Dr. James E Michael , MD
General Practice • Doral, FL
8115 Nw 53rd St Apt 121
Doral, FL 331664773
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. James Michael is listed in NPPES under General Practice.
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NPI assigned on August 17, 2007; this date does not establish years in practice.
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Published CMS data list 19 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 27447 — Replacement of knee joint, both sides of knee: 19 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 47 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Levetiracetam — 20 prescription fills, including refills.
- Amlodipine Besylate — 14 prescription fills, including refills.
- Atorvastatin Calcium — 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 43 in 2019 to 19 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2021.
Practice Location & Contact Primary Location
8115 Nw 53rd St Apt 121
Doral, FL 331664773
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $3,785 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
Paid by Medicare
About $3,028 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
30-day fills
47 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$323 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.
Open Payments general payments, program year 2025
All general payments: $40.14 across 2 records.
By nature of payment
- Food and Beverage: $40.14 across 2 records.
Reporting-company totals
- ITF Therapeutics LLC: $22.38 across 1 record.
- Collegium Pharmaceutical, Inc.: $17.76 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Michael has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Michael as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Doral and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Michael are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Michael are from 2023.
15 active clinicians are listed under General Practice with a practice address in Doral, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Doral
6.7% of these 15 clinicians have the CMS telehealth indicator.
20% of these 15 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 56% from 43 in 2019 to 19 in 2021.
- 2019: 43
- 2021: 19
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Medicare-allowed amount
Medicare-allowed amount decreased 32% from $5,588 in 2019 to $3,785 in 2021.
- 2019: $5,588
- 2021: $3,785
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Paid by Medicare
Paid by Medicare decreased 32% from $4,462 in 2019 to $3,028 in 2021.
- 2019: $4,462
- 2021: $3,028
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 114% from 22 in 2013 to 47 in 2023.
- 2013: 22
- 2014: 39
- 2015: 107
- 2016: 58
- 2023: 47
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30-day fills
30-day fills increased 114% from 22 in 2013 to 47 in 2023.
- 2013: 22
- 2014: 39
- 2015: 108
- 2016: 59
- 2023: 47
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Part D drug cost
Part D drug cost went from $269 in 2013 to $323 in 2023.
- 2013: $269
- 2014: $476
- 2015: $2,209
- 2016: $1,619
- 2023: $323
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $142.34 in 2022 to $40.14 in 2025.
- 2022: $142.34
- 2023: $568.45
- 2025: $40.14
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $40.14.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ITF Therapeutics LLC |
Food and Beverage
In-kind items and services
|
— | General | $22.38 |
| Collegium Pharmaceutical, Inc. |
Food and Beverage
Cash or cash equivalent
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Belbuca | General | $17.76 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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27447
Replacement of knee joint, both sides of knee
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19 | 19 | $609.40 | $199.23 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Levetiracetam | Levetiracetam | 20 | 600 | $80.21 | — |
| Amlodipine Besylate | Amlodipine Besylate | 14 | 403 | $140.36 | — |
| Atorvastatin Calcium | Atorvastatin Calcium | 13 | 380 | $102.18 | — |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-08-01NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 363AS0400X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20240416001518
NJ
9931289303
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 8115 NW 53RD ST APT 121, DORAL, FL 331664773 (Tel: 9258765882)
Registered at 8115 NW 53RD ST APT 121, DORAL, FL 331664773 (Tel: 9258765882)
Registered at 700 MULLICA HILL RD, MULLICA HILL, NJ 080624413 (Tel: 8565083167)
Registered at 700 MULLICA HILL RD, MULLICA HILL, NJ 080624413
Registered at 185 S ORANGE AVE, NEWARK, NJ 071032757 (Tel: 7324454636)
Registered at 185 S ORANGE AVE, NEWARK, NJ 071032757 (Tel: 7324454636)
Recorded as JAMES MICHAEL, MD
Registered at 2625 SHADELANDS DR, WALNUT CREEK, CA 945982512 (Tel: 9259398585)
Physician Assistant (license number reported to NPPES: CA PA19300)
NPI status registered as active in NPPES database
Registered at 2405 SHADELANDS DR, WALNUT CREEK, CA 945982444 (Tel: 9259398585)
Registered at PO BOX 31396, WALNUT CREEK, CA 945988396 (Tel: 9259398585)
Recorded as JAMES MICHAEL, P.A.
Physician Assistant (license number reported to NPPES: CA PA19300)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Doral
- Dr. Julio Reyes-Gavilan, MD
- Dr. Rolando Crespo Zamora, MD
- Dr. Aleida Hernandez, MD
- Jose Burgos
- Dr. Celia Padron, MD
Mailing Address
8115 Nw 53rd St Apt 121
Doral, FL 331664773
Phone: 9258765882