JAMES LEE KNEPLER M.D.
NPI 1336105311
Internal Medicine - Pulmonary Disease in Tucson, AZ

Q: What is James Knepler's NPI number?

The NPI number for James Knepler is 1336105311. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is James Knepler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for James Knepler was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment

97.64/100

CMS Quality Rating

1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 626-6114 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About James Lee Knepler M.d. NPPES

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

JAMES LEE KNEPLER M.D. (NPI 1336105311) is an individual pulmonary disease provider in Tucson, Arizona, licensed in Arizona (44597) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1994).

NPPES Registry Identity

NPI1336105311

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameJAMES LEE KNEPLERCredential: M.D.

Location Address1501 N CAMPBELL AVETucson, AZ 85724-5030

Mailing Address2701 E Elvira RdTucson, AZ 85756-7124

Phone(520) 626-6114

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1994

Enumeration DateApril 26, 2006

Last NPPES UpdateApril 16, 2014

✔ NPI 1336105311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in AZ · 44597✔ Licensed in OH · 35-069480

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35-069480 (OH), 44597 (AZ)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35-069480 (OH), 44597 (AZ)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 35-069480 (OH), 44597 (AZ)

1501 N CAMPBELL AVE, Tucson, AZ 85724

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Other Identifiers 6

Medicaid200346020IN

Medicare UPING55790

Medicare PINKN0829602OH

Medicaid64088032KY

OtherP00194621OH · Rail Road Medicare

Medicaid2509066OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.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 Knepler 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 ID42270985

PECOS Enrollment IDI20110721000012

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 6

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.

62 services39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

42 services34 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

25 services16 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.

20 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

20 services17 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85724 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

97.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.77

Promoting Interoperability

98.67

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers12 claims12 services$13.53 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

5 suppliers30 claims30 services$62.88 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$32.62 avg. paid by Medicare

Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7639

DME-Drugs Administered Through DME · category DG000N

1 supplier12 claims900 services$38.13 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 20

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

MR. DOUGLAS FRANK LARSON PH.D.

Perfusionist

1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724

Pima County (520) 626-6339

MARTIN DEMANT

Pediatrics