James Clay
Surgery โข Bemidji, MN
1300 Anne St Nw
Bemidji, MN 56601
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 June 27, 2013; this date does not establish years in practice.
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Published CMS data list 328 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 45385 โ Removal of polyps or growths of large bowel using an endoscope with mechanical snare: 56 service units.
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 34 service units.
- 45384 โ Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery: 33 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 113 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ibuprofen โ 51 prescription fills, including refills.
- Oxycodone Hcl โ 36 prescription fills, including refills.
- Omeprazole โ 26 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Surgery in Minnesota (2024, 312 clinicians with data). Median for this group: 104. Middle half: 59 to 163.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 380 in 2020 to 328 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1300 Anne St Nw
Bemidji, MN 56601
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Marshfield, WI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Department Of Health And Human Services Phs Ihs; Sanford Health Of Northern Minnesota. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Medical College Of Wisconsin
2013
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
242 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $40,857 in 2024
The total amount Medicare approved for these services in 2024. 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 โ by Provider and Service, 2024.
Paid by Medicare
About $33,281 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ by Provider and Service, 2024.
30-day fills
152 standardized 30-day fills in 2024
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
$558 in 2024
The total cost of these prescriptions in 2024, 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $55.93 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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)
James Clay 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 James Clay 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 Bemidji and Minnesota
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Surgery in Minnesota (2024, 312 clinicians with data). Median for this group: 104. Middle half: 59 to 163.
Too few clinicians listed under Surgery in Bemidji have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Surgery in Minnesota (2024, 312 clinicians with data). Median for this group: $14,248. Middle half: $7,430 to $24,576.
Too few clinicians listed under Surgery in Bemidji have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Surgery in Minnesota (2024, 312 clinicians with data). Median for this group: $10,831. Middle half: $5,628 to $19,842.
Too few clinicians listed under Surgery in Bemidji have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Surgery in Minnesota (2024, 302 clinicians with data). Median for this group: 49. Middle half: 25 to 93.
Too few clinicians listed under Surgery in Bemidji have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Surgery in Minnesota (2024, 302 clinicians with data). Median for this group: $207. Middle half: $63 to $1,029.
Too few clinicians listed under Surgery in Bemidji have Medicare Part D data for 2024 to compare.
10 active clinicians are listed under Surgery with a practice address in Bemidji, MN (742 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
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 14% from 380 in 2020 to 328 in 2024.
- 2020: 380
- 2021: 305
- 2022: 405
- 2023: 279
- 2024: 328
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $41,859 in 2020 and $40,857 in 2024.
- 2020: $41,859
- 2021: $38,671
- 2022: $48,558
- 2023: $32,971
- 2024: $40,857
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Paid by Medicare
Paid by Medicare varied from year to year: $33,078 in 2020 and $33,281 in 2024.
- 2020: $33,078
- 2021: $31,048
- 2022: $38,005
- 2023: $26,554
- 2024: $33,281
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 121 in 2020 and 113 in 2024.
- 2020: 121
- 2021: 148
- 2022: 144
- 2023: 123
- 2024: 113
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30-day fills
30-day fills varied from year to year: 150 in 2020 and 152 in 2024.
- 2020: 150
- 2021: 203
- 2022: 235
- 2023: 177
- 2024: 152
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Part D drug cost
Part D drug cost went from $709 in 2020 to $558 in 2024.
- 2020: $709
- 2021: $1,455
- 2022: $1,428
- 2023: $1,107
- 2024: $558
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $251.88 in 2019 to $55.93 in 2025.
- 2019: $251.88
- 2022: $80.16
- 2024: $100.00
- 2025: $55.93
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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 โ December 31, 2025): fewer than 11 records totaling $55.93.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| HOLOGIC INC |
Food and Beverage
In-kind items and services
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Magseed | General | $55.93 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 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 โ by Provider and Service data, 2018โ2024; 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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45385
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
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56 | 55 | $1386.93 | $235.17 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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34 | 16 | $218.18 | $74.66 |
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45384
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
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33 | 33 | $1498.21 | $100.01 |
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43239
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
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31 | 29 | $1161.71 | $81.76 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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29 | 29 | $571.00 | $164.10 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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25 | 25 | $121.00 | $92.68 |
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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20 | 15 | $131.35 | $46.58 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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18 | 18 | $165.00 | $126.18 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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18 | 18 | $103.89 | $62.53 |
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76937
Ultrasonic guidance for blood vessel access
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14 | 14 | $71.00 | $12.82 |
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77001
Fluoroscopic guidance for insertion or removal of central vein access device
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14 | 14 | $58.00 | $16.55 |
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G0105
Colorectal cancer screening; colonoscopy on individual at high risk
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13 | 13 | $1039.23 | $170.22 |
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36561
Insertion of central venous tube with port (5 years or older)
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12 | 12 | $3096.00 | $301.91 |
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45378
Diagnostic exam of large bowel using a flexible endoscope
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11 | 11 | $1034.18 | $151.15 |
Source: CMS Part B by Provider and Service, 2024; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ibuprofen | Ibuprofen | 51 | 591 | $247.46 | 51 |
| Oxycodone Hcl | Oxycodone Hcl | 36 | 100 | $87.48 | 35 |
| Omeprazole | Omeprazole | 26 | 1,902 | $223.35 | 14 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20200210000853
TX
9335462670
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Department Of Health And Human Services Phs Ihs
425 7th St Nw, Cass Lake, MN 566333360
Phone: 2183353200
Sanford Health Of Northern Minnesota
1611 Anne St Nw, Bemidji, MN 566015114
Phone: 2183335000
Sanford Health Of Northern Minnesota
1300 Anne St Nw, Bemidji, MN 566015103
Phone: 2183335000
Sanford Health Of Northern Minnesota
1233 34th St Nw, Bemidji, MN 566015112
Phone: 2183335522
Secondary Practice Locations
1000 N Oak Ave
Marshfield, WI 544495703
Phone: 7153875511
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Hospitalist
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1300 ANNE ST NW, BEMIDJI, MN 56601 (Tel: 2183335000)
Registered at 1300 ANNE ST NW, BEMIDJI, MN 566015103 (Tel: 2183335000)
NPI status registered as active in NPPES database
Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495703 (Tel: 7153875511)
Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495703
Recorded as JAMES CLAY
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Bemidji
- Dr. Matthew Nielsen, MD
- Dr. David Faugno-Fusci, MD
- Kashif Zuberi, MBBCH FACS MRCSI
- Dr. James Wagner, MD
- Alexandra Gonzalez Juarrero
- Dr. Michael Joannides, MD
Mailing Address
1300 Anne St Nw
Bemidji, MN 566015103
Phone: 2183335000