Dr. James M Macnutt , DO
Neurological Surgery โข Great Falls, MT
1401 25th St S
Great Falls, MT 594055183
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. James Macnutt is listed in NPPES under Neurological Surgery.
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NPI assigned on June 3, 2009; this date does not establish years in practice.
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Published CMS data list 87 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99204 โ New patient outpatient office visit: 50 service units.
- 99214 โ Established patient outpatient office visit: 20 service units.
- 99215 โ Established patient outpatient office visit: 17 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 22 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019. Published rows only; this is not a quality measure.
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Published Part D records, 2019:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 22 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Neurological Surgery in Montana (2024, 25 clinicians with data). Median for this group: 274. Middle half: 150 to 394.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 84 in 2020 to 87 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1401 25th St S
Great Falls, MT 594055183
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Bangor, ME; Great Falls, MT. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Alaska Native Tribal Health Consortium; Benefis Hospitals Inc. 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
University Of New England, College Of Osteo Medicine
2003
What Public CMS Data Show
Neurological Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
102 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $10,278 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $7,626 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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
22 standardized 30-day fills in 2019
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
$176 in 2019
The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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, 2019.
Open Payments general payments, program year 2025
All general payments: $3,210.29 across 22 records.
By nature of payment
- Travel and Lodging: $2,605.97 across 5 records.
- Food and Beverage: $604.32 across 17 records.
Reporting-company totals
- Globus Medical, Inc.: $3,181.24 across 21 records.
- Boston Scientific Corporation: $29.05 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
23 years (graduated 2003)
CMS Doctors and Clinicians data list 2003 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2009
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Dr. Macnutt 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.
Can order Medicare-covered services
CMS lists Dr. Macnutt 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Great Falls and Montana
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Neurological Surgery in Montana (2024, 25 clinicians with data). Median for this group: 274. Middle half: 150 to 394.
Too few clinicians listed under Neurological Surgery in Great Falls have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Neurological Surgery in Montana (2024, 25 clinicians with data). Median for this group: $38,437. Middle half: $21,155 to $98,962.
Too few clinicians listed under Neurological Surgery in Great Falls have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Neurological Surgery in Montana (2024, 25 clinicians with data). Median for this group: $30,831. Middle half: $16,104 to $77,780.
Too few clinicians listed under Neurological Surgery in Great Falls have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Macnutt are from 2019.
6 active clinicians are listed under Neurological Surgery with a practice address in Great Falls, MT (39 in Montana).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 84 in 2020 and 87 in 2024.
- 2020: 84
- 2021: 171
- 2022: 145
- 2023: 44
- 2024: 87
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Medicare-allowed amount
Medicare-allowed amount increased 27% from $8,115 in 2020 to $10,278 in 2024.
- 2020: $8,115
- 2021: $19,225
- 2022: $18,211
- 2023: $5,662
- 2024: $10,278
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Paid by Medicare
Paid by Medicare increased 29% from $5,901 in 2020 to $7,626 in 2024.
- 2020: $5,901
- 2021: $15,119
- 2022: $14,279
- 2023: $4,512
- 2024: $7,626
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 53% from 47 in 2015 to 22 in 2019.
- 2015: 47
- 2016: 29
- 2017: 12
- 2018: 24
- 2019: 22
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30-day fills
30-day fills decreased 53% from 47 in 2015 to 22 in 2019.
- 2015: 47
- 2016: 29
- 2017: 12
- 2018: 24
- 2019: 22
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Part D drug cost
Part D drug cost decreased 84% from $1,103 in 2015 to $176 in 2019.
- 2015: $1,103
- 2016: $657
- 2017: $114
- 2018: $335
- 2019: $176
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $668.83 in 2021 to $3,210.29 in 2025.
