JAMES A MACDONALD (DO) – Surgery Physician, NPI 1225142284
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
Provider Addresses for JAMES A MACDONALD (DO)
715, South Health Parkway, Three Rivers, Saint Joseph County, Michigan, 49093, United States
THREE RIVERS, MI 490938352
Phone: (269) 273-8471
Fax: (269) 273-9680
Type: Mailing
701 S Health Parkway
Three Rivers, MI 49093
Phone: (269) 278-1145
Fax: (269) 273-9611
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone:
Type: Mailing
715 S HEALTH PARKWAY
THREE RIVERS, MI 490938352
Phone: (269) 273-8471
Fax: (269) 273-9680
Type: Location
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: 2005-10-26
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 |
|---|---|---|---|---|
| I20051026001035 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 27 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | 15 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 19 | 19 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 49093)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Pediatric Medicine, Infectious Disease | IN | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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