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JAMES JETROW PRESLEY M.D.
NPI 1386604395
Obstetrics & Gynecology in Port Saint Lucie, FL

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
9576 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952(772) 337-4000(844) 543-0396 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Apr 13, 2023, Jan 17, 2023 (3 updates tracked since 2023).

About James Jetrow Presley M.d. NPPES

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

JAMES JETROW PRESLEY M.D. (NPI 1386604395) is an individual obstetrics & gynecology provider in Port Saint Lucie, Florida, licensed in Florida (ME59303) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1981).

NPPES Registry Identity

NPI1386604395
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJAMES JETROW PRESLEYCredential: M.D.
Location Address9576 S US HIGHWAY 1Port Saint Lucie, FL 34952-4217
Mailing Address9576 S Us Highway 1Port Saint Lucie, FL 34952-4217 · (772) 337-4000 · Fax (844) 543-0396
Phone(772) 337-4000
Fax(844) 543-0396
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1981
Enumeration DateMarch 24, 2006
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1386604395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME59303
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9576 S US HIGHWAY 1, Port Saint Lucie, FL 34952
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Secondary Practice Locations 3

Location 1981 37th PlVero Beach, FL 32960-6541 · Phone (772) 257-5785 · Fax (772) 257-5325
Location 2840 37th Pl Ste BVero Beach, FL 32960-6502 · Phone (877) 345-9342 · Fax (772) 925-8199
Location 3725 N US Highway 1Fort Pierce, FL 34950-9125 · Phone (772) 468-9900 · Fax (772) 468-2364

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

James Jetrow Presley 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 ID4082630751
PECOS Enrollment IDI20130228000343
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 Presley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Community Health Centers, Inc.
7.6 mi
Federally Qualified Health Center (FQHC)
3235 SW PORT ST LUCIE BLVD, SUITE 105
Port St Lucie, FL 34953
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1346619244 (561) 844-9443
Whole Family Health Center, Inc.
9.0 mi
Federally Qualified Health Center (FQHC)
725 N US HIGHWAY 1
Fort Pierce, FL 34950
  • Reassigned Medicare billing, Florida enrollment
  • 39 clinicians in this Medicare group
NPI 1578612883 (772) 468-9900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
93%563 patients5/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
100%1,408 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%878 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
22%171 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%181 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
77%1,992 patients4/55-star benchmark: 97%
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…
58%1,661 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,640 patients
Patients tobacco: 3% · 94 patients
94%1,640 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,992 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
72%1,992 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
55%1,992 patients
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.

Other Providers at the Same Location NPPES 10

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

FLORIDA COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
9576 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (561) 844-9443
FLORIDA COMMUNITY HEALTH CENTER, INC
Clinical Nurse Specialist (Community Health/Public Health)
9576 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-4000
KRISTEN MICHELE CROCKER
Advanced Practice Midwife
9576 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-4000
SHERYL TIMOL APRN
Nurse Practitioner (Obstetrics & Gynecology)
9576 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-4000
FLORIDA COMMUNITY HEALTH CENTERS, INC.
Pharmacy (Community/Retail Pharmacy)
9576 S US HIGHWAY 1
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 337-4000
DR. HEATHER BROOKE VALERY DO
Pediatrics
9576 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-4000
MISS MAGGY LESPINASSE MD
Pediatrics
9576 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-4000
FLORIDA COMMUNITY HEALTH CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
9576 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-4000

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 1386604395. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is James Presley located?

James Presley practices at 9576 S Us Highway 1, Port Saint Lucie, FL 34952. The listed phone number is (772) 337-4000.

What is James Presley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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.

Which organizations bill Medicare for James Presley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Presley reassigns Medicare benefits to 2 organizations: Florida Community Health Centers, Inc. (Port St Lucie, FL) and Whole Family Health Center, Inc. (Fort Pierce, FL). 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 Presley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Presley accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers 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.

When was this NPI record last updated?

The NPPES record for James Presley was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.