Dr. Brian Dion James , MD
Emergency Medicine • Spring Hill, FL
10461 Quality Dr
Spring Hill, FL 346099634
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. Brian James is listed in NPPES under Emergency Medicine.
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NPI assigned on May 17, 2006; this date does not establish years in practice.
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Published CMS data list 23 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99285 — Emergency department visit with high level of medical decision making: 23 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 281 Medicare Part D prescriptions, including refills, in 2021.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Published rows only; this is not a quality measure.
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Published Part D records, 2021:
- Prednisone — 32 prescription fills, including refills.
- Cephalexin — 27 prescription fills, including refills.
- Tramadol Hcl — 23 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 14 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 514 in 2018 to 23 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2022.
Practice Location & Contact Primary Location
10461 Quality Dr
Spring Hill, FL 346099634
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
Emergency Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $4,199 in 2022
The total amount Medicare approved for these services in 2022. 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, 2022.
Paid by Medicare
About $3,684 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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, 2022.
30-day fills
281 standardized 30-day fills in 2021
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
$1,897 in 2021
The total cost of these prescriptions in 2021, 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, 2021.
Open Payments general payments, program year 2025
All general payments: $399.12 across 7 records.
By nature of payment
- Travel and Lodging: $338.67 across 4 records.
- Food and Beverage: $60.45 across 3 records.
Reporting-company totals
- Abbott Laboratories: $363.02 across 5 records.
- Saluda Medical Americas, Inc.: $36.10 across 2 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
2006
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. James 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. James 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 Spring Hill and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. James are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. James are from 2021.
11 active clinicians are listed under Emergency Medicine with a practice address in Spring Hill, FL (4,043 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spring Hill
0% of these 11 clinicians have the CMS telehealth indicator.
45.5% of these 11 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 96% from 514 in 2018 to 23 in 2022.
- 2018: 514
- 2019: 483
- 2020: 303
- 2021: 353
- 2022: 23
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Medicare-allowed amount
Medicare-allowed amount decreased 94% from $65,315 in 2018 to $4,199 in 2022.
- 2018: $65,315
- 2019: $67,174
- 2020: $41,789
- 2021: $52,561
- 2022: $4,199
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Paid by Medicare
Paid by Medicare decreased 93% from $51,338 in 2018 to $3,684 in 2022.
- 2018: $51,338
- 2019: $52,176
- 2020: $33,158
- 2021: $42,352
- 2022: $3,684
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 27% from 383 in 2017 to 281 in 2021.
- 2017: 383
- 2018: 197
- 2019: 193
- 2020: 150
- 2021: 281
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30-day fills
30-day fills decreased 27% from 383 in 2017 to 281 in 2021.
- 2017: 383
- 2018: 197
- 2019: 193
- 2020: 150
- 2021: 281
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Part D drug cost
Part D drug cost decreased 18% from $2,304 in 2017 to $1,897 in 2021.
- 2017: $2,304
- 2018: $1,395
- 2019: $1,251
- 2020: $958
- 2021: $1,897
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $167.22 in 2019 to $399.12 in 2025.
- 2019: $167.22
- 2020: $73.91
- 2021: $49.53
- 2023: $43.56
- 2025: $399.12
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2021), 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 $399.12.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Travel and Lodging
In-kind items and services
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PROCLAIM | General | $165.19 |
| Abbott Laboratories |
Travel and Lodging
In-kind items and services
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PROCLAIM | General | $82.23 |
| Abbott Laboratories |
Travel and Lodging
In-kind items and services
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PROCLAIM | General | $82.23 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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AVEIR | General | $24.35 |
| Saluda Medical Americas, Inc. |
Food and Beverage
In-kind items and services
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Evoke | General | $18.05 |
| Saluda Medical Americas, Inc. |
Food and Beverage
In-kind items and services
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Evoke | General | $18.05 |
| Abbott Laboratories |
Travel and Lodging
In-kind items and services
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PROCLAIM | General | $9.02 |
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 2016–2021 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, 2017–2022; 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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99285
Emergency department visit with high level of medical decision making
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23 | 23 | $1970.48 | $182.55 |
Source: CMS Part B by Provider and Service, 2022; 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 2021.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 32 | 166 | $90.80 | 31 |
| Cephalexin | Cephalexin | 27 | 206 | $190.04 | 27 |
| Tramadol Hcl | Tramadol Hcl | 23 | 85 | $50.00 | 23 |
| Ondansetron Odt | Ondansetron | 23 | 149 | $215.02 | 23 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 23 | 114 | $311.24 | 22 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 22 | 64 | $113.67 | 22 |
| Ibuprofen | Ibuprofen | 22 | 220 | $82.40 | 22 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 19 | 50 | $98.24 | 19 |
| Meloxicam | Meloxicam | 19 | 535 | $72.98 | 19 |
| Diclofenac Sodium | Diclofenac Sodium | 17 | 142 | $326.64 | 17 |
| Naproxen | Naproxen | 15 | 150 | $56.76 | 15 |
| Methocarbamol | Methocarbamol | 14 | 129 | $106.04 | 14 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 13 | 38 | $59.75 | 12 |
| Clindamycin Hcl | Clindamycin Hcl | 12 | 102 | $123.45 | 12 |
Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - EMERGENCY MEDICINE
I20040310000705
FL
2264320175
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Emergency Medicine
Physician Assistant
Emergency Medicine
Doctor of Medicine (M.D.)
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated May 17, 2006.
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 Emergency Medicine Providers in Spring Hill
- Dr. Bradley Stellpflug, DO
- Dr. Alexis Crymes, DO
- Dr. Robert Falkowski, MD
- Dr. Alan Sherman, DO
- Dr. Ralph Brown, MD
- Marsha Baker, PA
Mailing Address
200 Corporate Blvd, Suite 201
Lafayette, LA 705083870
Phone: 8008969698