DR. JAMES CLUNE (M.D.) – Surgery of the Hand (Plastic Surgery) Physician, NPI 1255566568
Surgery of the Hand (Plastic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
473 PLASTIC AND RECONSTRUCTIVE SURGERY in FL
Provider Addresses for DR. JAMES CLUNE (M.D.)
PO BOX 198441
ATLANTA, GA 303848441
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Mailing
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Location
Boardman Building, 330, Cedar Street, Downtown, New Haven, New Haven County, Connecticut, 06519, United States
BOARDMAN BLDG 3RD FLOOR
NEW HAVEN, CT 065103218
Phone: (203) 785-2571
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 $369.
Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: AXOGEN ($131).
Total Amount
$369
General + Research + Ownership
Payments
4
Total payment records
General Amount
$369
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $131 |
| KLS-Martin L.P. | $125 |
| Checkpoint Surgical, Inc | $99 |
| E.R. Squibb & Sons, L.L.C. | $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: 2025-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160913001556 | I | Plastic And Reconstructive Surgery | CT | TBD |
| I20251106003746 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| 14302 | Repair of wound by transferring skin, each additional 30.0 sq cm | 63 | 11 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 36 | 36 | $0 |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 19 | 19 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 30384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | FL | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| - | FL |
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