DR. JAMES RYAN MACDONELL IV M.D.
NPI 1730404062
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Arden, NC

Q: What is James Macdonell's NPI number?

The NPI number for James Macdonell is 1730404062. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is James Macdonell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for James Macdonell was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 30, 2010PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

310 LONG SHOALS RD, ARDEN, NC 28704(828) 252-7331 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2021, Sep 22, 2020, Aug 5, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Dr. James Ryan Macdonell Iv M.d. NPPES

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

DR. JAMES RYAN MACDONELL IV M.D. (NPI 1730404062) is an individual adult reconstructive orthopaedic surgery provider in Arden, North Carolina, licensed in North Carolina (2020-02769) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730404062

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. JAMES RYAN MACDONELL IVCredential: M.D.

Location Address310 LONG SHOALS RDArden, NC 28704-8794

Mailing Address111 Victoria RdAsheville, NC 28801-4811 · (828) 252-7331 · Fax (828) 253-1123

Phone(828) 252-7331

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 30, 2010

Last NPPES UpdateJune 2, 20214 updates tracked since enumeration

NPPES CertifiedJune 2, 2021

✔ NPI 1730404062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in NC · 2020-02769

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2020-02769 (NC)

310 LONG SHOALS RD, Arden, NC 28704

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Secondary Practice Locations 2

Location 118109 Prince Philip Dr, Suite 325Olney, MD 20832-1519 · Phone (310) 774-8958 · Fax (301) 774-8959

Location 2111 Victoria RdAsheville, NC 28801-4811 · Phone (828) 252-7331 · Fax (828) 253-1123

Other Identifiers 1

Medicaid200063601MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Dr. James Ryan Macdonell Iv 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 ID1658669007

PECOS Enrollment IDI20200914002575

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 Reassignments

Medicare enrollment records show James Macdonell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mission Community Anesthesiology Specialists LLC

Same address

Nurse Practitioner

310 LONG SHOALS RD STE 110
Arden, NC 28704

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
824 clinicians in this Medicare group

NPI 1255801486 (828) 213-1740

Mh Mission Hospital Mcdowell, Lllp

32 mi

General Acute Care Hospital

430 RANKIN DR
Marion, NC 28752

Reassigned Medicare billing, North Carolina enrollment
57 clinicians in this Medicare group

NPI 1225513948 (828) 659-5000

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 16

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

896 services13 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.

160 services111 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

89 services68 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

78 services64 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

76 services73 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

68 services60 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

42 services38 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

41 services41 patients

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.

32 services32 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

30 services26 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

19 services17 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

18 services18 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.

17 services17 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

16 services15 patients

Revision of thigh and lower leg bone components of total knee joint prosthesis 27487

This procedure involves replacing parts of your knee joint prosthesis that have worn out or become damaged. Specifically, components in your thigh and lower leg bones are revised to improve joint function and alleviate discomfort.

12 services11 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340017

Location800 N Justice StHendersonville, NC 28791 · Henderson County

Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340023

Location100 Hospital DriveHendersonville, NC 28792 · Henderson County

Emergency services Birthing friendly

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340087

Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County

Emergency services Birthing friendly

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 as part of a group practice

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.04%

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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

5 suppliers16 claims16 services$44.84 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

6 suppliers19 claims19 services$51.70 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 14

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

KRISTEN MARIE FROMAL PA-C

Physician Assistant

310 LONG SHOALS RD, SUITE 110
ARDEN, NC 28704

Buncombe County (828) 213-9424

DR. SHANNON BROWN DOWLER M.D.

Family Medicine

310 LONG SHOALS RD, SUITE 110
ARDEN, NC 28704

Buncombe County (828) 213-9424

MISSION HOSPITAL, INC.

Surgery (Vascular Surgery)

310 LONG SHOALS RD, FIRST FLOOR
ARDEN, NC 28704

Buncombe County (828) 213-9090

TERESA S JOHNS LCSW

Social Worker

310 LONG SHOALS RD, SUITE 110
ARDEN, NC 28704

Buncombe County (828) 213-9424

MISSION MEDICAL ASSOCIATES,INC.

Orthopaedic Surgery

310 LONG SHOALS RD
ARDEN, NC 28704

Buncombe County (828) 252-7331

MYRON W SMITH M.D.

Orthopaedic Surgery

310 LONG SHOALS RD
ARDEN, NC 28704

Buncombe County (828) 252-7331

JACK CARLSON SPIES DO

Family Medicine

310 LONG SHOALS RD, # 320
ARDEN, NC 28704

Buncombe County (828) 274-6610

DR. CHARLES S. SAWYER M.D.

Internal Medicine

310 LONG SHOALS RD, SUITE 310
ARDEN, NC 28704

Buncombe County (828) 213-8235

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 Macdonell's NPI number?

The NPI number for James Macdonell is 1730404062. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is James Macdonell located?

James Macdonell practices at 310 Long Shoals Rd, Arden, NC 28704. The listed phone number is (828) 252-7331.

What is James Macdonell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is James Macdonell enrolled in Medicare?

Yes. James Macdonell 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 organizations bill Medicare for James Macdonell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Macdonell reassigns Medicare benefits to 2 organizations: Mission Community Anesthesiology Specialists LLC (Arden, NC) and Mh Mission Hospital Mcdowell, Lllp (Marion, NC). Each 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 Macdonell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Macdonell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list James Macdonell 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 Macdonell affiliated with any hospitals?

According to CMS data, James Macdonell is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Margaret R Pardee Memorial Hospital, Adventhealth Hendersonville and The Mcdowell Hospital.

When was this NPI record last updated?

The NPPES record for James Macdonell was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.