JAMES L DELINE M.D.
NPI 1821091810
Family Medicine in Macon, MO

Q: What is James Deline's NPI number?

The NPI number for James Deline is 1821091810. It was assigned to this individual provider in the NPPES registry on May 24, 2005. The provider is also known as Jim L Deline M.D..

Q: What is James Deline's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Deline was last updated on November 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

307 MCKAY ST, MACON, MO 63552(660) 385-3141(660) 385-5866 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James L Deline M.d. NPPES

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

JAMES L DELINE M.D. (NPI 1821091810) is an individual family medicine provider in Macon, Missouri, licensed in Missouri (MD 36425) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (1982).

NPPES Registry Identity

NPI1821091810

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES L DELINECredential: M.D.

Location Address307 MCKAY STMacon, MO 63552-2029

Mailing Address307 Mckay StMacon, MO 63552-2029 · (660) 385-3141 · Fax (660) 385-5866

Phone(660) 385-3141

Fax(660) 385-5866

Sole ProprietorYes

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1982

Enumeration DateMay 24, 2005

Last NPPES UpdateNovember 13, 2015

✔ NPI 1821091810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · MD 36425

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 36425 (MO)

307 MCKAY ST, Macon, MO 63552

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Other Names 1

Other Name (5)Jim L Deline M.d.

Other Identifiers 13

Medicaid1930156IA

Other11794MO · Blue Cross

Medicaid202144804MO

Medicare PIN000009507MO

Other010012805Railroad Medicare

Other431671124DELMO · Mercy Health Plans

Medicare PIN095075236MO

Medicare PIN115011878MO

Other54535United Healthcare

Other193025The Funds

Other252291Healthlink Hmo And Ppo

Other930078535Railroad Medicare

Medicare UPINA11922

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, UnitedHealthcare.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 L Deline 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 ID9537266820

PECOS Enrollment IDI20070522000133

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.

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.

699 services275 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

152 services152 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

136 services136 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.

85 services22 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

65 services14 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

57 services19 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.

36 services25 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.

33 services24 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

24 services20 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

21 services21 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

15 services14 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

13 services11 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Boone Hospital Center

Acute Care Hospitals · Columbia, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260068

Location1600 E BroadwayColumbia, MO 65201 · Boone County

Emergency services Birthing friendly

Moberly Regional Medical Center

Acute Care Hospitals · Moberly, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260074

Location1515 Union AveMoberly, MO 65270 · Randolph County

Emergency services

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number260141

LocationOne Hospital DriveColumbia, MO 65212 · Boone County

Emergency services Birthing friendly

Macon County Samaritan Memorial Hospital

Critical Access Hospitals · Macon, MO

OwnershipGovernment - Local

CMS Certification Number261313

Location1205 North Missouri StMacon, MO 63552 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63552 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

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.

75/100

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

Individually scored

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.

83%2,685 patients2/55-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.

60%631 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

75%420 patients4/55-star benchmark: 95%

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…

80%857 patients4/55-star benchmark: 100%

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…

71%631 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…

40%631 patients3/55-star benchmark: 79%

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 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers24 claims63 services$5.37 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030