MR. JAMES DORAN JR. MD
NPI 1992182612
Orthopaedic Surgery in Somers Point, NJ
About Mr. James Doran Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAMES DORAN JR. MD (NPI 1992182612) is an individual orthopaedic surgery provider in Somers Point, New Jersey, licensed in New Jersey (25MA10920900) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Shore Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Mr. James Doran Jr. 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Doran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somers Point, NJ 08244
- Reassigned Medicare billing, New Jersey enrollment
- 21 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 287 clinicians in this Medicare group
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 21
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Shore Medical Center
Acute Care Hospitals · Somers Point, NJAlbert Einstein Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Doran's NPI number?
The NPI number for James Doran is 1992182612. It was assigned to this individual provider in the NPPES registry on May 1, 2015.
Where is James Doran located?
James Doran practices at 24 Macarthur Blvd, Somers Point, NJ 08244. The listed phone number is (718) 270-8867.
What is James Doran's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is James Doran enrolled in Medicare?
Yes. James Doran 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 Doran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Doran reassigns Medicare benefits to 2 organizations: Shore Orthopaedic University Associates PA (Somers Point, NJ) and Orthonj LLC (Somerset, NJ). 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 Doran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Doran accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list James Doran 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 Doran affiliated with any hospitals?
According to CMS data, James Doran is affiliated with Shore Medical Center and Albert Einstein Medical Center.
When was this NPI record last updated?
The NPPES record for James Doran was last updated on July 21, 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.