DR. JAMES M LEARNER (DO) – Internal Medicine Physician, NPI 1053422006
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
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Provider Addresses for DR. JAMES M LEARNER (DO)
1435, North Milford Road, Milford, Milford Charter Township, Oakland County, Michigan, 48381, United States
STE 101
MILFORD, MI 483811032
Phone: (248) 685-9780
Fax: (248) 684-2251
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Abbott Laboratories ($138).
Total Amount
$153
General + Research + Ownership
Payments
3
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $138 |
| Astellas Pharma US Inc | $15 |
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: 2010-03-31
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 |
|---|---|---|---|---|
| I20100331000817 | I | Internal Medicine | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 575 | 293 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 124 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 68 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 19 | 17 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 16 | 16 | $0 |
Insurance plans in this area (ZIP 48381)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 30 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | ME | |
| E N D O C R I N O L O G Y | MI | |
| - | MI | |
| - | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Internal Medicine | MI | |
| - | MI |
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