Dr. James Pense, DO
19735 Us Highway 441 Fl 1, Mount Dora, FL 32757 • +1-258-555-3128
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Mount Dora Percentiles
NPI #1962898775 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. James Pense (DO, NPI 1962898775) at 19735 Us Highway 441 Fl 1 in Mount Dora with 2,419 annual clinical services (510 beneficiaries), corresponding to a -0.17σ regional deviation and focused low-volume boutique caseload (25th Mount Dora percentile) with sub-specialty concentration in 58 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Pense (averaging 4.7 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 39% of tracked volume (948 encounters), paired with 99213 (700x).
For out-of-network patients contacting +1-258-555-3128, Dr. Pense's practice posts a $216.00 GPCI self-pay consult estimate ($216.00 patient-logged median, 4.58/5 composite reality score over 9 submissions).
Patients evaluating Dr. James Pense in ZIP 32757 note 10 years of post-doctoral tenure (null, 2016) alongside 4.7 annual CMS procedures per patient.
Compared against Mount Dora, FL Family Practice peers
2,419 annual services across 510 beneficiaries
Standard deviations from FL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 948 | 25th | $118 – $162 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 700 | 26th | $90 – $124 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 271 | 30th | $135 – $185 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 203 | 21th | $26 – $41 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 135 | 30th | $162 – $222 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (58 HCPCS billing breadth) | 162 | 25th | $106 – $154 |
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Dr. James Pense, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pense National Provider Identifier | NPI #1962898775 (DO) | CMS NPPES Registry (32757) |
| Dr. Pense Mount Dora CMS Volume Rank | 25.00th Pct (2,419 CMS svcs; Z -0.171σ) | CMS Medicare Part B (FL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mount Dora, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 13 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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