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JAMES J NEMEC M.D.
NPI 1457321341
Internal Medicine - Cardiovascular Disease in Tulsa, OK

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
9228 S MINGO RD, SUITE 200, TULSA, OK 74133(918) 592-0999(918) 878-2499 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James J Nemec M.d. NPPES

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

JAMES J NEMEC M.D. (NPI 1457321341) is an individual cardiovascular disease provider in Tulsa, Oklahoma, licensed in Oklahoma (18855) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Creighton University School Of Medicine (1984).

NPPES Registry Identity

NPI1457321341
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAMES J NEMECCredential: M.D.
Location Address9228 S MINGO RD, SUITE 200Tulsa, OK 74133-5718
Mailing Address9228 S Mingo Rd, Suite 200Tulsa, OK 74133-5718 · (918) 592-0999 · Fax (918) 878-2499
Phone(918) 592-0999
Fax(918) 878-2499
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1984
Enumeration DateJanuary 24, 2006
Last NPPES UpdateApril 13, 2015
✔ NPI 1457321341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OK · 18855
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
9228 S MINGO RD, Tulsa, OK 74133
Open in Google Maps ↗

Other Identifiers 5

Medicaid100190980AOK
OtherOK700121OK · Medicare Ptan
OtherP00613401OK · Medicare Railroad
Medicare UPINE94031OK
Other060026066OK · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 J Nemec 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 ID3870666449
PECOS Enrollment IDI20080716000210
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 7

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.

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
221 services221 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
220 services219 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
216 services215 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
104 services104 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
101 services101 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
63 services63 patients

Hospital Affiliations CMS Care Compare 3

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Bailey Medical Center, LLC

Acute Care Hospitals · Owasso, OK
OwnershipProprietary
CMS Certification Number370228
Location10502 North 110th East AvenueOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

SIMA ABDEL RAHMAN ADEL MARAQA MD
Internal Medicine
9228 S MINGO RD
TULSA, OK 74133
Tulsa County (918) 592-0999
CRISTIN M BRUNS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9228 S MINGO RD, SUITE 200
TULSA, OK 74133
Tulsa County (918) 592-0999
CHRISTIAN S HANSON D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9228 S MINGO RD, SUITE 200
TULSA, OK 74133
Tulsa County (918) 592-0999
DR. YOHANAN S ZOMER M.D.
Pediatrics
9228 S MINGO RD, SUITE 100
TULSA, OK 74133
Tulsa County (918) 254-6822
ADRIAN C DONNELLY PA-C
Physician Assistant
9228 S MINGO RD, SUITE 200
TULSA, OK 74133
Tulsa County (918) 592-0999
RONNIE EPPERLY LPC
Counselor (Professional)
9228 S MINGO RD
TULSA, OK 74133
Tulsa County (844) 550-1361
AUBREY G RODDEN
Physician Assistant
9228 S MINGO RD
TULSA, OK 74133
Tulsa County (918) 592-0999
DR. ROBERT LOUIS SMITH JR. M.D.
Internal Medicine (Interventional Cardiology)
9228 S MINGO RD, SUITE 200
TULSA, OK 74133
Tulsa County (918) 592-0999

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 Nemec's NPI number?

The NPI number for James Nemec is 1457321341. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is James Nemec located?

James Nemec practices at 9228 S Mingo Rd Suite 200, Tulsa, OK 74133. The listed phone number is (918) 592-0999.

What is James Nemec's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Nemec enrolled in Medicare?

Yes. James Nemec 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 Nemec accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list James Nemec 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 Nemec affiliated with any hospitals?

According to CMS data, James Nemec is affiliated with Hillcrest Medical Center, Hillcrest Hospital South and Bailey Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for James Nemec was last updated on April 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.