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JAMES PRESLEY MD
NPI 1336403393
Physical Medicine & Rehabilitation - Sports Medicine in Navarre, FL

Active since June 25, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
8880 NAVARRE PKWY STE 201, NAVARRE, FL 32566(850) 908-3180(850) 908-3189 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2021, Aug 18, 2020, Oct 29, 2019 and 2 more (5 updates tracked since 2017).

About James Presley Md NPPES

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

JAMES PRESLEY MD (NPI 1336403393) is an individual sports medicine provider in Navarre, Florida, licensed in Florida (ME133301) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains a secondary practice location in Gulf Breeze.

NPPES Registry Identity

NPI1336403393
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameJAMES PRESLEYCredential: MD
Location Address8880 NAVARRE PKWY STE 201Navarre, FL 32566-3614
Mailing AddressPo Box 17567Pensacola, FL 32522-7567
Phone(850) 908-3180
Fax(850) 908-3189
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2012
Enumeration DateJune 25, 2012
Last NPPES UpdateAugust 2, 20215 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1336403393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in FL · ME133301
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
8880 NAVARRE PKWY STE 201, Navarre, FL 32566
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Secondary Practice Location 1

Location 11040 Gulf Breeze Pkwy Ste 203Gulf Breeze, FL 32561-7808 · Phone (850) 908-3180 · Fax (850) 908-3189

Other Identifiers 1

Medicaid021997000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 Presley 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 ID749429405
PECOS Enrollment IDI20170901003117
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 10

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.
986 services486 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
868 services352 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.
300 services300 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
97 services85 patients
Injection into tendon at attachment to bone or muscle 20551
This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.
74 services64 patients
Complete ultrasound scan of joint 76881
A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.
44 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1852
DME-Orthotic Devices · category DF011N
1 supplier17 claims17 services$582.42 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 2

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

JESSICA ZBIKOWSKI PT
Physical Therapist (Orthopedic)
8880 NAVARRE PKWY STE 201
NAVARRE, FL 32566
Santa Rosa County (850) 939-1017
NICHOLAS PAUL GOYENECHE M.D.
Physical Medicine & Rehabilitation (Sports Medicine)
8880 NAVARRE PKWY STE 201
NAVARRE, FL 32566
Santa Rosa County (850) 908-1970

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 Presley's NPI number?

The NPI number for James Presley is 1336403393. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is James Presley located?

James Presley practices at 8880 Navarre Pkwy Ste 201, Navarre, FL 32566. The listed phone number is (850) 908-3180.

What is James Presley's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is James Presley enrolled in Medicare?

Yes. James Presley 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 Presley accept?

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

According to CMS data, James Presley is affiliated with Sacred Heart Hospital, Baptist Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for James Presley was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.