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DR. JAMES RANDALL PATRINELY M.D.
NPI 1932292935
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Pensacola, FL

Active since October 02, 2006PECOS Enrolled
17 E MAIN ST STE 100, PENSACOLA, FL 32502(850) 473-0990(850) 473-0790 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 15, 2023, Jun 18, 2020, May 26, 2017 (3 updates tracked since 2017).

About Dr. James Randall Patrinely M.d. NPPES

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

DR. JAMES RANDALL PATRINELY M.D. (NPI 1932292935) is an individual ophthalmic plastic and reconstructive surgery provider in Pensacola, Florida, licensed in Florida (ME49837) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of Vanderbilt University School Of Medicine (1980).

NPPES Registry Identity

NPI1932292935
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameDR. JAMES RANDALL PATRINELYCredential: M.D.
Location Address17 E MAIN ST STE 100Pensacola, FL 32502-5998
Mailing Address17 E Main St Ste 100Pensacola, FL 32502-5998 · (850) 473-0990 · Fax (850) 473-0790
Phone(850) 473-0990
Fax(850) 473-0790
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 1980
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1932292935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in FL · ME49837
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
17 E MAIN ST STE 100, Pensacola, FL 32502
Open in Google Maps ↗

Other Identifiers 5

Other1629161633FL · Group Npi
Other0043BMTX · Medicare Group
Other1235222167TX · Group Npi
Other1932292935Individual Npi
Other85060FTX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL).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 Randall Patrinely M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577584689
PECOS Enrollment IDI20100910000540, I20100915000722
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 Patrinely reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plastic Eye Surgery Associates P A
Same address
Legal Medicine
17 E MAIN ST, STE 100
Pensacola, FL 32502
  • Reassigned Medicare billing, Florida enrollment
NPI 1629161633 (850) 473-0990
Plastic Eye Surgery Associates, PLLC
494 mi
Ophthalmic Plastic and Reconstructive Surgery
3730 KIRBY DR, SUITE 900
Houston, TX 77098
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1235222167 (713) 795-0705

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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
61 services61 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
48 services48 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32502 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Patrinely's NPI number?

The NPI number for James Patrinely is 1932292935. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is James Patrinely located?

James Patrinely practices at 17 E Main St Ste 100, Pensacola, FL 32502. The listed phone number is (850) 473-0990.

What is James Patrinely's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is James Patrinely enrolled in Medicare?

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

Which organizations bill Medicare for James Patrinely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Patrinely reassigns Medicare benefits to 2 organizations: Plastic Eye Surgery Associates P A (Pensacola, FL) and Plastic Eye Surgery Associates, PLLC (Houston, 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 Patrinely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Patrinely accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Alabama and Florida Blue (BlueCross BlueShield FL) list James Patrinely 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 Patrinely affiliated with any hospitals?

According to CMS data, James Patrinely is affiliated with Baptist Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for James Patrinely was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.