JAMES H. RUBENSTEIN MD
NPI 1194710384
Radiology - Radiation Oncology in Fort Myers, FL

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
15681 NEW HAMPSHIRE CT, FORT MYERS, FL 33908(239) 437-1977(239) 437-1889 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2019, Sep 18, 2019, Apr 18, 2017 (3 updates tracked since 2017).

About James H. Rubenstein Md NPPES

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

JAMES H. RUBENSTEIN MD (NPI 1194710384) is an individual radiation oncology provider in Fort Myers, Florida, licensed in Florida (ME0055380) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Port Charlotte.

NPPES Registry Identity

NPI1194710384
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameJAMES H. RUBENSTEINCredential: MD
Location Address15681 NEW HAMPSHIRE CTFort Myers, FL 33908-4123
Mailing Address15681 New Hampshire CtFort Myers, FL 33908-4123 · (239) 437-1977 · Fax (239) 437-1889
Fax(239) 437-1889
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1981
Enumeration DateSeptember 14, 2005
Last NPPES UpdateDecember 16, 20193 updates tracked since enumeration
NPI 1194710384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in FL · ME0055380
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
15681 NEW HAMPSHIRE CT, Fort Myers, FL 33908

Secondary Practice Location 1

Location 13080 Harbor BlvdPort Charlotte, FL 33952-6720 · Phone (941) 883-2199 · Fax (941) 979-5041

Other Identifiers 13

Other85446FL · Op. Eng. Loc. 825 Prov. #
Medicaid061469600FL
Other16864FL · Wellcare-medicaid/medicare
Other205493FL · Avmed Provider Number
OtherME55380AFL · Metcare Provider Number
Other24-05261FL · Utd. Hlthcr. Provider #
Other207227FL · Amerigroup Group Number
Other3124FL · Avmed Pin Number
Other592485899FL · Metcare Vendor Id #
Other4129726FL · Aetna Provider Number
Other00789FL · Unv. Hlthcr. Provider #
Other0824488-017FL · Cigna Provider Number
OtherLD513Medicare

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 H. Rubenstein Md 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 ID2062317191
PECOS Enrollment IDI20070614000038
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 14

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.

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
1,302 services300 patients
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev G6012
Radiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.
941 services309 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
356 services49 patients
Cranial lesion surgery using radiation over multiple sessions 77373
Cranial lesion surgery using radiation involves targeting abnormal tissue in the brain with high-energy rays. This non-invasive procedure is done over multiple sessions to gradually destroy the lesion without harming healthy tissue. It's a precise, painless process often used when traditional surgery isn't possible.
203 services102 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
136 services100 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
96 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.63
Improvement Activities40
Cost100

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
33%36 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
61%114 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
7%330 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
82%22 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
56%192 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
18%28 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
75%170 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 68% · 129 patients
71%129 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
25%28 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%28 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
15681 NEW HAMPSHIRE CT
FORT MYERS, FL 33908
Nurse Practitioner
15681 NEW HAMPSHIRE CT
FORT MYERS, FL 33908
Nurse Practitioner
15681 NEW HAMPSHIRE CT
FORT MYERS, FL 33908
Nurse Practitioner
15681 NEW HAMPSHIRE CT
FORT MYERS, FL 33908
Radiology (Radiation Oncology)
15681 NEW HAMPSHIRE CT
FORT MYERS, FL 33908
Radiology (Radiation Oncology)
15681 NEW HAMPSHIRE CT
FORT MYERS, FL 33908
Internal Medicine (Hematology & Oncology)
15681 NEW HAMPSHIRE CT
FORT MYERS, FL 33908
Radiology (Radiation Oncology)
15681 NEW HAMPSHIRE CT
FORT MYERS, FL 33908

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 Rubenstein's NPI number?

The NPI number for James Rubenstein is 1194710384. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is James Rubenstein located?

James Rubenstein practices at 15681 New Hampshire Ct, Fort Myers, FL 33908. The listed phone number is (239) 437-1977.

What is James Rubenstein's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is James Rubenstein enrolled in Medicare?

Yes. James Rubenstein 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 Rubenstein accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list James Rubenstein 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 Rubenstein affiliated with any hospitals?

According to CMS data, James Rubenstein is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for James Rubenstein was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.