DR. JAMES R MCDONNELL (D.O.) – Surgery Physician, NPI 1073517587
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
Provider Addresses for DR. JAMES R MCDONNELL (D.O.)
872 MUNSON AVE STE C
TRAVERSE CITY, MI 496863638
Phone: (231) 590-8346
Type: Location
1221 6th St
Ste 208
Traverse City, MI 496842360
Phone: (231) 935-2844
Fax: (231) 935-2850
Type: Location
6th Street, Fife Lake, Fife Lake Township, Grand Traverse County, Michigan, United States
STE 208
TRAVERSE CITY, MI 496842360
Phone: (231) 935-2844
Fax: (231) 935-2850
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-06-26
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 |
|---|---|---|---|---|
| I20040626000104 | 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 |
|---|---|---|---|---|
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 68 | 20 | $0 |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance | 50 | 23 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 36 | 35 | $0 |
Insurance plans in this area (ZIP 49686)
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