Dr. James Doran, MD
400 Saybrook Rd Ste 206, Middletown, CT 06457 • +1-809-555-5865
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Middletown Percentiles
NPI #1942249610 • CBSA Regional • Family Practice
Anchored in Middletown, CT 06457, Dr. James Doran, MD (NPI 1942249610) logged 915 annual procedures (upper-quartile active clinical volume (66.67th Middletown percentile), 40.93th CT percentile, -0.30σ) with sub-specialty concentration in 36 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1942249610 highlights 362 annual claims for 99214 (66.67th Middletown percentile; $139–$191 self-pay corridor) plus 268 encounters under 99213 and 104 under G0439.
Cash-pay intake data for NPI 1942249610 (400 Saybrook Rd Ste 206, Middletown) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 17-minute average reception wait and 4.71/5 biomarker openness.
Spanning 10 years of clinical practice following 2016 graduation from medical training, Dr. James Doran integrates 36 Active CMS HCPCS Codes diagnostics for Middletown metro patients.
Compared against Middletown, CT Family Practice peers
915 annual services across 155 beneficiaries
Standard deviations from CT Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 362 | 66.67th | $139 – $191 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 268 | 64.67th | $106 – $146 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 104 | 68.67th | $160 – $219 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 78 | 65.67th | $30 – $45 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 52 | 68.67th | $191 – $262 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (36 HCPCS billing breadth) | 52 | 66.67th | $126 – $183 |
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Dr. James Doran, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Doran National Provider Identifier | NPI #1942249610 (MD) | CMS NPPES Registry (06457) |
| Dr. Doran Middletown CMS Volume Rank | 66.67th Pct (915 CMS svcs; Z -0.299σ) | CMS Medicare Part B (CT Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Middletown, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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