JAMES LEE GAHIMER M.D.
NPI 1144494592
Internal Medicine in Greenwood, IN

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
1703 W STONES CROSSING RD STE 200, GREENWOOD, IN 46143(317) 859-3737(317) 859-3730 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2021, May 13, 2019, Nov 27, 2018 and 1 more (4 updates tracked since 2018).

About James Lee Gahimer M.d. NPPES

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

JAMES LEE GAHIMER M.D. (NPI 1144494592) is an individual internal medicine provider in Greenwood, Indiana, licensed in Indiana (01035975A) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Indiana University School Of Medicine (1985).

NPPES Registry Identity

NPI1144494592
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES LEE GAHIMERCredential: M.D.
Location Address1703 W STONES CROSSING RD STE 200Greenwood, IN 46143-8558
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(317) 859-3730
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1985
Enumeration DateApril 16, 2008
Last NPPES UpdateJuly 31, 20234 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
NPI 1144494592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01035975A
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1703 W STONES CROSSING RD STE 200, Greenwood, IN 46143

Other Identifiers 1

Other000000564462IN · Anthem

Accepted Insurance

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 Lee Gahimer M.d. 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 ID8921177148
PECOS Enrollment IDI20080514000367
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 11

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.
776 services416 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
146 services146 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
101 services98 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services71 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
31 services31 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
29 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150057
Location1201 Hadley RdMooresville, IN 46158 · Morgan County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
29 suppliers68 claims183 services$5.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers16 claims21 services$0.79 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers14 claims14 services$52.54 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims63 services$1.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$64.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers54 claims54 services$183.11 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 14

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

Family Medicine
1703 W STONES CROSSING RD STE 200
GREENWOOD, IN 46143
Family Medicine
1703 W STONES CROSSING RD STE 200
GREENWOOD, IN 46143
Family Medicine
1703 W STONES CROSSING RD STE 200
GREENWOOD, IN 46143
Physician Assistant
1703 W STONES CROSSING RD STE 200
GREENWOOD, IN 46143
Family Medicine
1703 W STONES CROSSING RD STE 200
GREENWOOD, IN 46143
Family Medicine
1703 W STONES CROSSING RD STE 200
GREENWOOD, IN 46143
Family Medicine
1703 W STONES CROSSING RD STE 200
GREENWOOD, IN 46143
Family Medicine
1703 W STONES CROSSING RD STE 200
GREENWOOD, IN 46143

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 Gahimer's NPI number?

The NPI number for James Gahimer is 1144494592. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is James Gahimer located?

James Gahimer practices at 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143. The listed phone number is (317) 859-3737.

What is James Gahimer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Gahimer enrolled in Medicare?

Yes. James Gahimer 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.

What insurance does James Gahimer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list James Gahimer 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.

Is James Gahimer affiliated with any hospitals?

According to CMS data, James Gahimer is affiliated with Indiana University Health, Franciscan Health Mooresville and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for James Gahimer was last updated on July 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.