- 2021: $668.83
- 2022: $1,260.85
- 2023: $912.42
- 2024: $204.92
- 2025: $3,210.29
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2019), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 22 records totaling $3,210.29.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Globus Medical, Inc. |
Travel and Lodging
Cash or cash equivalent
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EXCELSIUS GPS | General | $2,040.28 |
| Globus Medical, Inc. |
Travel and Lodging
Cash or cash equivalent
|
EXCELSIUS GPS | General | $328.90 |
| Globus Medical, Inc. |
Travel and Lodging
Cash or cash equivalent
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EXCELSIUS GPS | General | $203.50 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
EXCELSIUS GPS | General | $74.75 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
CREO | General | $73.00 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
EXCELSIUS GPS | General | $65.00 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
ALTERA | General | $58.75 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
CREO | General | $57.00 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
EXCELSIUS GPS | General | $43.50 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
CREO | General | $42.08 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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COALITION AGX | General | $38.87 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WaveWriter Alpha Prime 16 | General | $29.05 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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EXCELSIUS GPS | General | $27.52 |
| Globus Medical, Inc. |
Travel and Lodging
Cash or cash equivalent
|
EXCELSIUS GPS | General | $21.29 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
EXCELSIUS GPS | General | $20.00 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
โ | General | $18.13 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
EXCELSIUS GPS | General | $14.64 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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EXCELSIUS GPS | General | $14.47 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
EXCELSIUS GPS | General | $13.60 |
| Globus Medical, Inc. |
Travel and Lodging
Cash or cash equivalent
|
EXCELSIUS GPS | General | $12.00 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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EXCELSIUS GPS | General | $7.73 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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EXCELSIUS GPS | General | $6.23 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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 |
|---|---|---|---|---|
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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50 | 50 | $393.22 | $123.84 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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20 | 18 | $229.70 | $90.63 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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17 | 17 | $347.71 | $133.73 |
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 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 22 | 149 | $176.23 | 17 |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-05-06NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20251024003961
TX
5496800849
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
Alaska Native Tribal Health Consortium
4315 Diplomacy Dr, Anchorage, AK 995085926
Phone: 9075632662
Benefis Hospitals Inc
1401 25th St S, Great Falls, MT 594055183
Phone: 4064555000
Secondary Practice Locations
417 State Street, Webber East Building Suite 221
Bangor, ME 04401
Phone: 2079739949
1101 26th St S
Great Falls, MT 594055161
Phone: 4064555000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Internal Medicine - Infectious Disease
Doctor of Osteopathic Medicine (D.O.)
Radiology - Vascular & Interventional Radiology
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1401 25TH ST S, GREAT FALLS, MT 594055183 (Tel: 4064555000)
Registered at PO BOX 6010, GREAT FALLS, MT 594066010 (Tel: 4064555000)
Neurological Surgery (license number reported to NPPES: MN 53946)
Registered at 417 STATE STREET, WEBBER EAST BUILDING SUITE 221, BANGOR, ME 04401 (Tel: 2079739949)
Registered at 43 WHITING HILL RD STE 300, BREWER, ME 044121006 (Tel: 2079735000)
Neurological Surgery (license number reported to NPPES: ME DO2118)
NPI status registered as active in NPPES database
Registered at 1012 E 2ND ST, DULUTH, MN 558052200 (Tel: 2182492450)
Registered at 1012 E 2ND ST, DULUTH, MN 558052200 (Tel: 2182492450)
Recorded as JAMES MACNUTT, DO
Neurological Surgery (license number reported to NPPES: MN 53946)
NPI status registered as active in NPPES database
Registered at 920 E 1ST ST, SUITE 303, DULUTH, MN 558052201 (Tel: 2182492450)
Registered at 920 E 1ST ST, SUITE 303, DULUTH, MN 558052201 (Tel: 2182492450)
Recorded as JAMES MACNUTT, DO
Neurological Surgery (license number reported to NPPES: ME 2118)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Neurological Surgery Specialists in Great Falls
Healthcare providers in Great FallsMailing Address
Po Box 6010
Great Falls, MT 594066010
Phone: 4064555000