Dr. James Brian MacDougall, MD
- Medicare services, 2024
- 1,838
- Medicare patients, 2024
- 590
- Part D claims, 2024
- 347
- Hospital affiliations
- 5
- Industry payments
- $11,211
- Practice address
- 701 8th Ave NW STE B, Aberdeen, SD 57401
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Avera Orthopedic Surgery Specialists - HOPD
Acute Care Hospital outpatient department · Aberdeen, South Dakota
Find Dr. MacDougall's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. James Brian MacDougall is an orthopedic surgeon in Aberdeen, South Dakota
Dr. MacDougall practices at Avera Orthopedic Surgery Specialists - HOPD in Aberdeen, South Dakota.
Dr. MacDougall's NPI, 1235135823, was assigned on June 28, 2005. Dr. MacDougall graduated from Ohio State University College of Medicine in 1985. Dr. MacDougall holds South Dakota license 3324.
- NPI
- 1235135823NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6204729320
- NPI enumeration date
- June 28, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 67
- Medical school graduation
- 1985
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. James Brian MacDougall practices at Avera Orthopedic Surgery Specialists - HOPD in Aberdeen, South Dakota
Dr. MacDougall's primary practice is Avera Orthopedic Surgery Specialists - HOPD, at 701 8th Ave NW STE B, Aberdeen, SD 57401.
- Avera Orthopedic Surgery Specialists - HOPD701 8th Ave NW STE B, Aberdeen, SD 57401
Source: Dmand AI Affiliation Data
Dr. James Brian MacDougall is affiliated with 9 sites of care and 3 medical groups
Dr. MacDougall's primary practice is Avera Orthopedic Surgery Specialists - HOPD in Aberdeen, South Dakota. Dr. MacDougall is also affiliated with Avera St. Luke's Hospital. The medical group on file is Avera Aberdeen Family Physicians. Dmand AI also links Dr. MacDougall to 4 more hospitals, 2 group practices and clinics, 2 medical groups and 1 hospital outpatient department, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. James Brian MacDougall's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. MacDougall practices, 9 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Avera Orthopedic Surgery Specialists - HOPD | Available with a free account |
| +8 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. James Brian MacDougall is one of 113 orthopedic surgeons in South Dakota
Orthopaedic surgery is Dr. MacDougall's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. MacDougall is licensed in South Dakota.
Specialties and state licenses
- Orthopaedic surgery, South DakotaPrimary
Orthopedic surgeons near Dr. MacDougall
Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. James Brian MacDougall billed Medicare for 1,838 services in 2024
CMS data shows 1,838 Medicare services from Dr. MacDougall across 33 procedure codes in 2024, for 590 Medicare patients. Medicare paid $169,054 for them.
Dr. MacDougall's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Imaging
- 2023: 5492024: 79946%
- Office and hospital visits
- 2023: 5302024: 68629%
- Surgery
- 2023: 2252024: 35357%
Where Dr. MacDougall's Medicare services took place, 2024
- In an office1,57886%
- In a facility26014%
Dr. MacDougall compared with the South Dakota median for orthopedic surgeons, 2024
- Dr. MacDougall
- South Dakota median
- Medicare services
- 1,838vs 5823.2 times
- Medicare patients
- 590vs 2422.4 times
- Part D claims
- 291vs 793.7 times
Medians across 116 orthopedic surgeons in South Dakota with Dmand AI profiles that report each measure.
Dr. MacDougall's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. MacDougall?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. MacDougall and other orthopedic surgeons in South Dakota.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. James Brian MacDougall treated 590 Medicare patients in 2024, average age 74
CMS counts 590 Medicare patients who saw Dr. MacDougall in 2024. The largest group is 65 to 74, with 280 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 8% are also on Medicaid. Their average risk score is 1.18, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. MacDougall's median patient age at 66, with 52% women.
Dr. MacDougall's Medicare patients by age, 2024
Dr. MacDougall's Medicare patients by sex, 2024
- Women34759%
- Men24341%
Chronic conditions among Dr. MacDougall's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis74%
- Diabetes32%
- Ischemic heart disease31%
- Chronic kidney disease27%
- Depression26%
- Mood disorders26%
Share of Medicare patients with each condition. A patient can have several.
Dr. MacDougall's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 66
Patient panel by sex, all payers
- Women52%
- Men48%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. James Brian MacDougall wrote 347 Medicare Part D claims in 2024
In 2024, Dr. MacDougall wrote 347 Medicare Part D claims for 175 patients. 100% of them were for generic drugs. CMS names the drug for 291 of them, across 8 drugs with 11 or more claims each, at $1,712 in total drug cost. In 2023, CMS named 147 claims across 5 drugs.
