JAMES W BADMAN MD
NPI 1265470405
Family Medicine in Altamonte Springs, FL

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
631 PALM SPRINGS DR, SUITE 101, ALTAMONTE SPRINGS, FL 32701(407) 331-1121(407) 331-1156 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James W Badman Md NPPES

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

JAMES W BADMAN MD (NPI 1265470405) is an individual family medicine provider in Altamonte Springs, Florida, licensed in Florida (ME69349) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of University Of South Florida College Of Medicine (1994).

NPPES Registry Identity

NPI1265470405
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES W BADMANCredential: MD
Location Address631 PALM SPRINGS DR, SUITE 101Altamonte Springs, FL 32701-7854
Mailing Address631 Palm Springs Dr, Suite 101Altamonte Springs, FL 32701-7854 · (407) 331-1121 · Fax (407) 331-1156
Fax(407) 331-1156
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1994
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 17, 2007
NPI 1265470405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME69349
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
631 PALM SPRINGS DR, Altamonte Springs, FL 32701

Other Identifiers 3

Other28890FL · Bcbs
Medicare UPING64322
Medicare PIN28890XFL

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 W Badman 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 ID8325181621
PECOS Enrollment IDI20100209000514
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.
865 services399 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
295 services295 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
274 services274 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.
266 services266 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
29 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32701 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

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…
100%291 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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
12 suppliers20 claims45 services$5.33 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
7 suppliers20 claims20 services$40.80 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers13 claims13 services$11.37 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers16 claims16 services$9.27 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers18 claims104 services$1.35 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
1 supplier12 claims12 services$185.34 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 13

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

Nurse Practitioner (Adult Health)
631 PALM SPRINGS DR, SUITE 101
ALTAMONTE SPRINGS, FL 32701
Orthopaedic Surgery
631 PALM SPRINGS DR, SUITE 108
ALTAMONTE SPRINGS, FL 32701
Internal Medicine (Nephrology)
631 PALM SPRINGS DR, SUITE 104
ALTAMONTE SPRINGS, FL 32701
Marriage & Family Therapist
631 PALM SPRINGS DR, SUITE 101
ALTAMONTE SPRINGS, FL 32701
Family Medicine
631 PALM SPRINGS DR, SUITE 101
ALTAMONTE SPRINGS, FL 32701
Specialist
631 PALM SPRINGS DR, STE 104
ALTAMONTE SPRINGS, FL 32701
Internal Medicine
631 PALM SPRINGS DR, SUITE 117
ALTAMONTE SPRINGS, FL 32701
Counselor (Professional)
631 PALM SPRINGS DR, SUITE 114
ALTAMONTE SPRINGS, FL 32701

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 Badman's NPI number?

The NPI number for James Badman is 1265470405. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is James Badman located?

James Badman practices at 631 Palm Springs Dr Suite 101, Altamonte Springs, FL 32701. The listed phone number is (407) 331-1121.

What is James Badman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Badman enrolled in Medicare?

Yes. James Badman 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 Badman accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list James Badman 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 Badman affiliated with any hospitals?

According to CMS data, James Badman is affiliated with Adventhealth Orlando, Adventhealth Deland and Adventhealth Fish Memorial.

When was this NPI record last updated?

The NPPES record for James Badman was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.