Dr James M Grimes, MD - Medicare Orthopedic Surgery in Saint Augustine, FL

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Dr James M Grimes, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Saint Augustine, Florida. He went to Northeastern Ohio University College Of Medicine and graduated in 1990 and has 36 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Lake Area Physical Therapy Inc., James M Grimes Orthopaedics Llc, Ability Health Services, Inc, Ability Health Services And Rehabilitation Lp and his current practice location is 1301 Plantation Island Dr S Ste 106a, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 814-8365.

Dr James M Grimes is licensed to practice in Florida (license number ME68197) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1689644833.

Contact Information

Dr James M Grimes, MD
1301 Plantation Island Dr S Ste 106a,
Saint Augustine, FL 32080-3109
(904) 814-8365
(904) 217-3224

Map and Direction




Physician's Profile

Full NameDr James M Grimes
GenderMale
SpecialityOrthopedic Surgery
Experience36 Years
Location1301 Plantation Island Dr S Ste 106a, Saint Augustine, Florida
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James M Grimes attended and graduated from Northeastern Ohio University College Of Medicine in 1990
  NPI Data:
  • NPI Number: 1689644833
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 04/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436173788
  • Enrollment ID: I20091214000582

Medical Identifiers

Medical identifiers for Dr James M Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689644833NPI-NPPES
1174540001OtherFLDMERC
1174540001OtherFLCIGNA GOVT SVCS DMERC
OV803OtherFLMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery ME68197 (Florida)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine ME68197 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeGainesville, FLHome health agency
Pinnacle Home Care Of The Villages IncFruitland park, FLHome health agency
Brooks Rehabilitation Home HealthPalatka, FLHome health agency
Putnam Community Medical CenterPalatka, FLHospital
Flagler HospitalSaint augustine, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Area Physical Therapy Inc.3678604840252
James M Grimes Orthopaedics Llc37799765844
Ability Health Services, Inc4082523329896
Ability Health Services And Rehabilitation Lp4981986288904

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James M Grimes allows following entities to bill medicare on his behalf.
Entity NameFlagler Professional Health Care Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871131573
PECOS PAC ID: 4082973953
Enrollment ID: O20200407003184
Entity NameJames M Grimes Orthopaedics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598424699
PECOS PAC ID: 3779976584
Enrollment ID: O20220131000578

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James M Grimes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James M Grimes, MD
Po Box 3266,
St Augustine, FL 32085-3266

Ph: (904) 819-4602		Dr James M Grimes, MD
1301 Plantation Island Dr S Ste 106a,
Saint Augustine, FL 32080-3109

Ph: (904) 814-8365

Reviews and Comments


Orthopaedic Surgery Doctors in Saint Augustine, FL

Ahmed Saleh, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 45 Groover Loop Ste 201, Saint Augustine, FL 32086
Phone: 904-634-0640    Fax: 904-634-0203
Mr. Stefan L Stanescu, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 105 Southpark Blvd, Suite C300, Saint Augustine, FL 32086
Phone: 904-797-2663    Fax: 904-819-0997
Clay Vandenberg, OTA
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1 Orthopaedic Pl, Saint Augustine, FL 32086
Phone: 904-825-0540    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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