Dr. Gary James, DO
5312 Lapeer Rd, Kimball, MI 48074 • +1-832-555-7449
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Kimball Percentiles
NPI #1255317178 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. Gary James (DO, NPI 1255317178) at 5312 Lapeer Rd in Kimball with 3,780 annual clinical services (356 beneficiaries), corresponding to a +0.48σ regional deviation and mid-cohort balanced caseload (50th Kimball percentile) with sub-specialty concentration in 43 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 5312 Lapeer Rd shows Dr. Gary James's primary concentration in Comprehensive Primary Care & Chronic Protocol Management (code 99214: 851x/yr, 50th local percentile) alongside Focused Acute & Preventive Primary Care Evaluation (99213: 628x/yr, $40–$55).
Self-pay new patient consultations with Dr. James (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 13-minute average reception wait, and a 4.41/5 modern protocol openness score across 9 patient logs.
Clinical background for Dr. James (DO, NPI #1255317178) includes accredited doctoral training (2007, 19 yrs in practice) and dedicated on-site consultations at 5312 Lapeer Rd.
Compared against Kimball, MI Family Practice peers
3,780 annual services across 356 beneficiaries
Standard deviations from MI 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 | 851 | 50th | $52 – $72 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 628 | 51th | $40 – $55 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 243 | 51th | $60 – $82 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 182 | 51th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 122 | 47th | $72 – $99 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 1,753 | 50th | $47 – $68 |
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Dr. Gary James, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. James National Provider Identifier | NPI #1255317178 (DO) | CMS NPPES Registry (48074) |
| Dr. James Kimball CMS Volume Rank | 50.00th Pct (3,780 CMS svcs; Z +0.481σ) | CMS Medicare Part B (MI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Kimball, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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