JAMES GANNON MD
NPI 1750359881
Orthopaedic Surgery in Vadnais Heights, MN

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
91.52/100
CMS Quality Rating
3580 ARCADE ST, VADNAIS HEIGHTS, MN 55127(651) 968-5770(651) 968-5775 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About James Gannon Md NPPES

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

JAMES GANNON MD (NPI 1750359881) is an individual orthopaedic surgery provider in Vadnais Heights, Minnesota, licensed in Minnesota (31277) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Woodwinds Hospital, and is a graduate of University Of Minnesota Medical School (1986).

NPPES Registry Identity

NPI1750359881
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES GANNONCredential: MD
Location Address3580 ARCADE STVadnais Heights, MN 55127-7135
Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925 · (651) 968-5042 · Fax (651) 968-5904
Fax(651) 968-5775
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1986
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 1, 2015
✔ NPI 1750359881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MN · 31277
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3580 ARCADE ST, Vadnais Heights, MN 55127

Other Identifiers 4

Other200028620MN · Railroad Medicare
Medicare UPINF53635MN
Medicaid829862900MN
Medicare PIN200001260MN

Accepted 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 Gannon 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 ID9739269754
PECOS Enrollment IDI20100331001024
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 13

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.

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.
97 services86 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.
91 services81 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.
90 services63 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
68 services55 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.
39 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 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.
39 services34 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55127 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

91.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.57
Promoting Interoperability87
Improvement Activities40
Cost100

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%67 patients
Closing the Referral Loop: Receipt of Specialist Report
90%192 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
95%1,252 patients4/55-star benchmark: 100%
e-Prescribing
100%21 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
90%609 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 827 patients
Patients screened: 99% · 827 patients
79%42 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
76%462 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%182 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 640 patients
Patients totalRate: 1% · 640 patients
1%640 patients4/55-star benchmark: 100%
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.

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier32 claims611 services$21.92 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers18 claims18 services$71.77 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.

Nurse Practitioner (Family)
3580 ARCADE ST
VADNAIS HEIGHTS, MN 55127
Orthopaedic Surgery (Hand Surgery)
3580 ARCADE ST
VADNAIS HEIGHTS, MN 55127
Occupational Therapist (Hand)
3580 ARCADE ST
VADNAIS HEIGHTS, MN 55127
Physician Assistant
3580 ARCADE ST
VADNAIS HEIGHTS, MN 55127
Nurse Practitioner (Family)
3580 ARCADE ST
VADNAIS HEIGHTS, MN 55127
Physical Therapist
3580 ARCADE ST
VADNAIS HEIGHTS, MN 55127
Physician Assistant (Surgical)
3580 ARCADE ST
VADNAIS HEIGHTS, MN 55127
Physician Assistant
3580 ARCADE ST
VADNAIS HEIGHTS, MN 55127

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 Gannon's NPI number?

The NPI number for James Gannon is 1750359881. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is James Gannon located?

James Gannon practices at 3580 Arcade St, Vadnais Heights, MN 55127. The listed phone number is (651) 968-5770.

What is James Gannon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Gannon enrolled in Medicare?

Yes. James Gannon 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 Gannon accept?

Health plans from HealthPartners and Medica list James Gannon 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 Gannon affiliated with any hospitals?

According to CMS data, James Gannon is affiliated with M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for James Gannon was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.