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DR. JAMES MICHAEL DORCHAK MD
NPI 1609972868
Obstetrics & Gynecology in Columbus, GA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
1000 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904(706) 507-4243(706) 507-4743 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James Michael Dorchak Md NPPES

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

DR. JAMES MICHAEL DORCHAK MD (NPI 1609972868) is an individual obstetrics & gynecology provider in Columbus, Georgia, licensed in Georgia (047587) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1984).

NPPES Registry Identity

NPI1609972868
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES MICHAEL DORCHAKCredential: MD
Location Address1000 BROOKSTONE CENTRE PKWYColumbus, GA 31904-4675
Mailing AddressPo Box 1038Columbus, GA 31902-1038 · (706) 660-6148 · Fax (706) 660-2843
Phone(706) 507-4243
Fax(706) 507-4743
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1984
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1609972868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 047587
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1000 BROOKSTONE CENTRE PKWY, Columbus, GA 31904
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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

Dr. James Michael Dorchak 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 ID3779687660
PECOS Enrollment IDI20070403000041
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 7

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, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
72 services56 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
42 services42 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
40 services40 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
26 services26 patients
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.
21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

Other Providers at the Same Location NPPES 4

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

DR. MARSEEA LOUISE HOWARD M.D.
Radiology (Diagnostic Radiology)
1000 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Muscogee County (762) 261-3334
CONCIERGE MEDICINE OF COLUMBUS, INC
Family Medicine
1000 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Muscogee County (762) 261-3334
JENNIFER LYNN GREEN FNP-C
Nurse Practitioner
1000 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Muscogee County (706) 507-4243
MRS. ANITA WHITTTEN FNP
Nurse Practitioner (Family)
1000 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Muscogee County (706) 507-5320

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 Dorchak's NPI number?

The NPI number for James Dorchak is 1609972868. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is James Dorchak located?

James Dorchak practices at 1000 Brookstone Centre Pkwy, Columbus, GA 31904. The listed phone number is (706) 507-4243.

What is James Dorchak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Dorchak enrolled in Medicare?

Yes. James Dorchak 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 Dorchak accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list James Dorchak 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 Dorchak was last updated on May 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.