Dr James Brian Macdougall, MD - Medicare Orthopedic Surgery in Aberdeen, SD

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Dr James Brian Macdougall, MD is a medicare enrolled "Orthopaedic Surgery" physician in Aberdeen, South Dakota. He went to Ohio State University College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Avera St Lukes, Avera St Lukes and his current practice location is 701 8th Ave Nw, Ste A, Aberdeen, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 226-2663.

Dr James Brian Macdougall is licensed to practice in South Dakota (license number 3324) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235135823.

Contact Information

Dr James Brian Macdougall, MD
701 8th Ave Nw, Ste A,
Aberdeen, SD 57401-1803
(605) 226-2663
(605) 226-0095

Map and Direction




Physician's Profile

Full NameDr James Brian Macdougall
GenderMale
SpecialityOrthopedic Surgery
Experience39 Years
Location701 8th Ave Nw, Aberdeen, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Brian Macdougall attended and graduated from Ohio State University College Of Medicine in 1985
  NPI Data:
  • NPI Number: 1235135823
  • Provider Enumeration Date: 06/28/2005
  • Last Update Date: 12/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6204729320
  • Enrollment ID: I20100826001102

Medical Identifiers

Medical identifiers for Dr James Brian Macdougall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235135823NPI-NPPES
6400552MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 3324 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera St LukesAberdeen, SDHospital
Prairie Lakes Healthcare System, IncWatertown, SDHospital
Community Memorial HospitalRedfield, SDHospital
Mobridge Regional Hospital - CahMobridge, SDHospital
Eureka Community Health Services - CahEureka, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera St Lukes6406764927134
Avera St Lukes6406764927134

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James Brian Macdougall allows following entities to bill medicare on his behalf.
Entity NameAvera St Lukes
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215100813
PECOS PAC ID: 6406764927
Enrollment ID: O20040120000912

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Brian Macdougall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James Brian Macdougall, MD
Po Box 1460,
Aberdeen, SD 57402-1460

Ph: (605) 226-2663		Dr James Brian Macdougall, MD
701 8th Ave Nw, Ste A,
Aberdeen, SD 57401-1803

Ph: (605) 226-2663

Reviews and Comments


Orthopaedic Surgery Doctors in Aberdeen, SD

Dr. Patrick Miller, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 701 8th Ave Nw Ste A, Aberdeen, SD 57401
Phone: 605-226-2663    Fax: 605-226-0095
Matthew C Reynen, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 701 8th Avenue Nw Suite A, Aberdeen, SD 57401
Phone: 605-226-2663    Fax: 603-226-0095
Brandon S. Fites,
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 701 8th Ave Nw Ste A, Aberdeen, SD 57401
Phone: 605-226-2663    Fax: 605-226-0095
Dr. Mark C Harlow, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 815 1st Ave Se, Aberdeen, SD 57401
Phone: 605-622-2570    Fax: 605-622-2571

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.