Are you James L. Tougas, AG-NP? This profile is yours to edit: update your address, phone, photo and services.
Edit this profileWhere to find James L. Tougas, AG-NP
- Fenton location main office
8323 Mabley Hill Rd, United States, Fenton, MI 48430 - Roseburg location
1221 W Harvard Ave, Roseburg, OR 97471
About James Tougas
James L. Tougas, AG-NP is a nurse practitioner — gerontology based in Fenton, MI. James is also listed as specializing in nurse practitioner. Medicare claims data shows James provided 6,706 services to 2,239 patients. The services billed most often include management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes, management using the results of remote vital sign monitoring per calendar month, first 20 minutes, and remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days. The provider's National Provider Identifier (NPI) is 1073991477.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (248) 387-9196
- Email not available
Is this your home address or personal number? Hide it
Practice Locations
8323 MABLEY HILL RD UNITED STATES
Fenton, MI 48430
1221 W Harvard Ave
Roseburg, OR 97471
Conditions and Services Within This Provider's Scope
Within Nurse Practitioner - Gerontology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Brain & Memory
- Agitation and Sundowning
- Delirium
- Dementia
- Memory loss
- Parkinson's disease
Brain & Nerves
- Shaky Hands and Tremors
- Stroke Aftercare
- Dizziness and vertigo
Digestive & Gut
- Poor Appetite In Seniors
- Acid reflux
- Fecal incontinence
General Health
- Elderly Frailty
General Senior Health
- Unexplained Weight Loss
- Anemia of chronic disease
- Managing multiple medications
- Severe dehydration
- Short stature and growth concerns
Infections
- Seasonal Flu and Viruses
- Shingles
Mental Health
- Senior Depression
Skin
- Dry Itchy Skin in Elderly
- Unexplained Bruising
Skin & Wounds
- Thinning and Tearing Skin
- Non-Healing Wounds
Back & Spine
Bladder & Urinary
- Enlarged prostate
- Urinary incontinence in women
- UTI
Breathing & Lungs
- Shortness of breath
Digestive Health
Endocrine & Hormones
- Underactive Thyroid
Endocrine & Metabolic
Heart & Circulation
- AFib
- Congestive heart failure
- High blood pressure
- High cholesterol
- Poor Circulation and Swollen Legs
Joints & Bones
Kidney & Urinary
Lung & Respiratory
Mobility & Balance
- Frequent falls
- Orthostatic hypotension
Nerves & Sensation
- Foot Numbness and Tingling
Pain
Sensory
- Hearing loss
Sleep
Procedures & services
Bladder & Urinary
- Incontinence Evaluation
Care Planning
- Advance Care Planning
- Caregiver Support and Counseling
- Comfort care transition
- Hospice Care Evaluation
Diagnostic Tests
- Heart Monitor Referral
General Health
- Pre-surgery medical clearance
General Senior Health
- Post-hospital transitional care
- Senior Nutrition Evaluation
Home & Facility Care
- Home Doctor Visit
- Senior Living Medical Care
Mental Health
Minor Procedures
- Bladder Catheter Placement and Care
- Earwax removal
Mobility & Safety
- Senior Driving Safety Evaluation
- Walker and Wheelchair Prescription
- Fall risk assessment
- Home Safety Evaluation
Preventive Care
- Chronic disease management
- Medicare annual wellness visit
- Bone Density Scan Referral
- Diabetic Foot Care
Referrals & Care Coordination
- At-Home Sleep Study Order
- Hearing Test Referral
- Home Health Care Referral
- Occupational Therapy Referral
- Speech and Swallowing Therapy Referral
Referrals & Coordination
- Physical Therapy Referral
Specialized Care
- Nursing Home Admission Exam
Vaccines & Injections
- COVID-19 Booster
- Tetanus Booster Shot
- Vitamin B12 Injection
- Flu shot
- Routine Vaccines
- RSV vaccine
Wound Care
- Skin Tear Treatment
- Bedsore and Wound Dressing
Brain & Memory
Heart & Circulation
In-Office Treatments
- Nebulizer Breathing Treatment
Lab & Monitoring
- Complete Blood Count
- Hemoglobin A1c Test
Lab Tests & Screening
- Cholesterol screening
- Comprehensive Metabolic Panel
- Thyroid Blood Test
- Urinalysis
Medication Management
- Tapering Off Psychiatric Medication
Pain Management
- Knee Joint Injections
Vaccines & Prevention
Procedures Most Often Billed to Medicare
6,706 services · 2,239 patients · 24 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Removal of fingernails or toenails, 6 or more nails | Procedure | 11721 |
73 | As often as other peers in Nurse Practitioner — Gerontology |
| Trimming of fingernails or toenails | Procedure | 11719 |
34 | Too few peers to compare |
| Psychiatric diagnostic evaluation | Treatment | 90791 |
27 | Too few peers to compare |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | Office visit | 99458 |
2,087 | Too few peers to compare |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | Office visit | 99457 |
1,001 | More than most peers in Nurse Practitioner — Gerontology |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | Office visit | 99454 |
647 | Too few peers to compare |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99490 |
639 | More than most peers in Nurse Practitioner — Gerontology |
| Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99489 |
526 | More often than most peers in Nurse Practitioner — Gerontology |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99349 |
370 | More often than most peers in Nurse Practitioner — Gerontology |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99487 |
369 | More than most peers in Nurse Practitioner — Gerontology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 1
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
More connections — 10 related providers in 2 groups
Class of 2015 at Other 8
Providers who graduated from the same medical school in the same year.
Also performs Removal of fingernails or toenails, 6 or more nails 2
Providers in MI who bill this service to Medicare most often.
Common questions
What is James L. Tougas's specialty?
James L. Tougas is a nurse practitioner in Fenton, MI. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Gerontology”.
NPI registry
Where can I find James L. Tougas?
James L. Tougas is listed at 8323 Mabley Hill Rd United States, Fenton, MI 48430. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact James L. Tougas?
The number on file is (248) 387-9196. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for James L. Tougas?
James L. Tougas's National Provider Identifier is 1073991477. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is James L. Tougas's education?
James L. Tougas attended Other, graduating in 2015. This comes from the CMS National Downloadable File.
CMS public data
How much experience does James L. Tougas have?
James L. Tougas has 11 years experience. Calculated from a graduation year of 2015, reported in the CMS National Downloadable File.
CMS public data
What is James L. Tougas known for?
According to Medicare billing data, James L. Tougas performs procedures including removal of fingernails or toenails, 6 or more nails and trimming of fingernails or toenails; provides treatments such as psychiatric diagnostic evaluation, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is James L. Tougas's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by James L. Tougas. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.