JAMES PATRICK CLANCY III M.D.
NPI 1679539811
Surgery in Saint Joseph, MI

Q: What is James Clancy's NPI number?

The NPI number for James Clancy is 1679539811. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is James Clancy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Clancy was last updated on March 4, 2024. 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 April 25, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2990 NILES RD, SAINT JOSEPH, MI 49085(269) 983-3368(269) 983-2758 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James Patrick Clancy Iii M.d. NPPES

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

JAMES PATRICK CLANCY III M.D. (NPI 1679539811) is an individual surgery provider in Saint Joseph, Michigan, licensed in Michigan (4301 060275) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and is a graduate of Wayne State University School Of Medicine (1992).

NPPES Registry Identity

NPI1679539811

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES PATRICK CLANCY IIICredential: M.D.

Location Address2990 NILES RDSaint Joseph, MI 49085-8607

Mailing Address2990 Niles RdSaint Joseph, MI 49085-8607 · (269) 983-3368 · Fax (269) 983-2758

Phone(269) 983-3368

Fax(269) 983-2758

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1992

Enumeration DateApril 25, 2006

Last NPPES UpdateMarch 4, 2024

NPPES CertifiedMarch 4, 2024

✔ NPI 1679539811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301 060275

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.

2990 NILES RD, Saint Joseph, MI 49085

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Other Identifiers 2

Medicaid4170377 10MI

Medicaid100257957WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 Clancy Iii 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 ID42353005

PECOS Enrollment IDI20231201000769

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

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.

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.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Manitowoc County

Acute Care Hospitals · Two Rivers, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number520034

Location5000 Memorial DriveTwo Rivers, WI 54241 · Manitowoc County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

100/100

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

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers18 claims480 services$4.52 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$8.95 avg. paid by Medicare

Adhesive remover or solvent (for tape, cement or other adhesive), per ounce A4455

DME-Medical/Surgical Supplies · category DA000N

2 suppliers13 claims26 services$1.37 avg. paid by Medicare

Skin barrier; solid, 6 x 6 or equivalent, each A5121

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$7.20 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 8

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

SURGICAL SPECIALISTS OF ST. JOSEPH, P.C.

Surgery