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Dr. James Michael Munger , DO MPH

Emergency Medicine โ€ข Springfield, MA

Active NPI 1962936864 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

759 Chestnut St
Springfield, MA 011991001

Call 4137940000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

759 Chestnut St

Springfield, MA 011991001

Telephone 4137940000
Organization at the Same NPPES Address or Phone
Baystate Medical Center Inc Facility NPI 1497756282

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Baystate Medical Practices Inc; Baystate Wing Hospital Corporation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of New England, College Of Osteo Medicine

Graduation Year

2017

Medicare patients

364 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $55,507 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $41,981 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

161 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$982 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Munger has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Munger as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Emergency Medicine in Springfield, MA (2024, 90 clinicians with data). Median for this group: 357. Middle half: 236 to 470.

Close to the middle for clinicians listed under Emergency Medicine in Massachusetts (2024, 1,259 clinicians with data). Median for this group: 361. Middle half: 187 to 573.

Medicare-allowed amount

Close to the middle for clinicians listed under Emergency Medicine in Springfield, MA (2024, 90 clinicians with data). Median for this group: $51,122. Middle half: $32,159 to $67,328.

Close to the middle for clinicians listed under Emergency Medicine in Massachusetts (2024, 1,259 clinicians with data). Median for this group: $51,036. Middle half: $27,107 to $80,711.

Paid by Medicare

Close to the middle for clinicians listed under Emergency Medicine in Springfield, MA (2024, 90 clinicians with data). Median for this group: $39,038. Middle half: $24,596 to $52,052.

Close to the middle for clinicians listed under Emergency Medicine in Massachusetts (2024, 1,259 clinicians with data). Median for this group: $39,183. Middle half: $20,679 to $62,103.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Emergency Medicine in Springfield, MA (2024, 49 clinicians with data). Median for this group: 59. Middle half: 25 to 148.

More Part D prescriptions than 80% of clinicians listed under Emergency Medicine in Massachusetts (2024, 796 clinicians with data). Median for this group: 58. Middle half: 24 to 132.

Part D drug cost

A higher Part D drug cost than 60% of clinicians listed under Emergency Medicine in Springfield, MA (2024, 49 clinicians with data). Median for this group: $577. Middle half: $185 to $1,388.

A higher Part D drug cost than 65% of clinicians listed under Emergency Medicine in Massachusetts (2024, 796 clinicians with data). Median for this group: $627. Middle half: $195 to $1,333.

123 active clinicians are listed under Emergency Medicine with a practice address in Springfield, MA (1,829 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

1.6% of these 123 clinicians have the CMS telehealth indicator.

70.7% of these 123 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit with high level of medical decision making
165 155 $533.83 $170.74
99284 Emergency department visit with moderate level of medical decision making
163 150 $391.98 $118.18
99283 Emergency department visit with low level of medical decision making
56 55 $240.64 $69.49
99291 Critical care, first 30-74 minutes
20 17 $820.50 $208.99

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ondansetron Odt Ondansetron 29 142 $220.92 29
Cephalexin Cephalexin 26 178 $189.15 26
Prednisone Prednisone 25 159 $62.36 23
Oxycodone Hcl Oxycodone Hcl 23 51 $83.50 22
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 18 129 $118.02 18
Ibuprofen Ibuprofen 15 201 $101.54 15
Doxycycline Hyclate Doxycycline Hyclate 13 119 $144.76 13
Famotidine Famotidine 12 360 $61.47 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-18
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES MA 283265

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20200529001706

Enrollment State Jurisdiction

MA

PECOS Control ID

6901176700

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Baystate Medical Practices Inc

759 Chestnut St, Springfield, MA 011071619

Phone: 4137948121

Baystate Wing Hospital Corporation

40 Wright St, Palmer, MA 010691138

Phone: 4132837651

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Farah Adamali

Student in an Organized Health Care Education/Training Program

NPI 1073093100
Dr. Ankush Chander , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1063845774

Doctor of Medicine (M.D.)

Dr. Alessandra De Franco , MD

Student in an Organized Health Care Education/Training Program

NPI 1083317200

Doctor of Medicine (M.D.)

Dr. Susmitha Edappallath , MD

Student in an Organized Health Care Education/Training Program

NPI 1093159477

Doctor of Medicine (M.D.)

NPI 1093337339

Doctor of Medicine (M.D.)

Dr. Danielle Finch , DO, MPH

Obstetrics & Gynecology

NPI 1063945137

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Business Mailing Address June 18, 2020

Registered at 40 WRIGHT ST, PALMER, MA 010691138

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2020

Emergency Medicine (license number reported to NPPES: MA 283265)

โœ…
NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 18, 2017

Registered at 759 CHESTNUT ST, SPRINGFIELD, MA 011991001 (Tel: 4137940000)

๐Ÿ“
Business Mailing Address (Initial Record) April 18, 2017

Registered at 759 CHESTNUT ST, SPRINGFIELD, MA 011991001

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 18, 2017

Recorded as JAMES MUNGER, D.O. MPH

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 18, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962936864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2017
Last Update: June 18, 2020
Sole Proprietor: Yes

Other Emergency Medicine Providers in Springfield

All Emergency Medicine Providers in Springfield

Mailing Address

40 Wright St

Palmer, MA 010691138

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.