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JAMES M DESANTIS M.D.
NPI 1659326650
Emergency Medicine in Peachtree City, GA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
400 WESTPARK CT, STE 230, PEACHTREE CITY, GA 30269(770) 631-8478(770) 631-8473 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James M Desantis M.d. NPPES

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

JAMES M DESANTIS M.D. (NPI 1659326650) is an individual emergency medicine provider in Peachtree City, Georgia, licensed in Texas (P1452) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of Florida College Of Medicine (1981).

NPPES Registry Identity

NPI1659326650
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES M DESANTISCredential: M.D.
Location Address400 WESTPARK CT, STE 230Peachtree City, GA 30269-3571
Mailing Address10247 Highway 92, Apt 402Woodstock, GA 30188-3914 · (678) 361-3028
Phone(770) 631-8478
Fax(770) 631-8473
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1981
Enumeration DateMay 24, 2006
Last NPPES UpdateDecember 19, 2016
✔ NPI 1659326650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · P1452✔ Licensed in PA · MD027124E✔ Licensed in AL · 25650
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
400 WESTPARK CT, Peachtree City, GA 30269
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Other Identifiers 6

Other4295661AL · Aetna
Medicare UPINC87440AL
Other051542232AL · Bcbs
Medicaid009912277AL
Medicare PIN051542232AL
Other10577706Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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 M Desantis 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 ID2062429186
PECOS Enrollment IDI20170403000393
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 Desantis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concord Medical Group PLLC
996 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Concord Medical Group Of Texas PLLC
997 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330
Moore County Hospital District
1,003 mi
Critical Access
224 E 2ND ST
Dumas, TX 79029
  • Reassigned Medicare billing, Texas enrollment
  • 92 clinicians in this Medicare group
NPI 1700991700 (806) 935-7171

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services50 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.
76 services75 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
74 services72 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
43 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Critical Access Hospitals · Dumas, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451386
Location224 E Second StreetDumas, TX 79029 · Moore County
Emergency services

Pampa Regional Medical Center

Critical Access Hospitals · Pampa, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451398
Location1 Medical PlazaPampa, TX 79065 · Gray County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30269 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

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

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
1 supplier15 claims15 services$111.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Desantis's NPI number?

The NPI number for James Desantis is 1659326650. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is James Desantis located?

James Desantis practices at 400 Westpark Ct Ste 230, Peachtree City, GA 30269. The listed phone number is (770) 631-8478.

What is James Desantis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Desantis enrolled in Medicare?

Yes. James Desantis 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 Desantis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Desantis reassigns Medicare benefits to 3 organizations: Concord Medical Group PLLC (Lubbock, TX), Concord Medical Group Of Texas PLLC (Lubbock, TX) and Moore County Hospital District (Dumas, TX). 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 Desantis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Desantis accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list James Desantis 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 Desantis affiliated with any hospitals?

According to CMS data, James Desantis is affiliated with Memorial Hospital and Pampa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Desantis was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.