Active NPI 1366842015 Individual Practitioner Male Practitioner

Dr. James Richard Gramling , DNP, CRNP

Nurse Practitioner • Birmingham, AL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Gramling, DNP, CRNP is a certified Nurse Practitioner practicing in Birmingham, AL. With approximately 12 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2014, Dr. Gramling delivers high-quality medical care to the local community at 5890 VALLEY RD STE 200.

Dr. Gramling is affiliated with Affinity Physician Services, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5890 Valley Rd Ste 200

Birmingham, AL 352358669

Telephone 2056557600

Associated Practice Facility / Clinic

🏢 Bhc - Trussville Facility NPI 1154385110

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Birmingham, AL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +2.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

311 Specialists

Practicing in Birmingham, AL (1475 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gramling (12 Years) 12 Yrs

Birmingham Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	99	$180.00	$68.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	60	$266.00	$99.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg	73	15	$4.00	$0.11
87804 Detection test by immunoassay with direct visual observation for influenza virus	52	26	$44.00	$16.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$282.00	$101.05
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	28	28	$182.00	$40.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	18	$60.00	$11.03
81003 Automated urinalysis test	18	15	$11.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$44.00	$16.20
99441 Telephone medical discussion with physician, 5-10 minutes	13	12	$57.00	$37.20
71046 X-ray of chest, 2 views	11	11	$77.00	$25.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	79	$266.00	$97.00
99213 Established patient office or other outpatient visit, typically 15 minutes	81	69	$180.00	$68.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	73	15	$4.00	$0.12
99441 Telephone medical discussion with physician, 5-10 minutes	59	52	$57.00	$43.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$282.00	$101.34
87804 Detection test by immunoassay with direct visual observation for influenza virus	35	17	$44.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	20	$60.00	$11.04
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	24	22	$164.67	$40.55
99442 Telephone medical discussion with physician, 11-20 minutes	15	14	$95.00	$70.90
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	11	$44.00	$16.20
71046 X-ray of chest, 2 views	13	13	$77.00	$25.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	152	115	$180.00	$72.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	94	$266.00	$102.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$282.00	$106.33
G0444 Annual depression screening, 5 to 15 minutes	59	59	$47.00	$14.69
81003 Automated urinalysis test	37	23	$11.00	$2.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$44.00	$16.37
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	21	20	$130.00	$39.03
99441 Telephone medical discussion with physician, 5-10 minutes	19	19	$57.00	$44.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	12	$60.00	$11.54
G0442 Annual alcohol misuse screening, 5 to 15 minutes	16	16	$47.00	$15.01
71046 X-ray of chest, 2 views	15	15	$77.00	$26.86
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$58.00	$11.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	178	33	$12.51	$0.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	111	$240.82	$106.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	86	61	$22.48	$11.24
J0696 Injection, ceftriaxone sodium, per 250 mg	77	20	$13.74	$0.52
71046 X-ray of chest, 2 views	68	46	$54.54	$20.13
99213 Established patient office or other outpatient visit, typically 15 minutes	56	56	$157.64	$73.60
J1885 Injection, ketorolac tromethamine, per 15 mg	51	24	$20.59	$0.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$323.79	$133.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$199.91	$92.33
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$32.16	$15.37
81003 Automated urinalysis test	26	24	$5.30	$2.25
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$134.29	$59.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$282.00	$108.85
G0442 Annual alcohol misuse screening, 5 to 15 minutes	18	18	$47.00	$15.03
G0444 Annual depression screening, 5 to 15 minutes	18	18	$47.00	$15.03
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$33.05	$16.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$115.31	$45.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	284	45	$25.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	162	$170.74	$86.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	118	74	$19.95	$11.04
J0696 Injection, ceftriaxone sodium, per 250 mg	112	28	$25.00	$0.56
87804 Detection test by immunoassay with direct visual observation for influenza virus	108	53	$33.46	$15.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$167.10	$85.81
J1885 Injection, ketorolac tromethamine, per 15 mg	77	29	$23.91	$0.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$275.54	$130.28
71046 X-ray of chest, 2 views	34	34	$48.75	$25.61
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$101.74	$60.21
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	29	27	$34.42	$16.35
81003 Automated urinalysis test	28	27	$10.07	$2.23
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$96.63	$58.04
36415 Insertion of needle into vein for collection of blood sample	15	15	$50.00	$2.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	329	45	$12.72	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	88	22	$24.77	$0.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	68	$31.43	$12.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	78	$164.31	$85.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$295.58	$124.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$164.34	$85.06
J1885 Injection, ketorolac tromethamine, per 15 mg	24	11	$22.92	$0.51
81002 Urinalysis, manual test	18	17	$17.00	$3.41
71046 X-ray of chest, 2 views	17	17	$68.68	$24.13
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$119.42	$60.16
81003 Automated urinalysis test	12	12	$7.54	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	412	68	$4.08	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	124	$194.69	$84.03
J0696 Injection, ceftriaxone sodium, per 250 mg	132	29	$5.21	$0.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	129	81	$60.26	$15.90
87804 Detection test by immunoassay with direct visual observation for influenza virus	88	45	$43.23	$15.85
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$135.00	$56.86
71046 X-ray of chest, 2 views	37	33	$62.30	$22.22
J1885 Injection, ketorolac tromethamine, per 15 mg	34	13	$11.18	$0.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$152.73	$80.85
36415 Insertion of needle into vein for collection of blood sample	20	18	$10.90	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$305.00	$129.02
81003 Automated urinalysis test	17	15	$10.71	$2.55
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$43.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	414	67	$4.00	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	212	45	$4.87	$0.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	118	$195.00	$83.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	141	73	$62.00	$18.59
99213 Established patient office or other outpatient visit, typically 15 minutes	56	47	$135.00	$56.77
87804 Detection test by immunoassay with direct visual observation for influenza virus	47	25	$43.00	$14.63
J1885 Injection, ketorolac tromethamine, per 15 mg	42	13	$9.14	$0.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$148.00	$84.48
71020 X-ray of chest, 2 views, front and side	28	23	$76.00	$19.28
36415 Insertion of needle into vein for collection of blood sample	18	14	$9.78	$2.94
81003 Automated urinalysis test	15	14	$10.00	$3.02
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$43.00	$14.63

