Dr. James W Fleming , MD
Anesthesiology • Jacksonville, FL
820 Prudential Dr, Suite 606
Jacksonville, FL 322078210
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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NPI assigned on December 5, 2005; this date does not establish years in practice.
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Published CMS data list 27 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 01480 — Anesthesia for other procedure on lower leg, ankle, and foot bones: 16 service units.
- 36620 — Insertion of artery tube for blood sampling or infusion through skin: 11 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Medicare Part B services went from 179 in 2017 to 27 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
820 Prudential Dr
Suite 606
Jacksonville, FL 322078210
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Anesthesiology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $3,671 in 2019
The total amount Medicare approved for these services in 2019. 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, 2019.
Paid by Medicare
About $2,860 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, 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, 2019.
Open Payments general payments, program year 2025
All general payments: $688.51 across 13 records.
By nature of payment
- Food and Beverage: $688.51 across 13 records.
Reporting-company totals
- Globus Medical, Inc.: $486.27 across 9 records.
- Boston Scientific Corporation: $202.24 across 4 records.
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
2005
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.
Compared with the same specialty in Jacksonville and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Fleming are from 2019.
266 active clinicians are listed under Anesthesiology with a practice address in Jacksonville, FL (3,377 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Jacksonville
0% of these 266 clinicians have the CMS telehealth indicator.
64.7% of these 266 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 85% from 179 in 2017 to 27 in 2019.
- 2017: 179
- 2018: 127
- 2019: 27
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Medicare-allowed amount
Medicare-allowed amount decreased 88% from $30,350 in 2017 to $3,671 in 2019.
- 2017: $30,350
- 2018: $21,726
- 2019: $3,671
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Paid by Medicare
Paid by Medicare decreased 88% from $24,193 in 2017 to $2,860 in 2019.
- 2017: $24,193
- 2018: $16,803
- 2019: $2,860
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $24.30 in 2019 to $688.51 in 2025.
- 2019: $24.30
- 2024: $206.25
- 2025: $688.51
Sources: CMS Medicare Physician & Other Practitioners (2019), 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): 13 records totaling $688.51.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $139.20 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Pain Management | General | $126.34 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $121.94 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Vyrsa V1 | General | $84.25 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $65.20 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Pain Management | General | $59.12 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Vyrsa V1 | General | $33.60 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Vyrsa V1 | General | $17.66 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Pain Management | General | $9.13 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $8.48 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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Senza | General | $8.27 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $7.67 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Therapies | General | $7.65 |
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 2016–2018 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, 2017–2019; 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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01480
Anesthesia for other procedure on lower leg, ankle, and foot bones
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16 | 15 | $2444.63 | $197.78 |
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36620
Insertion of artery tube for blood sampling or infusion through skin
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11 | 11 | $660.00 | $46.07 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207L00000X
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Anesthesiology
Doctor of Medicine (M.D.)
Anesthesiology
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Anesthesiologist Assistant
Anesthesiology
Doctor of Medicine (M.D.)
Anesthesiologist Assistant
Career & Practice History
NPI enumerated December 05, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Anesthesiology Specialists in Jacksonville
- Dr. James Ervanian, MD
- Dr. Philip Carnevale, MD
- Dr. Benjamin Gruenbaum, MD, PhD
- Dr. Matthew Stevenson, MD
- Dr. Kristen Vanderhoef, MD
- Dr. Neil Feinglass, MD
Mailing Address
Po Box 5278
Jacksonville, FL 322475278
Phone: 9043983356