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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES CLUNE M.D.
NPI 1255566568
Surgery - Plastic and Reconstructive Surgery in Tampa, FL

Active since May 16, 2009PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673(813) 387-7160 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, Jun 14, 2016 (2 updates tracked since 2016).

About Dr. James Clune M.d. NPPES

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

DR. JAMES CLUNE M.D. (NPI 1255566568) is an individual plastic and reconstructive surgery provider in Tampa, Florida, licensed in Florida (ME177274) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2008).

NPPES Registry Identity

NPI1255566568
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JAMES CLUNECredential: M.D.
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-4673 · Fax (813) 387-7160
Phone(813) 745-4673
Fax(813) 387-7160
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2008
Enumeration DateMay 16, 2009
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1255566568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in FL · ME177274
Definition
A surgeon who specializes in plastic and reconstructive surgery.
12902 USF MAGNOLIA DR, Tampa, FL 33612
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 Clune 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 ID4183923618
PECOS Enrollment IDI20160913001556, I20251106003746
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 Clune reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Same address
Hematology & Oncology
12902 USF MAGNOLIA DR
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 992 clinicians in this Medicare group
NPI 1306833595 (813) 745-4673
Yale University
1,059 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432

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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
79 services79 patients
Repair of wound by transferring skin, each additional 30.0 sq cm 14302
This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.
39 services13 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
24 services24 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
14 services14 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
11 services11 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
11 services11 patients

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

DR. MICHAEL MARTIN WACH MD
Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-2916
ASTI ELIZABETH REGO APRN
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
MR. NIEMA BRANDON RAZAVIAN MD
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (137) 457-3658
BRANDON HOLMES
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
FRANCES IVELISSE BERNARDO MERCADO PA-C
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
SADHVI BATRA MD
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
JING WANG M.D.
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
MR. MARC VINCENT MANACCI CRNA
Anesthesiology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673

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 Clune's NPI number?

The NPI number for James Clune is 1255566568. It was assigned to this individual provider in the NPPES registry on May 16, 2009.

Where is James Clune located?

James Clune practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-4673.

What is James Clune's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is James Clune enrolled in Medicare?

Yes. James Clune 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 Clune's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Clune reassigns Medicare benefits to 2 organizations: H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL) and Yale University (New Haven, CT). 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 Clune's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Clune accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list James Clune 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 Clune was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.