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Dr. James Macgregor , MD

Surgery โ€ข Bennington, VT

Active NPI 1164946034 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

100 Hospital Dr
Bennington, VT 052015004

Call 8024426361 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

100 Hospital Dr

Bennington, VT 052015004

Telephone 8024426361
Organization at the Same NPPES Address or Phone
Southwestern Vermont Medical Center Inc Facility NPI 1629010194

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 1 group name: Southwestern Vermont Medical Center, 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

Graduation Year

2017

Medicare patients

242 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 $37,503 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 $30,234 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

61 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

$1,391 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. Macgregor 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. Macgregor 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 Bennington and Vermont

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Surgery in Vermont (2024, 36 clinicians with data). Median for this group: 208. Middle half: 138 to 338.

Too few clinicians listed under Surgery in Bennington have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Surgery in Vermont (2024, 36 clinicians with data). Median for this group: $21,050. Middle half: $13,489 to $37,930.

Too few clinicians listed under Surgery in Bennington have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Surgery in Vermont (2024, 36 clinicians with data). Median for this group: $15,929. Middle half: $10,428 to $30,119.

Too few clinicians listed under Surgery in Bennington have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Surgery in Vermont (2024, 32 clinicians with data). Median for this group: 37. Middle half: 17 to 67.

Too few clinicians listed under Surgery in Bennington have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Surgery in Vermont (2024, 32 clinicians with data). Median for this group: $206. Middle half: $49 to $1,652.

Too few clinicians listed under Surgery in Bennington have Medicare Part D data for 2024 to compare.

9 active clinicians are listed under Surgery with a practice address in Bennington, VT (79 in Vermont).

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

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 2021โ€“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, 2022โ€“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
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 68 $104.50 $5.09
45380 Biopsy of large bowel using a flexible endoscope
67 67 $1105.00 $144.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
45 25 $54.00 $33.37
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
32 29 $80.00 $62.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
26 23 $120.00 $92.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
26 23 $486.75 $163.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
24 24 $200.00 $125.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $135.00 $77.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
20 13 $183.50 $70.82
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
20 20 $927.25 $161.70
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
19 19 $1241.25 $228.90
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
19 14 $123.25 $46.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $170.00 $136.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
11 11 $380.50 $122.49

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
Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg 61 62 $1,390.97 58

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: 2022-07-22
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES VT 042.0016065

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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: Vermont State Medical Licensing Board.
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 - GENERAL SURGERY

Medicare Enrollment ID

I20220824001401

Enrollment State Jurisdiction

VT

PECOS Control ID

5395018675

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

Southwestern Vermont Medical Center, Inc

140 Hospital Dr, Bennington, VT 052015015

Phone: 8024475060

Clinicians Sharing This Practice Address or Phone

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

28 listed
NPI 1891728846

Doctor of Medicine (M.D.)

Dr. Carol Burgess , MD

Internal Medicine

NPI 1548256779

Doctor of Medicine (M.D.)

Christine Burke , APRN

Nurse Practitioner - Family

NPI 1528613155

Advanced Practice Registered Nurse

Dr. Sean Burns , MD

Emergency Medicine

NPI 1063953222

Doctor of Medicine (M.D.)

Mary Campbell , CAA

Anesthesiologist Assistant

NPI 1619453958
Sophie Carnes Jannen

Nurse Practitioner - Family

NPI 1750987533

Career & Practice History Timeline

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

8 Historical Events
๐Ÿ“
Updated Practice Location July 22, 2022

Registered at 100 HOSPITAL DR, BENNINGTON, VT 052015004 (Tel: 8024426361)

๐Ÿ“
Updated Business Mailing Address July 22, 2022

Registered at 100 HOSPITAL DR, BENNINGTON, VT 052015004

โœ…
NPI Profile Active August 01, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 01, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 2073290856)

๐Ÿ“
Business Mailing Address (Initial Record) August 01, 2017

Registered at 421 9TH AVE SE, ROCHESTER, MN 559044823

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 01, 2017

Recorded as JAMES MACGREGOR, M.D

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2017

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration August 01, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164946034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2017
Last Update: July 22, 2022
Sole Proprietor: No

Other Surgery Specialists in Bennington

Mailing Address

100 Hospital Dr

Bennington, VT 052015004

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.