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DR. JAMES GERARD LENNON D.O.
NPI 1124339338
Internal Medicine - Hematology & Oncology in Opelika, AL

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment
68.38/100
CMS Quality Rating
2501 VILLAGE PROFESSIONAL DR, OPELIKA, AL 36801(334) 528-1070(334) 528-1074 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2024, Aug 18, 2020, Jun 30, 2016 and 1 more (4 updates tracked since 2016).

About Dr. James Gerard Lennon D.o. NPPES

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

DR. JAMES GERARD LENNON D.O. (NPI 1124339338) is an individual hematology & oncology provider in Opelika, Alabama, licensed in Alabama (3138) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1124339338
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. JAMES GERARD LENNONCredential: D.O.
Location Address2501 VILLAGE PROFESSIONAL DROpelika, AL 36801-2381
Mailing Address2501 Village Professional DrOpelika, AL 36801-2381 · (334) 528-1070
Phone(334) 528-1070
Fax(334) 528-1074
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2010
Enumeration DateJune 23, 2010
Last NPPES UpdateSeptember 4, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1124339338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in AL · 3138✔ Licensed in GA · 76106
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS017692 (PA)
2501 VILLAGE PROFESSIONAL DR, Opelika, AL 36801
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Other Identifiers 1

Medicaid003176314CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Gerard Lennon D.o. 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 ID3678738101
PECOS Enrollment IDI20230315000295
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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Lennon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The East Alabama Health Care Authority
0.8 mi
General Acute Care Hospital
2000 PEPPERELL PKWY
Opelika, AL 36801
  • Reassigned Medicare billing, Alabama enrollment
  • 149 clinicians in this Medicare group
NPI 1073685483 (334) 528-1310
Nsh Cancer Institute Professional Services G, LLC
107 mi
Hematology & Oncology
1100 JOHNSON FERRY RD NE, SUITE 600
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
NPI 1124379284 (404) 851-6378

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
236 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
99 services47 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Electrical stimulation device used for cancer treatment, includes all accessories, any type E0766
DME-Other DME · category DE000N
1 supplier18 claims18 services$11,115.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

KERRI BEVIS MD
Obstetrics & Gynecology (Gynecologic Oncology)
2501 VILLAGE PROFESSIONAL DR
OPELIKA, AL 36801
Lee County (334) 528-1070
MRS. OLIVIA CHEYENNE CHAMBERS
Nurse Practitioner
2501 VILLAGE PROFESSIONAL DR
OPELIKA, AL 36801
Lee County (345) 281-0703
SARAH RICE
Genetic Counselor, MS
2501 VILLAGE PROFESSIONAL DR
OPELIKA, AL 36801
Lee County (334) 528-1070
DR. OLIVIA MARGARET HULL
Internal Medicine (Medical Oncology)
2501 VILLAGE PROFESSIONAL DR
OPELIKA, AL 36801
Lee County (334) 528-1070

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 Lennon's NPI number?

The NPI number for James Lennon is 1124339338. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is James Lennon located?

James Lennon practices at 2501 Village Professional Dr, Opelika, AL 36801. The listed phone number is (334) 528-1070.

What is James Lennon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is James Lennon enrolled in Medicare?

Yes. James Lennon 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.

Which organizations bill Medicare for James Lennon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lennon reassigns Medicare benefits to 2 organizations: The East Alabama Health Care Authority (Opelika, AL) and Nsh Cancer Institute Professional Services G, LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Lennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lennon accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list James Lennon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Lennon was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.