JAMES SPAIN (MD) – Infectious Disease Physician, NPI 1174987762
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
568 INFECTIOUS DISEASE in PA
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Provider Addresses for JAMES SPAIN (MD)
185 N LAKEMONT AVE STE B
WINTER PARK, FL 327923203
Phone: (321) 422-3660
Fax: (407) 644-2981
Type: Mailing
Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States
HERSHEY, PA 170332360
Phone: (717) 531-8521
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $330.
Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($125).
Total Amount
$330
General + Research + Ownership
Payments
4
Total payment records
General Amount
$330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $125 |
| Shionogi Inc | $99 |
| Insmed, Inc. | $93 |
| ViiV Healthcare Company | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230410001936 | I | Infectious Disease | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,407 | 611 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 230 | 218 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 84 | 35 | $0 |
Insurance plans in this area (ZIP 32792)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | FL | |
| Infectious Disease | IL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Infectious Disease | FL | |
| - | FL | |
| Infectious Disease, Internal Medicine | FL | |
| Infectious Disease | FL |
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