JAMES PAUL LEAR PA-C
NPI 1023740974
Physician Assistant in Columbia, MO

Active since June 29, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 HOSPITAL DR, COLUMBIA, MO 65212(573) 882-8091(573) 884-1902 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Oct 6, 2022 (2 updates tracked since 2022).

About James Paul Lear Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES PAUL LEAR PA-C (NPI 1023740974) is an individual physician assistant in Columbia, Missouri, licensed in Missouri (2022037491) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023740974
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES PAUL LEARCredential: PA-C
Location Address1 HOSPITAL DRColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 884-1902
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 29, 2022
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1023740974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2022037491
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 HOSPITAL DR, Columbia, MO 65212

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James Paul Lear Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062888712
PECOS Enrollment IDI20221020001177
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
193 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services44 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
36 services35 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Clinical Cardiac Electrophysiology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Internal Medicine (Hematology & Oncology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Emergency Medicine
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR
COLUMBIA, MO 65212
Physician Assistant
1 HOSPITAL DR
COLUMBIA, MO 65212
Orthopaedic Surgery (Orthopaedic Trauma)
1 HOSPITAL DR
COLUMBIA, MO 65212
Psychiatry & Neurology (Neurology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR, DC056.20
COLUMBIA, MO 65212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Lear's NPI number?

The NPI number for James Lear is 1023740974. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is James Lear located?

James Lear practices at 1 Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 882-8091.

What is James Lear's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Lear enrolled in Medicare?

Yes. James Lear is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is James Lear affiliated with any hospitals?

According to CMS data, James Lear is affiliated with University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for James Lear was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.