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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Mcpherson
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    James Mcpherson — Billing Profile & Reimbursement Data

    NPI 1639185887 · Pennington, NJ · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    James Mcpherson is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Pennington, New Jersey. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Mcpherson
    Address2 Capital Way Ste 356
    CityPennington
    StateNJ
    ZIP08534
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedJuly 31, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$49K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36478In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…20$930$15.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…100$110$11.2K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…70$140$10K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$190$4.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…50$80$3.7K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…40$90$3.5K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.20$10$180
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.20$10$180

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8005349456090$10$50.8K
    3647891020$870$26.8K
    992147,77713,640130$90$23.6K
    992139,86314,090100$70$13.1K
    364151,8902,200110$10$11.1K
    992041,6417,16040$130$6.5K
    992051,0491,97030$170$6.5K
    992032,8625,66040$80$4.8K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with James Mcpherson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johnson LeeCAPlastic Surgery Physician$22.5M$0
    James MichailCAGeriatric Medicine (Family Medicine) Physician$20.4M$86.8K
    Capital Health Medical GroupNJInternal Medicine Physician$0$19.3M
    Jack AzadCAGeneral Practice Physician$17.2M$0
    Millicent RoveloCAPlastic Surgery Physician$6.1M$0
    David BoyerCAOphthalmology Physician$5.6M$3.4K
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Jonathan EskenaziCANeurology Physician$2.9M$407.6K
    Navid EzraCADermatology Physician$1.8M$975.2K

    Nearby Providers

    Other providers in the same ZIP code as James Mcpherson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Capital Health System, Inc.NJGeneral Acute Care Hospital$0$132.1M
    Myrnaivette PiersonNJNurse Practitioner$471.2K$17.6K
    Ilya RozenbaumNJOphthalmology Physician$425.2K$0
    Nikhil ThakerNJRadiation Oncology Physician$209.4K$0
    Thomas DramesNJCritical Care Medicine (Internal Medicine) Physician$207.1K$0
    Richard AmaraNJClinical Cardiac Electrophysiology Physician$154.6K$0
    Scott WarrenNJFoot Surgery Podiatrist$154.5K$0
    Shivaprasad MarulendraNJGastroenterology Physician$68.8K$61.3K
    Michael OrlandNJEmergency Medicine Physician$117.9K$0
    Nabil MesihaNJCritical Care Medicine (Internal Medicine) Physician$95.7K$1.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    James Mcpherson — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey