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JAMES E LEMIRE MD
NPI 1972580397
Family Medicine in Ocala, FL

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
9401 SW HIGHWAY 200, BUILDING 90, OCALA, FL 34481(352) 291-9459(352) 291-9465 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Apr 16, 2019 (2 updates tracked since 2019).

About James E Lemire Md NPPES

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

JAMES E LEMIRE MD (NPI 1972580397) is an individual family medicine provider in Ocala, Florida, licensed in Florida (ME0074505) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and is a graduate of Tulane University School Of Medicine (1976).

NPPES Registry Identity

NPI1972580397
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES E LEMIRECredential: MD
Location Address9401 SW HIGHWAY 200, BUILDING 90Ocala, FL 34481-9612
Mailing Address9401 Sw Highway 200 Ste 301Ocala, FL 34481-9648 · (352) 291-9459 · Fax (352) 291-9465
Phone(352) 291-9459
Fax(352) 291-9465
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1976
Enumeration DateDecember 28, 2005
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1972580397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0074505
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9401 SW HIGHWAY 200, Ocala, FL 34481
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Other Identifiers 2

Medicaid253316200FL
Other42519FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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 E Lemire Md 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 ID1850306093
PECOS Enrollment IDI20060209000394
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
182 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
161 services82 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
21 services16 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
20 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34481 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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
22%377 patients1/55-star benchmark: 92%
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
31%162 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%623 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
7%85 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
76%85 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
88%3,618 patients3/55-star benchmark: 100%
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.
93%384 patients4/55-star benchmark: 100%
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…
99%594 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
44%917 patients2/55-star benchmark: 96%
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: 73% · 783 patients
Patients tobacco: 69% · 783 patients
6%32 patients1/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
3%607 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 492 patients
6%492 patients3/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 64% · 58 patients
Patients physicalActivity: 66% · 58 patients
36%58 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims34 services$6.56 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 16

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

DR. EVAN PEDERSEN D.M.D.
Dentist (General Practice)
9401 SW HIGHWAY 200, SUITE 101
OCALA, FL 34481
Marion County (352) 873-2000
M & M REHAB INC
Prosthetic/Orthotic Supplier
9401 SW HIGHWAY 200, BLDG 400 SUITE 404
OCALA, FL 34481
Marion County (352) 873-0925
FAMILY INTERNAL MEDICINE OF OCALA
Specialist
9401 SW HIGHWAY 200, BUILDING 500, SUITE 502
OCALA, FL 34481
Marion County (352) 854-9991
INTERNAL MEDICINE ASSOCIATES OF OCALA PA
Internal Medicine
9401 SW HIGHWAY 200, BUILDING 500, SUITE 502
OCALA, FL 34481
Marion County (352) 732-9844
ADVANCED UROLOGY INSTITUTE, LLC
Durable Medical Equipment & Medical Supplies
9401 SW HIGHWAY 200, BLDG 3000 STE 3001
OCALA, FL 34481
Marion County (352) 351-2801
DR. GUNESHI RUKMALI DE MEL DMD
Dentist (General Practice)
9401 SW HIGHWAY 200, SUITE 101
OCALA, FL 34481
Marion County (352) 873-2000
MITTA PRIMARY CARE
Family Medicine
9401 SW HIGHWAY 200, BUILDING 700, SUITE 701
OCALA, FL 34481
Marion County (352) 873-0501
DONALD T. MCINTOSH, D.M.D., P.A.
Dentist (Periodontics)
9401 SW HIGHWAY 200, SUITE 301
OCALA, FL 34481
Marion County (352) 854-6663

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 Lemire's NPI number?

The NPI number for James Lemire is 1972580397. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is James Lemire located?

James Lemire practices at 9401 SW Highway 200 Building 90, Ocala, FL 34481. The listed phone number is (352) 291-9459.

What is James Lemire's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Lemire enrolled in Medicare?

Yes. James Lemire 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 Lemire accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare list James Lemire 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 Lemire affiliated with any hospitals?

According to CMS data, James Lemire is affiliated with Adventhealth Ocala.

When was this NPI record last updated?

The NPPES record for James Lemire was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.