Dr. James C Fleming , MD
Ophthalmology โข Memphis, TN
262 Danny Thomas Pl
Memphis, TN 381053678
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 April 28, 2006; this date does not establish years in practice.
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Published CMS data list 9,589.5 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- J0585 โ Injection, onabotulinumtoxina, 1 unit: 8,643.5 service units.
- 92012 โ Established patient problem focused exam of visual system: 363 service units.
- 64612 โ Injection of chemical for paralysis of nerve muscles on side of face: 132 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 20 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 295 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Erythromycin (Erythromycin Base) โ 145 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 74 prescription fills, including refills.
- Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) โ 51 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 9,991 in 2017 to 9,589.5 in 2018.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2018.
Practice Location & Contact Primary Location
262 Danny Thomas Pl
Memphis, TN 381053678
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
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $204,583 in 2018
The total amount Medicare approved for these services in 2018. 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, 2018.
Paid by Medicare
About $156,200 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, 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, 2018.
30-day fills
299 standardized 30-day fills in 2018
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
$8,906 in 2018
The total cost of these prescriptions in 2018, 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, 2018.
Open Payments general payments, program year 2024
All general payments: $3,288.21 across 5 records.
By nature of payment
- Compensation for serving as faculty or as a speaker for a medical education program: $2,000.00 across 1 record.
- Travel and Lodging: $1,196.76 across 3 records.
- Food and Beverage: $91.45 across 1 record.
Reporting-company totals
- Synthes GmbH: $3,288.21 across 5 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 2024 (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, 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)
Dr. Fleming 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. Fleming 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 Memphis and Tennessee
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 2018.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Fleming are from 2018.
62 active clinicians are listed under Ophthalmology with a practice address in Memphis, TN (366 in Tennessee).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Memphis
0% of these 62 clinicians have the CMS telehealth indicator.
69.4% of these 62 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 stayed about the same: 9,991 in 2017 and 9,589.5 in 2018.
- 2017: 9,991
- 2018: 9,589.5
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $223,230 in 2017 and $204,583 in 2018.
- 2017: $223,230
- 2018: $204,583
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Paid by Medicare
Paid by Medicare stayed about the same: $171,714 in 2017 and $156,200 in 2018.
- 2017: $171,714
- 2018: $156,200
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 14% from 345 in 2014 to 295 in 2018.
- 2014: 345
- 2015: 350
- 2016: 333
- 2017: 271
- 2018: 295
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30-day fills
30-day fills decreased 15% from 352 in 2014 to 299 in 2018.
- 2014: 352
- 2015: 357
- 2016: 335
- 2017: 272
- 2018: 299
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Part D drug cost
Part D drug cost increased 132% from $3,832 in 2014 to $8,906 in 2018.
- 2014: $3,832
- 2015: $4,202
- 2016: $2,984
- 2017: $2,723
- 2018: $8,906
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Industry payments (Open Payments)
Industry payments (Open Payments) varied from year to year: $3,439.51 in 2021 and $3,288.21 in 2024.
- 2021: $3,439.51
- 2023: $119.30
- 2024: $3,288.21
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2018), CMS Open Payments (2024), 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 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $3,288.21.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Synthes GmbH |
Compensation for serving as faculty or as a speaker for a medical education program
Cash or cash equivalent
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โ | General | $2,000.00 |
| Synthes GmbH |
Travel and Lodging
In-kind items and services
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โ | General | $482.55 |
| Synthes GmbH |
Travel and Lodging
In-kind items and services
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โ | General | $478.21 |
| Synthes GmbH |
Travel and Lodging
In-kind items and services
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โ | General | $236.00 |
| Synthes GmbH |
Food and Beverage
In-kind items and services
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โ | General | $91.45 |
Source: CMS Open Payments, program year 2024, 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 2016โ2017 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, 2017โ2018; 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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J0585
Injection, onabotulinumtoxina, 1 unit
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8,643.5 | 45 | $11.92 | $6.02 |
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92012
Established patient problem focused exam of visual system
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363 | 255 | $157.00 | $81.56 |
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64612
Injection of chemical for paralysis of nerve muscles on side of face
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132 | 45 | $347.41 | $138.73 |
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92002
New patient problem focused exam of visual system
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115 | 115 | $120.00 | $77.78 |
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92081
Exam of visual field with limited testing
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48 | 47 | $108.00 | $32.05 |
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15823
Removal of excessive skin and fat of upper eyelid
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31 | 31 | $2899.68 | $742.45 |
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67810
Biopsy of eyelid
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29 | 28 | $405.52 | $161.07 |
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67917
Extensive repair of turning-outward eyelid defect
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29 | 28 | $2215.17 | $402.18 |
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92014
Established patient complete exam of visual system
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29 | 28 | $229.00 | $115.23 |
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92083
Exam of visual field with extended testing
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26 | 24 | $170.00 | $59.49 |
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68815
Probing of nasal tear duct with insertion of tube or stent
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18 | 17 | $1255.06 | $126.49 |
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92285
Photography of content of eyes
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18 | 18 | $120.00 | $17.91 |
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68440
Snip incision of tear duct at inner corner of eye
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17 | 15 | $685.59 | $105.29 |
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67966
Removal of over 1/4 of eyelid margin and repair of eyelid
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16 | 15 | $2470.00 | $580.86 |
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67903
Shortening or advancement of upper eyelid muscle to correct drooping or paralysis
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15 | 15 | $4662.00 | $532.37 |
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15260
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
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13 | 12 | $3250.00 | $775.13 |
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92004
New patient complete exam of visual system
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13 | 13 | $230.00 | $134.03 |
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67904
Repair of tendon of upper eyelid
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12 | 12 | $4622.92 | $703.86 |
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67840
Removal of growth of eyelid
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11 | 11 | $650.00 | $256.64 |
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67900
Repair of brow paralysis
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11 | 11 | $2261.00 | $468.35 |
Source: CMS Part B by Provider and Service, 2018; 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 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Erythromycin | Erythromycin Base | 145 | 1,520 | $1,382.30 | 115 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 74 | 162 | $278.79 | 69 |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 51 | 702 | $743.53 | 17 |
| Prednisolone Acetate | Prednisolone Acetate | 14 | 323 | $565.13 | 14 |
| Xiidra | Lifitegrast | 11 | 330 | $5,936.29 | โ |
Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-01-30NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPHTHALMOLOGY
I20040310001485
TN
5799674628
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.
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Nurse Practitioner - Family
Nurse Practitioner
Physician Assistant
Physician Assistant
Pediatrics - Pediatric Hematology-Oncology
Doctor of Medicine (M.D.)
Anesthesiology
Doctor of Medicine (M.D.)
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 262 DANNY THOMAS PL, MEMPHIS, TN 381053678 (Tel: 8882264343)
Registered at 262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 381053678
NPI status registered as active in NPPES database
Registered at 1910 NONCONNAH BLVD, SUITE 120, MEMPHIS, TN 381322113 (Tel: 9014482300)
Registered at 66 N PAULINE ST, SUITE 206, MEMPHIS, TN 381055105 (Tel: 9014487642)
Recorded as JAMES FLEMING, MD
Ophthalmology (license number reported to NPPES: TN 9128)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Ophthalmology Specialists in Memphis
- Dr. Claire Wright, MD
- Dr. Melissa Toyos, MD
- Dr. Kristen Duncan, MD
- Dr. Stephen Ashe, MD
- Dr. Rolando Toyos, MD
- Dr. Henry Wynn, MD
Mailing Address
262 Danny Thomas Pl # Ms 515
Memphis, TN 381053678