Individual provider Active NPI

James Robert Lundy, MD

  • Family Medicine Physician
  • O'Fallon, IL
National Provider Identifier
1245287085
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17859 Issued in MS
Practice address
320 E Highway 50
O Fallon, IL 62269-2704
Phone
(618) 624-3368
NPI assigned
May 27, 2006
Last updated
Nov 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17859 MS Primary

Addresses

Primary practice location

320 E Highway 50
O Fallon, IL 62269-2704

Mailing address

343 Dennison Dr
O Fallon, IL 62269-3527
Phone (618) 628-1325

Other identifiers 1

IdentifierTypeStateIssuer
00126879MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090813000687 IL Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Internal Medicine 8820034697 Reassigns benefits to 5 organizations
I20190307003154 MO Practitioner - Family Practice 8820034697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tauc Il PCGroup PAC ID 3173060282, 17 clinicians
Midwest Emergency Sparta, Inc.Group PAC ID 0345481255, 13 clinicians
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

1103 Central Park Dr
O Fallon, IL 62269-1770
Phone (618) 215-5703

400 Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 215-5703

818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-2177

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17859MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Sparta, Inc CurrentSince May 15, 2018 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 1, 2019 Accepting new patients
Tauc Il, PC CurrentSince Sep 4, 2024 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince Aug 15, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 1, 2019 Accepting new patients
Midwest Inpatient Anderson Health, Inc CurrentSince Aug 15, 2023 Accepting new patients
Total Access Urgent Care, PC Family Medicine CurrentSince Feb 28, 2019 Accepting new patients
Total Access Urgent Care, PC CurrentSince Feb 28, 2019 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC PastSince Nov 17, 2019 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC PastSince Jan 24, 2021 Accepting new patients
Total Access Urgent Care, PC PastSince Oct 27, 2019 Accepting new patients
Inpatient Consultants of Missouri Inc Past Accepting new patients
HSHS Holy Family Hospital Inc Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care P.C. Past Accepting new patients
Total Access Urgent Care, PC PastSince Jul 12, 2020 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Tauc Il, PC PastSince May 1, 2021 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Midwest Emergency Department Services Inc Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients

Locations (25 of 34)

400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

404 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703

320 E Highway 50
O Fallon, IL 62269
Phone (618) 624-3368

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

9538 Gravois Rd
Affton, MO 63123
Phone (314) 932-0817

12409 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 455-4046

2501 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 778-9989

10923 Olive Blvd
Creve Coeur, MO 63141
Phone (314) 764-2953

408 Brothers Dr
Festus, MO 63028
Phone (636) 429-0999

1090 N Highway 67 St
Florissant, MO 63031

915 N Kirkwood Rd
Kirkwood, MO 63122
Phone (314) 932-0810

1001 Southern Ridge Ln
Lake Saint Louis, MO 63367
Phone (636) 265-6230

4201 Highway K
O Fallon, MO 63368

507 S Main St
O Fallon, MO 63366
Phone (636) 409-1092

8961 Page Ave
Overland, MO 63114

2138 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 534-4498

1005 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 449-8677

12616 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128

2060 Hampton Ave
Saint Louis, MO 63139
Phone (314) 696-2341

2980 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (636) 529-8411

Organizations & group practices 35

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 35

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1245287085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 DENNISON DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693527",
            "telephone_number": "618-628-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692704",
            "telephone_number": "618-624-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126879",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.