JAMES MACGREGOR, M.D
Surgery Physician · BENNINGTON, VT
Individual Active NPI 1164946034
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 242 | 539 | $262,036 | $65,858 | $52,847 |
| 2023 | 237 | 638 | $319,599 | $82,583 | $65,960 |
| 2022 | 80 | 167 | $77,103 | $23,313 | $18,593 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 68 | $5 | $3 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 67 | $145 | $123 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 45 | $33 | $25 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | $62 | $47 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 26 | $164 | $130 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 26 | $92 | $68 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $126 | $91 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 20 | $77 | $45 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 20 | $162 | $162 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | $71 | $56 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 19 | $229 | $194 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 19 | $47 | $37 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 042.0016065 | VT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.