DR. JAMES DAVID MCDERMOTT (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1194079467

DR. JAMES DAVID MCDERMOTT (M.D.) is a healthcare provider. based in Hoboken, New Jersey. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 51382 (SC). The NPI Number for DR. JAMES DAVID MCDERMOTT (M.D.) is 1194079467

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES DAVID MCDERMOTT (M.D.)
NPI
1194079467
Phone
(719) 649-4662
Address
1500 Washington St
Enumeration Date
7 November 2012
Last Update Date
8 February 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
8644877186
Graduation Year
2011 (15 years ago)
PAC ID
9335413343
Group Practice PAC ID
5991041212
Professional Enrollment ID
I20170914001278
Address ID
SC293404823GA139XXDRXX400

Contacts

Secure Messaging
jmcdermott113476@direct-srhs.et0939.epichosted.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

917 ORTHOPEDIC SURGERY in NJ

Provider Addresses for DR. JAMES DAVID MCDERMOTT (M.D.)

  • 1500 Washington St

    Apartment 3J

    Hoboken, NJ 070306733

    Phone: (719) 649-4662

    Type: Location

  • PO BOX 743070

    ATLANTA, GA 303743070

    Phone: (864) 560-4304

    Fax: (864) 560-4413

    Type: Mailing

  • 1330 BOILING SPRINGS RD STE 1540

    SPARTANBURG, SC 293034224

    Phone: (864) 560-2663

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $5,037.

Total Amount is formed as General ($5,037) + Research ($0) + Ownership ($0) = $5,037.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Arthrex, Inc. ($2,500).

Total Amount

$5,037

General + Research + Ownership

Payments

18

Total payment records

General Amount

$5,037

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-09-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170914001278IOrthopedic SurgerySCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg24840$0
73030X-ray of shoulder, minimum of 2 views230138$0
99213Established patient office or other outpatient visit, 20-29 minutes220147$0
20610Aspiration and/or injection of fluid from large joint12056$0
99214Established patient office or other outpatient visit, 30-39 minutes9880$0
View full utilization report →

Insurance plans in this area (ZIP 07030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991041212View full group profile
NameSpecialtyState
Family PracticeGA
-GA
Internal Medicine, Geriatric MedicineGA
Family PracticeGA
Family PracticeGA
Nurse PractitionerSC
Nurse PractitionerSC
Family PracticeSC
-GA
Family PracticeSC

Reviews

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Frequently asked questions

What is the registry number for DR. JAMES DAVID MCDERMOTT (M.D.)?
The registry entry for DR. JAMES DAVID MCDERMOTT (M.D.) shows NPI 1194079467.
Is DR. JAMES DAVID MCDERMOTT (M.D.)'s NPI status active today?
Active status means DR. JAMES DAVID MCDERMOTT (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. JAMES DAVID MCDERMOTT (M.D.)'s specialty?
The extract shows Sports Medicine (Orthopaedic Surgery) Physician for DR. JAMES DAVID MCDERMOTT (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JAMES DAVID MCDERMOTT (M.D.)?
DR. JAMES DAVID MCDERMOTT (M.D.) is associated with Hoboken, New Jersey in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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