Medical Specialties & State Licenses

CMS Verified: 2021-09-16

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1-082096

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Affinity Physician Services, Llc

5890 Valley Rd, Birmingham, AL 352358669

Phone: 2056557600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Jack Zaremba , MD

Internal Medicine

NPI 1104918309

Doctor of Medicine (M.D.)

Dr. Lora Pound , MD

Family Medicine

NPI 1154421709

Doctor of Medicine (M.D.)

Dr. Brandon Moore , DO

Internal Medicine

NPI 1194189357

Doctor of Osteopathic Medicine (D.O.)

Dr. Henry Coker , DO

Internal Medicine

NPI 1487159893

Doctor of Osteopathic Medicine (D.O.)

Dr. Lefferage Robbins , MD

Family Medicine

NPI 1740210244

Doctor of Medicine (M.D.)

Kaci Weaver

Nurse Practitioner - Acute Care

NPI 1740670280

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 16, 2021

Registered at 5890 VALLEY RD STE 200, BIRMINGHAM, AL 352358669 (Tel: 2056557600)

📍

Updated Business Mailing Address September 16, 2021

Registered at 5890 VALLEY RD STE 200, BIRMINGHAM, AL 352358669 (Tel: 2056557600)

👤

Provider Name / Credentials Updated September 16, 2021

Recorded as JAMES GRAMLING, DNP, CRNP

✅

NPI Profile Active March 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2016

Registered at 110 LEGACY PARK WAY, SPRINGVILLE, AL 351461206 (Tel: 2057191000)

📍

Updated Business Mailing Address March 17, 2016

Registered at 110 LEGACY PARK WAY, SPRINGVILLE, AL 351461206 (Tel: 2057191000)

👤

Provider Name / Credentials Updated March 17, 2016

Recorded as JAMES GRAMLING, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2016

Nurse Practitioner (License #1-082096 in AL)

🟢

Initial NPI Registration & Enumeration August 31, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366842015

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2014

Last Update: September 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5890 Valley Rd Ste 200

Birmingham, AL 352358669

Phone: 2056557600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.