JAMES PATRICK MCDONALD
NPI 1659812824
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN

Q: What is James Mcdonald's NPI number?

The NPI number for James Mcdonald is 1659812824. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Q: What is James Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for James Mcdonald was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment

81.23/100

CMS Quality Rating

11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(260) 266-5700(260) 266-5910 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, May 16, 2023, Mar 20, 2017 (3 updates tracked since 2017).

On this page

About James Patrick Mcdonald NPPES

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

JAMES PATRICK MCDONALD (NPI 1659812824) is an individual cardiovascular disease provider in Fort Wayne, Indiana, licensed in Indiana (01083978A) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1659812824

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJAMES PATRICK MCDONALD

Location Address11108 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1730

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 266-5700

Fax(260) 266-5910

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2017

Enumeration DateMarch 20, 2017

Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1659812824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IN · 01083978A

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5340021542 (IN)

11108 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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 Patrick Mcdonald 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 ID9537581731

PECOS Enrollment IDI20230705002714

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 18

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.

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.

380 services335 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

200 services169 patients

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.

195 services99 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

165 services165 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.

101 services100 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

100 services100 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

100 services99 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

98 services98 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

98 services98 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

66 services39 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

64 services62 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.

51 services51 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

31 services30 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

17 services17 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

17 services17 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

14 services14 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

14 services14 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150045

Location1316 E Seventh StAuburn, IN 46706 · De Kalb County

Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150101

Location1260 E Sr 205Columbia City, IN 46725 · Whitley County

Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150146

Location401 Sawyer RdKendallville, IN 46755 · Noble County

Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151310

Location10 John Kissinger DriveWabash, IN 46992 · Wabash County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

81.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.95

Promoting Interoperability

100

Improvement Activities

Cost

68.49

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.

SHANNON L DECKER

Nurse Practitioner

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

DAVID P LLOYD MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

11108 PARKVIEW CIRCLE DR, SUITE 5100
FORT WAYNE, IN 46845

Allen County (260) 266-2800

HOLLACE D CHASTAIN MD

Internal Medicine (Interventional Cardiology)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

DR. MARYAM NOURELDIN PHARMD, BCPS

Pharmacist (Ambulatory Care)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-4480

VAISHALI A PATEL

Nurse Practitioner

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

WILLIAM W WILSON MD

Internal Medicine (Cardiovascular Disease)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

MICHAEL J MIRRO MD

Internal Medicine (Cardiovascular Disease)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

DR. NOAH BUDI PHARMD.

Pharmacist (Ambulatory Care)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-4480

JAMES J HEGER MD

Internal Medicine (Cardiovascular Disease)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

DR. DANIEL W HUGENBERG M.D.

Internal Medicine (Interventional Cardiology)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

BRADLEY A HARDIN MD

Internal Medicine (Clinical Cardiac Electrophysiology)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

JONATHAN T SHIRAZI M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

RONALD J LANDIN MD

Internal Medicine (Cardiovascular Disease)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

KARIN L MOHS NP-C

Nurse Practitioner

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

HANNAH GABRIELLE BERCOT

Dietitian, Registered

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

JESSICA M BARKDULL NP

Nurse Practitioner

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

CHRISTOPHER CHARLES SMITSON

Internal Medicine (Interventional Cardiology)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

BASIL C GENETOS MD

Internal Medicine (Cardiovascular Disease)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

DR. MICHAEL K CHEEZUM M.D.

Internal Medicine (Cardiovascular Disease)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

T ERIC WHITE MD

Internal Medicine (Interventional Cardiology)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

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 Mcdonald's NPI number?

The NPI number for James Mcdonald is 1659812824. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is James Mcdonald located?

James Mcdonald practices at 11108 Parkview Circle Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-5700.

What is James Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Mcdonald enrolled in Medicare?

Yes. James Mcdonald 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 Mcdonald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list James Mcdonald 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 Mcdonald affiliated with any hospitals?

According to CMS data, James Mcdonald is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital, Parkview Whitley Hospital, Parkview Noble Hospital and Parkview Wabash Hospital, Inc.

When was this NPI record last updated?

The NPPES record for James Mcdonald was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.