DR. JAMES D FROST MD
NPI 1275516551
Plastic Surgery in Pensacola, FL

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
68.08/100
CMS Quality Rating
8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PA, PENSACOLA, FL 32514(850) 474-8333(850) 969-2973 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. James D Frost Md NPPES

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

DR. JAMES D FROST MD (NPI 1275516551) is an individual plastic surgery provider in Pensacola, Florida, licensed in Florida (ME0055274) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida West Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1983).

NPPES Registry Identity

NPI1275516551
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JAMES D FROSTCredential: MD
Location Address8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PAPensacola, FL 32514-6050
Mailing Address8333 N Davis Hwy, Medical Center Clinic Plastic SurgeryPensacola, FL 32514-6050 · (850) 474-8333 · Fax (850) 969-2973
Fax(850) 969-2973
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1983
Enumeration DateNovember 21, 2005
Last NPPES UpdateApril 18, 2012
NPI 1275516551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in FL · ME0055274
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
8333 N DAVIS HWY, Pensacola, FL 32514

Other Identifiers 1

Medicare UPINE22624

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

Dr. James D Frost 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 ID6800798703
PECOS Enrollment IDI20100218000772
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 13

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
132 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
84 services84 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.
59 services40 patients
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.
53 services53 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm 12034
This procedure involves the repair of a moderate-sized wound (7.6-12.5 cm) on the scalp, underarms, trunk, arms, or legs. It includes cleaning, removing damaged tissue, and stitching the wound to promote healing. Local anesthesia is used for comfort.
42 services42 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services23 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32514 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

68.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.77
Improvement Activities40
Cost38.03

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.

Psychiatry & Neurology (Neurology)
8333 N DAVIS HWY
PENSACOLA, FL 32514
Physician Assistant
8333 N DAVIS HWY
PENSACOLA, FL 32514
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
8333 N DAVIS HWY, MEDICAL CENTER CLINIC ENT DEPT
PENSACOLA, FL 32514
Audiologist
8333 N DAVIS HWY
PENSACOLA, FL 32514
Nurse Practitioner (Family)
8333 N DAVIS HWY
PENSACOLA, FL 32514
Dermatology
8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PA
PENSACOLA, FL 32514
Psychiatry & Neurology (Neurology)
8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PA
PENSACOLA, FL 32514
Internal Medicine (Gastroenterology)
8333 N DAVIS HWY
PENSACOLA, FL 32514

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 Frost's NPI number?

The NPI number for James Frost is 1275516551. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is James Frost located?

James Frost practices at 8333 N Davis Hwy West Florida Medical Center Clinic PA, Pensacola, FL 32514. The listed phone number is (850) 474-8333.

What is James Frost's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is James Frost enrolled in Medicare?

Yes. James Frost 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 Frost accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list James Frost 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 Frost affiliated with any hospitals?

According to CMS data, James Frost is affiliated with Hca Florida West Hospital.

When was this NPI record last updated?

The NPPES record for James Frost was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.