Dr. MacDougall's Part D claims by kind of drug, 2024
- Generic346 claims100%
- Brand-name and other1 claims0%
Dr. MacDougall's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. MacDougall's Part D claims, 2024
- Opioids16%55 of 347 claims
- Antibiotics43%149 of 347 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1472024: 29198%
Drugs named by CMS: 8 in 2024, 5 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. James Brian MacDougall ranks in the 66th percentile for laminectomy or laminotomy (partial removal of spine bones) in Medicare
Dr. MacDougall accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 35 procedures of laminectomy or laminotomy (partial removal of spine bones) by Dr. MacDougall, more than 66% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Where Dr. MacDougall ranks in Medicare procedure volume
- Spinal fusion
- 60th percentile61 procedures
- Laminectomy or laminotomy (partial removal of spine bones)
- 66th percentile35 procedures
- Knee replacement
- 45th percentile15 procedures
- Hip replacement
- 51st percentile11 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Lower limb (leg) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
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Dr. James Brian MacDougall received $11,211 in industry payments from 2016 to 2025
CMS Open Payments shows 57 general payments to Dr. MacDougall from 9 drug and device companies from 2016 to 2025. Travel and lodging make up the largest share, 79% of the total. Innovasis Inc paid the most, $4,573.
General payments to Dr. MacDougall by program year, 2016 to 2025
General payments to Dr. MacDougall by kind, 2016 to 2025
- Travel and lodging$8,82579%
- Food and beverage$2,38521%
Companies that paid Dr. MacDougall the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. James Brian MacDougall graduated from Ohio State University College of Medicine
Dr. MacDougall graduated from Ohio State University College of Medicine in 1985.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. James Brian MacDougall's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. James Brian MacDougall
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. James Brian MacDougall's NPI number?
Dr. James Brian MacDougall's NPI number is 1235135823. It was assigned on June 28, 2005, and it is active in the NPI Registry.
What kind of doctor is Dr. James Brian MacDougall?
Dr. James Brian MacDougall is an orthopedic surgeon in Aberdeen, South Dakota. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).
Where does Dr. James Brian MacDougall practice?
Dr. MacDougall practices at 701 8th Ave NW STE B, Aberdeen, SD 57401. Dr. MacDougall's primary practice is Avera Orthopedic Surgery Specialists - HOPD in Aberdeen, South Dakota. Dmand AI also links Dr. MacDougall to 4 hospitals, 2 group practices and clinics, 2 medical groups and 1 hospital outpatient department.
What is Dr. James Brian MacDougall's medical license number?
Dr. MacDougall holds South Dakota license 3324.
Which hospitals is Dr. James Brian MacDougall affiliated with?
Dr. MacDougall is affiliated with Avera St. Luke's Hospital. Dmand AI links Dr. MacDougall to 4 more hospitals.
What medical group is Dr. James Brian MacDougall part of?
Dr. MacDougall is linked to Avera Aberdeen Family Physicians. Dmand AI links Dr. MacDougall to 2 more medical groups.
Does Dr. James Brian MacDougall accept Medicare?
Yes. CMS data shows Dr. MacDougall billed Medicare for 1,838 services in 2024, and Dr. MacDougall accepts Medicare assignment.
How many Medicare patients does Dr. James Brian MacDougall see?
CMS counts 590 Medicare patients who saw Dr. MacDougall in 2024, with an average age of 74.
What services does Dr. James Brian MacDougall bill to Medicare?
In 2024, Dr. MacDougall's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and surgery: bones and joints (20610).
Where did Dr. James Brian MacDougall go to medical school?
Dr. MacDougall graduated from Ohio State University College of Medicine in 1985.
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What drugs does Dr. James Brian MacDougall prescribe most?
In 2024 Medicare Part D data, Dr. MacDougall's most prescribed drugs by claims were Amoxicillin, Tramadol HCl and Meloxicam.
Has Dr. James Brian MacDougall received payments from drug or device companies?
CMS Open Payments shows $11,211 in general payments to Dr. MacDougall from 9 companies from 2016 to 2025. The largest total came from Innovasis Inc.
How long has Dr. James Brian MacDougall been practicing?
Dr. MacDougall graduated from medical school in 1985, 41 years ago.
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