1. Home
  2. Directory
  3. Michigan
  4. Kalamazoo
  5. Surgery
  6. NPI Profile

DR. JAMES T MCLAREN MD
NPI 1710943725
Surgery - Vascular Surgery in Kalamazoo, MI

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
74.17/100
CMS Quality Rating
1535 GULL RD, SUITE 020, KALAMAZOO, MI 49048(269) 381-4577(269) 381-6409 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James T Mclaren Md NPPES

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

DR. JAMES T MCLAREN MD (NPI 1710943725) is an individual vascular surgery provider in Kalamazoo, Michigan, licensed in Michigan (JM065450) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Borgess Medical Center, and is a graduate of University Of Connecticut School Of Medicine (1989).

NPPES Registry Identity

NPI1710943725
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. JAMES T MCLARENCredential: MD
Location Address1535 GULL RD, SUITE 020Kalamazoo, MI 49048-1650
Mailing Address1535 Gull Rd, Suite 020Kalamazoo, MI 49048-1650 · (269) 381-4577 · Fax (269) 381-6409
Phone(269) 381-4577
Fax(269) 381-6409
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1989
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 25, 2010
✔ NPI 1710943725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · JM065450
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License JM065450 (MI)
1535 GULL RD, Kalamazoo, MI 49048
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING04962MI
Medicaid3154299MI
Medicare PINOM84600001MI

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

Dr. James T Mclaren 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 ID2668436445
PECOS Enrollment IDI20070222000042
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 9

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 with low level od decision making, if using time, 20 minutes or more 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.
274 services81 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.
57 services32 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
30 services13 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
22 services22 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
18 services17 patients
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Ascension Borgess Allegan Hospital

Critical Access Hospitals · Allegan, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231328
Location555 Linn StreetAllegan, MI 49010 · Allegan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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.

74.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.9
Improvement Activities40
Cost69.08

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,317 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%212 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%699 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%587 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 544 patients
75%207 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
64%699 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
28%699 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%699 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims209 services$9.32 avg. paid by Medicare
Hydrogel dressing, wound filler, gel, per fluid ounce A6248
DME-Medical/Surgical Supplies · category DA023N
3 suppliers13 claims47 services$15.71 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. CHARLES MOORE M.D.
Emergency Medicine
1535 GULL RD, MSB 015
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-6933
DR. KEVIN L. BEYER D.O.
Internal Medicine (Gastroenterology)
1535 GULL RD, SUITE 105
KALAMAZOO, MI 49048
Kalamazoo County (269) 385-9900
FERRIS ALKAZIR MD
Family Medicine (Sleep Medicine)
1535 GULL RD
KALAMAZOO, MI 49048
Kalamazoo County (269) 345-1161
DR. ROBERT JAMES HILL III M.D.
Emergency Medicine
1535 GULL RD, MSB 015
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-6933
DR. JASON R LADWIG M.D.
Internal Medicine (Pulmonary Disease)
1535 GULL RD, STE 130
KALAMAZOO, MI 49048
Kalamazoo County (269) 345-1161
DR. GORDON T. LAWLESS M.D.
Radiology (Body Imaging)
1535 GULL RD, SUITE 200
KALAMAZOO, MI 49048
Kalamazoo County (269) 388-6350
DR. ERIC SCOTT BLACKWELL M.D.
Emergency Medicine
1535 GULL RD, MSB 015
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-6933
DR. MICHAEL LEE ADIX II M.D.
Radiology (Neuroradiology)
1535 GULL RD, SUITE #200
KALAMAZOO, MI 49048
Kalamazoo County (269) 553-0580

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 Mclaren's NPI number?

The NPI number for James Mclaren is 1710943725. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is James Mclaren located?

James Mclaren practices at 1535 Gull Rd Suite 020, Kalamazoo, MI 49048. The listed phone number is (269) 381-4577.

What is James Mclaren's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is James Mclaren enrolled in Medicare?

Yes. James Mclaren 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 Mclaren accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list James Mclaren 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 Mclaren affiliated with any hospitals?

According to CMS data, James Mclaren is affiliated with Borgess Medical Center and Ascension Borgess Allegan Hospital.

When was this NPI record last updated?

The NPPES record for James Mclaren was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.