James Robert Brych , PA-C
Physician Assistant • Duluth, MN
400 E 3rd St, Duluth Clinic, Internal Medicine
Duluth, MN 558051951
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 March 17, 2006; this date does not establish years in practice.
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Published CMS data list 182 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 105 service units.
- 99213 — Established patient outpatient office visit: 60 service units.
- 99215 — Established patient outpatient office visit: 17 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 582 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Rosuvastatin Calcium — 77 prescription fills, including refills.
- Lisinopril — 44 prescription fills, including refills.
- Celecoxib — 39 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 25 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: 95. Middle half: 42 to 182.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: 192. Middle half: 86 to 384.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 150 in 2020 to 182 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
400 E 3rd St
Duluth Clinic, Internal Medicine
Duluth, MN 558051951
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Polinsky Medical Rehabilitation Center; The Duluth Clinic Ltd. 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
1997
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
133 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 – by Provider, 2024.
Medicare-allowed amount
About $13,349 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 – by Provider and Service, 2024.
Paid by Medicare
About $8,666 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 – by Provider and Service, 2024.
30-day fills
1,136 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
$38,331 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 – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
29 years (graduated 1997)
CMS Doctors and Clinicians data list 1997 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
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.
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, “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)
James Brych 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 Brych 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 Duluth and Minnesota
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: 95. Middle half: 42 to 182.
Close to the middle for clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: 192. Middle half: 86 to 384.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: $6,193. Middle half: $3,137 to $14,203.
Close to the middle for clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $13,293. Middle half: $6,209 to $23,808.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: $4,522. Middle half: $2,321 to $10,807.
Close to the middle for clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $9,818. Middle half: $4,558 to $17,894.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Duluth, MN (2024, 114 clinicians with data). Median for this group: 154. Middle half: 52 to 599.
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: 226. Middle half: 71 to 825.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Duluth, MN (2024, 114 clinicians with data). Median for this group: $1,850. Middle half: $346 to $53,975.
A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: $3,260. Middle half: $590 to $83,279.
179 active clinicians are listed under Physician Assistant with a practice address in Duluth, MN (4,007 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Duluth
16.8% of these 179 clinicians have the CMS telehealth indicator.
81% of these 179 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 increased 21% from 150 in 2020 to 182 in 2024.
- 2020: 150
- 2021: 82
- 2022: 211
- 2023: 142
- 2024: 182
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Medicare-allowed amount
Medicare-allowed amount increased 27% from $10,477 in 2020 to $13,349 in 2024.
- 2020: $10,477
- 2021: $5,698
- 2022: $15,357
- 2023: $10,234
- 2024: $13,349
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Paid by Medicare
Paid by Medicare varied from year to year: $8,375 in 2020 and $8,666 in 2024.
- 2020: $8,375
- 2021: $4,321
- 2022: $9,431
- 2023: $6,965
- 2024: $8,666
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 11 in 2019 to 582 in 2024.
- 2019: 11
- 2020: 13
- 2022: 607
- 2023: 585
- 2024: 582
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30-day fills
30-day fills went from 11 in 2019 to 1,136 in 2024.
- 2019: 11
- 2020: 13
- 2022: 1,150
- 2023: 1,120
- 2024: 1,136
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Part D drug cost
Part D drug cost went from $38 in 2019 to $38,331 in 2024.
- 2019: $38
- 2020: $36
- 2022: $48,009
- 2023: $40,599
- 2024: $38,331
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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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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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105 | 74 | $219.44 | $78.05 |
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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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60 | 54 | $153.08 | $53.05 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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17 | 14 | $303.82 | $115.92 |
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 |
|---|---|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 77 | 4,714 | $2,000.51 | 22 |
| Lisinopril | Lisinopril | 44 | 3,650 | $378.44 | 20 |
| Celecoxib | Celecoxib | 39 | 1,539 | $879.08 | 20 |
| Atorvastatin Calcium | Atorvastatin Calcium | 38 | 2,800 | $311.73 | 16 |
| Amlodipine Besylate | Amlodipine Besylate | 36 | 2,943 | $254.84 | 13 |
| Losartan Potassium | Losartan Potassium | 35 | 2,101 | $267.76 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 27 | 2,052 | $550.63 | — |
| Omeprazole | Omeprazole | 25 | 1,476 | $309.25 | — |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 21 | 512 | $1,063.44 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 20 | 1,050 | $183.53 | — |
| Tizanidine Hcl | Tizanidine Hcl | 20 | 499 | $198.52 | 11 |
| Gabapentin | Gabapentin | 19 | 810 | $324.18 | — |
| Furosemide | Furosemide | 18 | 970 | $45.28 | — |
| Ozempic | Semaglutide | 18 | 504 | $16,778.46 | — |
| Prednisone | Prednisone | 16 | 138 | $38.36 | 16 |
| Metformin Hcl | Metformin Hcl | 16 | 719 | $183.11 | — |
| Escitalopram Oxalate | Escitalopram Oxalate | 15 | 930 | $167.27 | — |
| Fluticasone Propionate | Fluticasone Propionate | 15 | 720 | $111.38 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 15 | 965 | $244.22 | — |
| Eliquis | Apixaban | 13 | 682 | $13,024.19 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 11 | 931 | $33.61 | — |
| Metoprolol Succinate | Metoprolol Succinate | 11 | 729 | $136.46 | — |
| Ventolin Hfa | Albuterol Sulfate | 11 | 225 | $618.74 | — |
| Mirtazapine | Mirtazapine | 11 | 653 | $130.01 | — |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | 61 | $98.20 | 11 |
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: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20050131000947
MN
6406806033
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
Polinsky Medical Rehabilitation Center
1600 Miller Trunk Hwy, Duluth, MN 558115640
Phone: 2187865360
The Duluth Clinic Ltd
400 E 3rd St, Duluth, MN 558051951
Phone: 2187868364
Polinsky Medical Rehabilitation Center
1600 Miller Trunk Hwy, Duluth, MN 558115640
Phone: 2187865360
The Duluth Clinic Ltd
4212 Grand Ave, Duluth, MN 558072737
Phone: 2187863500
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Registered Nurse, Certified Nurse Practitioner
Internal Medicine
Internal Medicine
Nurse Practitioner - Adult Health
Registered Nurse, Certified Nurse Practitioner
Career & Practice History
NPI enumerated March 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 Physician Assistants in Duluth
- Deviney Benson, PA-C
- Christina Hacking, PA-C
- Tanner Schmitz, PA-C
- Aundria Riggen, PA
- John Tennis, PA-C
- Megan Markes, PA-C
Mailing Address
400 E 3rd St, Duluth Clinic, Internal Medicine
Duluth, MN 558051951
Phone: 2187863337