Dr. James Spain, MD
185 N Lakemont Ave Ste B, Winter Park, FL 32792 • +1-657-555-9316
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Winter Park Percentiles
NPI #1174987762 • CBSA Regional • Infectious Disease
Dr. James Spain, MD (NPI #1174987762) practices Infectious Disease in Winter Park, FL (32792) with sub-specialty concentration in 5 Active CMS HCPCS Codes, recording 2,433 annual CMS services across 925 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (33.33th Winter Park percentile) (-0.22σ vs FL state mean, 54.06th statewide percentile).
Medicare Part B line-item claims for Dr. James Spain (32792) place 99214 at the top of the practice ledger (1095 yearly units, 33.33th metro rank), rounded out by 99213 and 93000.
Uninsured and high-deductible cash patients visiting Dr. James Spain in Winter Park (32792) face an estimated $216.00 initial evaluation fee at 185 N Lakemont Ave Ste B (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.59/5 from 17 verified reports).
NPI registry verification (#1174987762) confirms Dr. James Spain's MD standing serving CBSA 32792 with a 4.74/5 patient scorecard.
Compared against Winter Park, FL Infectious Disease peers
2,433 annual services across 925 beneficiaries
Standard deviations from FL Infectious Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,095 | 33.33th | $136 – $186 |
| 99213 | Established Preventive & Chronic Care Visit | 633 | 34.33th | $104 – $142 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 316 | 37.33th | $50 – $68 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 243 | 30.33th | $159 – $219 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 146 | 37.33th | $189 – $259 |
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Dr. James Spain, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spain National Provider Identifier | NPI #1174987762 (MD) | CMS NPPES Registry (32792) |
| Dr. Spain Winter Park CMS Volume Rank | 33.33th Pct (2,433 CMS svcs; Z -0.222σ) | CMS Medicare Part B (FL Infectious Disease) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winter Park, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 19 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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