Dr James L Horton Jr, DO - Medicare Orthopedic Surgery in Caledonia, MI

Dr James L Horton Jr, DO is a medicare enrolled "Orthopaedic Surgery" physician in Caledonia, Michigan. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1995 and has 29 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Thornapple River Orthopedics Pc and his current practice location is 7169 Kalamazoo Ave Se Ste 100, Caledonia, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 266-9100.

Dr James L Horton Jr is licensed to practice in Michigan (license number 5101012880) 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 1881639839.

Contact Information

Dr James L Horton Jr, DO
7169 Kalamazoo Ave Se Ste 100,
Caledonia, MI 49316
(616) 266-9100
(616) 266-9200

Map and Direction




Physician's Profile

Full NameDr James L Horton Jr
GenderMale
SpecialityOrthopedic Surgery
Experience29 Years
Location7169 Kalamazoo Ave Se Ste 100, Caledonia, Michigan
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 L Horton Jr attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1995
  NPI Data:
  • NPI Number: 1881639839
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 06/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4789570615
  • Enrollment ID: I20040226000358

Medical Identifiers

Medical identifiers for Dr James L Horton Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881639839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 5101012880 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Metro Health HospitalWyoming, MIHospital
Spectrum Health PennockHastings, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thornapple River Orthopedics Pc43859868275

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 L Horton Jr allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811937519
PECOS PAC ID: 5597651836
Enrollment ID: O20040507000012
Entity NameThornapple River Orthopedics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528530839
PECOS PAC ID: 4385986827
Enrollment ID: O20190502000254

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 L Horton Jr 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 L Horton Jr, DO
7169 Kalamazoo Ave Se Ste 100,
Caledonia, MI 49316-8146

Ph: (616) 266-9100
Dr James L Horton Jr, DO
7169 Kalamazoo Ave Se Ste 100,
Caledonia, MI 49316

Ph: (616) 266-9100

Reviews and Comments


Orthopaedic Surgery Doctors in Caledonia, MI

Dr. David J Heeringa, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7169 Kalamazoo Ave Se Ste 100, Caledonia, MI 49316
Phone: 616-266-9100    Fax: 616-266-9200

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.