1. Home
  2. Directory
  3. Florida
  4. Cape Coral
  5. Internal Medicine
  6. NPI Profile

DR. JAMES DANIEL GIFFORD MD
NPI 1487622833
Internal Medicine in Cape Coral, FL

Active since March 10, 2006PECOS Enrolled
636 DEL PRADO BLVD S STE A5510, CAPE CORAL, FL 33990(239) 343-5537(239) 343-8249 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 5, 2021, Mar 25, 2021, Sep 3, 2020 (3 updates tracked since 2020).

About Dr. James Daniel Gifford Md NPPES

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

DR. JAMES DANIEL GIFFORD MD (NPI 1487622833) is an individual internal medicine provider in Cape Coral, Florida, licensed in Florida (ME131838) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1487622833
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES DANIEL GIFFORDCredential: MD
Location Address636 DEL PRADO BLVD S STE A5510Cape Coral, FL 33990-2668
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-5537 · Fax (239) 343-8249
Phone(239) 343-5537
Fax(239) 343-8249
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateApril 5, 20213 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1487622833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME131838
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 12167 (AL)
636 DEL PRADO BLVD S STE A5510, Cape Coral, FL 33990
Open in Google Maps ↗

Secondary Practice Location 1

Location 12305 Crown Cir SEDecatur, AL 35603-5227 · Phone (256) 303-5585

Other Identifiers 3

Medicaid000088846AL
Other390008354AL · Medicare Railroad
Medicaid021757900FL

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Daniel Gifford Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show James Gifford reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System
4.3 mi
Emergency Medicine
2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1134222532 (239) 334-5244
Lee Health System Inc
9.3 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Inpatient Consultants Of Alabama, Inc
466 mi
Internal Medicine
5 MOBILE INFIRMARY CIR
Mobile, AL 36607
  • Reassigned Medicare billing, Alabama enrollment
  • 144 clinicians in this Medicare group
NPI 1235238916 (314) 317-0600

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
195 services95 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
152 services136 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
117 services113 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
24 services18 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33990 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
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier51 claims51 services$41.88 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier37 claims37 services$7.09 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers31 claims31 services$52.88 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier17 claims17 services$8.67 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers80 claims80 services$46.05 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers29 claims29 services$15.18 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.

DR. CELESTE M. CORREA M.D.
Family Medicine
636 DEL PRADO BLVD S STE A5510
CAPE CORAL, FL 33990
Lee County (239) 343-9237
MS. DIANNE P ENRIGHT ARNP
Nurse Practitioner (Family)
636 DEL PRADO BLVD S STE A5510
CAPE CORAL, FL 33990
Lee County (239) 343-5537

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 Gifford's NPI number?

The NPI number for James Gifford is 1487622833. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is James Gifford located?

James Gifford practices at 636 Del Prado Blvd S Ste A5510, Cape Coral, FL 33990. The listed phone number is (239) 343-5537.

What is James Gifford's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Gifford enrolled in Medicare?

Yes. James Gifford is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Gifford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gifford reassigns Medicare benefits to 3 organizations: Lee Memorial Health System (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL) and Inpatient Consultants Of Alabama, Inc (Mobile, AL). 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 Gifford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gifford accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list James Gifford 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 Gifford was last updated on April 5, 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.