JAMES JOHN MACNEAL (DO) – Emergency Medicine Physician, NPI 1366692287
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,309 EMERGENCY MEDICINE in WI
Provider Addresses for JAMES JOHN MACNEAL (DO)
1000 Mineral Point Ave
Janesville, WI 535482940
Phone: (608) 756-6611
Fax: (608) 756-6177
Type: Location
Mercy Health Hospital & Trauma Center, 1000, Mineral Point Avenue, Janesville, Rock County, Wisconsin, 53548, United States
JANESVILLE, WI 535482940
Phone: (608) 756-6611
Fax: (608) 756-6177
Type: Mailing
1000 N OAK AVE
MARSHFIELD, WI 544495703
Phone: (715) 387-5511
Fax: (715) 387-5240
Type: Location
1405 MILL ST
NEW LONDON, WI 549612155
Phone: (920) 531-2030
Fax: (920) 531-2016
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: 2015-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120808000362 | I | Emergency Medicine | WI | TBD |
| I20151012001488 | I | Emergency Medicine | IL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 33 | 33 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 14 | 14 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 11 | 11 | $0 |
Insurance plans in this area (ZIP 53548)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Emergency Medicine | IL | |
| - | WI | |
| Emergency Medicine | AR | |
| Nurse Practitioner | WI | |
| Emergency Medicine | IA | |
| Emergency Medicine, Pediatric Medicine | FL | |
| - | CO | |
| Emergency Medicine | WI | |
| Family Practice, Emergency Medicine, Family Practice | UT |
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