Active NPI 1255341996 Individual Practitioner Male Practitioner

James R Thress , PA

Physician Assistant • Sarasota, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Thress, PA is a certified Physician Assistant practicing in Sarasota, FL. With approximately 24 years of clinical experience since completing medical education in 2002, James Thress delivers high-quality medical care to the local community at 1921 WALDEMERE ST STE 310.

James Thress is affiliated with Smh Physician Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1921 Waldemere St Ste 310

Sarasota, FL 342392941

Telephone 9419175400

Fax 9419175420

Associated Practice Facility / Clinic

🏢 Smh Physician Services Inc Facility NPI 1275022857

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sarasota, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +13.9 yrs vs City Avg

City Avg: 10.1 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

178 Specialists

Practicing in Sarasota, FL (10376 Statewide)

Telehealth Adoption Rate

3.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thress (24 Years) 24 Yrs

Sarasota Specialty Average (10.1 Years) 10.1 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	241	145	$148.00	$65.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	137	128	$283.00	$108.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	14	$86.00	$41.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$415.00	$143.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	4,080	18	$8.00	$4.07
99213 Established patient office or other outpatient visit, typically 15 minutes	392	319	$151.00	$75.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	134	95	$148.00	$65.77
81003 Automated urinalysis test	116	111	$6.00	$2.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	106	102	$283.00	$109.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	58	$86.00	$42.35
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	58	26	$67.00	$27.54
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$211.00	$70.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$219.00	$106.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	2,560	16	$8.00	$4.01
99213 Established patient office or other outpatient visit, typically 15 minutes	441	389	$151.00	$76.48
81003 Automated urinalysis test	220	209	$6.00	$2.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	168	90	$213.00	$86.56
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	123	20	$550.00	$172.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99	91	$283.00	$114.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	68	$148.00	$60.30
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	55	37	$67.00	$27.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$219.00	$107.61
51705 Removal of skin suture with change of bladder tube	25	12	$205.00	$82.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$415.00	$168.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	367	303	$151.00	$77.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	163	94	$148.00	$61.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	110	98	$283.00	$116.42
81003 Automated urinalysis test	92	88	$6.00	$2.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	82	65	$213.00	$88.11
51705 Removal of skin suture with change of bladder tube	32	15	$195.63	$82.90
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	15	$64.12	$27.10
51702 Simple insertion of temporary bladder tube	24	20	$234.00	$53.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$333.00	$143.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$219.00	$110.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$91.00	$30.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	282	227	$131.03	$64.06
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	195	18	$12.00	$3.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	163	96	$129.28	$62.62
81003 Automated urinalysis test	80	79	$6.00	$2.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	56	$255.43	$120.05
51720 Instillation of anti-cancer drug into bladder	50	23	$208.00	$71.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	37	$210.78	$90.26
51705 Removal of skin suture with change of bladder tube	42	18	$144.43	$81.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$213.81	$93.03
51702 Simple insertion of temporary bladder tube	23	19	$234.00	$52.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$402.58	$175.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$307.22	$141.77
51798 Ultrasound measurement of bladder capacity after voiding	16	16	$35.00	$10.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	557	280	$320.89	$88.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	322	166	$220.78	$62.07
99239 Hospital discharge day management, more than 30 minutes	230	216	$326.20	$90.90
99220 Hospital observation care, typically 70 minutes	138	135	$572.62	$158.32
99217 Hospital observation care on day of discharge	76	76	$226.37	$62.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	49	$628.63	$172.64
99226 Subsequent observation care, typically 35 minutes per day	38	37	$334.00	$89.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	512	259	$203.00	$89.16
99239 Hospital discharge day management, more than 30 minutes	167	158	$213.00	$91.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	144	85	$143.00	$62.28
99220 Hospital observation care, typically 70 minutes	57	56	$363.00	$159.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	36	$393.00	$173.67
99217 Hospital observation care on day of discharge	36	36	$143.00	$62.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	732	310	$209.00	$87.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	279	143	$149.36	$60.18
99239 Hospital discharge day management, more than 30 minutes	202	182	$215.00	$88.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	202	191	$413.00	$169.40
99226 Subsequent observation care, typically 35 minutes per day	88	60	$211.00	$87.57
99217 Hospital observation care on day of discharge	67	66	$146.00	$60.60
99220 Hospital observation care, typically 70 minutes	53	51	$376.00	$155.00
99238 Hospital discharge day management, 30 minutes or less	22	22	$157.73	$60.20

Medical Specialties & State Licenses

CMS Verified: 2020-01-24

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9106000

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License VA 0110002063

Definition to come...

Hospital & Practice Group Affiliations

Smh Physician Services Inc

2600 Laurel Rd E, Nokomis, FL 342753226

Phone: 9419174896

Smh Physician Services Inc

1921 Waldemere St, Sarasota, FL 342392941

Smh Physician Services Inc

1700 S Tamiami Trail, Sarasota, FL 342393509

Smh Physician Services Inc

1700 S Tamiami Trl, Sarasota, FL 342393509

Phone: 9419177760

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Francis Wren , MD

Urology

NPI 1184679581

Doctor of Medicine (M.D.)

Daniel Kaplon

Urology

NPI 1265651061

Dr. Kristin Baldea , MD

Urology

NPI 1265660393

Doctor of Medicine (M.D.)

Dr. Kenneth Bregg , MD

Urology

NPI 1588656904

Doctor of Medicine (M.D.)

Theresa Howard , APRN

Nurse Practitioner - Adult Health

NPI 1598548711

Advanced Practice Registered Nurse

Carlos Caballero , PA-C

Physician Assistant

NPI 1679939185

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 24, 2020

Registered at 1921 WALDEMERE ST STE 310, SARASOTA, FL 342392941 (Tel: 9419175400)

📍

Updated Business Mailing Address January 24, 2020

Registered at PO BOX 863407, ORLANDO, FL 328863407 (Tel: 9419172600)

✅

NPI Profile Active July 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2015

Registered at 1219 S EAST AVE, SUITE 301, SARASOTA, FL 342392340 (Tel: 8554332010)

📍

Updated Business Mailing Address July 10, 2015

Registered at 1219 S EAST AVE, SUITE 301, SARASOTA, FL 342392340 (Tel: 8554332010)

👤

Provider Name / Credentials Updated July 10, 2015

Recorded as JAMES THRESS, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2015

Physician Assistant (License #PA9106000 in FL)

🟢

Initial NPI Registration & Enumeration August 08, 2006

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: 1255341996

Entity Type:

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

Enumeration Date: August 08, 2006

Last Update: January 24, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 863407

Orlando, FL 328863407

Phone: 9419172600

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

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