrics
1322 ELTON RD, SUITE F
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-8868
THIBODEAUX, ALBRO & TOUCHET THERAPY GROUP, LLC
Physical Therapist
1322 ELTON RD, SUITE I
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-5488
JEFF DAVIS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION
Family Medicine
1322 ELTON RD, SUITE D
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-1111
MRS. SARAH KAY DEESE R.N., IBCLC
Registered Nurse (Lactation Consultant)
1322 ELTON RD, SUITE H
JENNINGS, LA 70546
Jefferson Davis Parish (337) 616-0800
DARYL J ALBRO MPT
Physical Therapist
1322 ELTON RD, SUITE I
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-5488
LAM NGUYEN MD PMC
Internal Medicine (Cardiovascular Disease)
1322 ELTON RD, SUITE E
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-6835

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 Mcnally's NPI number?

The NPI number for James Mcnally is 1568423895. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is James Mcnally located?

James Mcnally practices at 1322 Elton Rd Suite D, Jennings, LA 70546. The listed phone number is (337) 824-1111.

What is James Mcnally's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Mcnally enrolled in Medicare?

Yes. James Mcnally 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 organization bills Medicare for James Mcnally's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mcnally reassigns Medicare benefits to Ochsner American Legion Hospital LLC (Jennings, LA). The 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 Mcnally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mcnally accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list James Mcnally 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 Mcnally affiliated with any hospitals?

According to CMS data, James Mcnally is affiliated with Ochsner Lafayette General Medical Center, Acadia General Hospital and Ochsner American Legion Hospital.

When was this NPI record last updated?

The NPPES record for James Mcnally was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.