DR. JAMES HENRY MCQUISTON (D.O.) – Surgery Physician, NPI 1053302091
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
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Provider Addresses for DR. JAMES HENRY MCQUISTON (D.O.)
17375, Hall Road, Macomb Township, Macomb County, Michigan, 48044, United States
MACOMB TOWNSHIP, MI 480444060
Phone: (586) 228-0550
Fax: (586) 228-8125
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $375.
Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($135).
Total Amount
$375
General + Research + Ownership
Payments
8
Total payment records
General Amount
$375
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $135 |
| Zimmer Biomet Holdings, Inc. | $109 |
| Organogenesis Inc. | $30 |
| Checkpoint Surgical, Inc | $24 |
| ConvaTec Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040511001377 | I | General Surgery | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 102 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 49 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 31 | 31 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | 20 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 27 | 27 | $0 |
Insurance plans in this area (ZIP 48044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Vascular Surgery, General Surgery | MI |
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