Active NPI 1053422006 Individual Practitioner Male Practitioner

Dr. James M Learner , DO

Internal Medicine • Milford, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Learner, DO is a certified Internal Medicine practicing in Milford, MI. With approximately 47 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1979, Dr. Learner delivers high-quality medical care to the local community at 1435 N MILFORD RD.

Dr. Learner is affiliated with Henry Ford Health Providence Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1435 N Milford Rd
Ste 101

Milford, MI 483811032

Telephone 2486859780

Fax 2486842251

Associated Practice Facility / Clinic

🏢 Oakland Internal Medicine Associates Pc Facility NPI 1730281197

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Milford, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +17.2 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

6 Specialists

Practicing in Milford, MI (6010 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Learner (47 Years) 47 Yrs

Milford Specialty Average (29.8 Years) 29.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	594	288	$129.34	$96.16
99213 Established patient office or other outpatient visit, typically 15 minutes	107	81	$86.28	$66.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	25	$15.00	$8.14

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	575	293	$128.03	$98.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	124	41	$100.00	$75.07
99213 Established patient office or other outpatient visit, typically 15 minutes	88	68	$90.93	$65.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	17	$288.00	$170.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	16	16	$15.00	$8.35
99239 Hospital discharge day management, more than 30 minutes	15	15	$195.00	$118.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$187.27	$143.16

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	643	319	$128.55	$99.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	186	63	$100.00	$73.31
99213 Established patient office or other outpatient visit, typically 15 minutes	70	60	$89.23	$67.89
99239 Hospital discharge day management, more than 30 minutes	33	30	$195.00	$105.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	29	$279.67	$199.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	26	$15.00	$8.55
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	22	$105.00	$52.61

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	760	359	$119.86	$102.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	72	$100.00	$73.93
99213 Established patient office or other outpatient visit, typically 15 minutes	60	50	$79.00	$69.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	31	$15.00	$8.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	28	$263.00	$208.34
99239 Hospital discharge day management, more than 30 minutes	20	19	$195.00	$110.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	17	$105.00	$54.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$169.09	$143.24

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	722	368	$103.86	$82.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	184	65	$100.00	$76.22
99213 Established patient office or other outpatient visit, typically 15 minutes	75	63	$71.80	$54.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	50	$263.00	$213.34
99239 Hospital discharge day management, more than 30 minutes	55	47	$195.00	$112.21
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	28	26	$15.00	$8.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$105.00	$55.65

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	750	319	$103.52	$80.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	224	101	$100.00	$75.04
99213 Established patient office or other outpatient visit, typically 15 minutes	142	105	$67.30	$53.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	87	13	$12.00	$9.57
99239 Hospital discharge day management, more than 30 minutes	73	66	$192.62	$109.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	68	$259.84	$202.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	40	37	$15.00	$8.86
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$206.81	$177.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	16	$105.00	$54.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$164.00	$135.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$139.77	$119.84

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	594	293	$102.74	$79.95
99213 Established patient office or other outpatient visit, typically 15 minutes	343	215	$67.75	$53.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	273	105	$100.00	$73.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	88	16	$12.00	$9.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	77	$256.00	$205.08
99239 Hospital discharge day management, more than 30 minutes	79	73	$189.00	$107.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$203.00	$170.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	31	$15.00	$8.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$105.00	$54.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$174.00	$141.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$164.00	$135.48

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	542	302	$101.29	$79.60
99213 Established patient office or other outpatient visit, typically 15 minutes	489	266	$66.36	$51.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	235	79	$100.00	$73.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	103	23	$13.02	$9.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	79	$256.00	$204.90
99239 Hospital discharge day management, more than 30 minutes	83	70	$189.00	$109.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	28	$15.00	$8.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$165.00	$134.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$105.00	$54.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$203.00	$172.28

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 1007690

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MI JL007690

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2802133 (MI)

Commercial Insurance / Payer ID Mcare

B2501 (MI)

Commercial Insurance / Payer ID Railroad Medicare

110053840 (MI)

Hospital & Practice Group Affiliations

Henry Ford Health Providence Hospital

16001 W 9 Mile Rd, Southfield, MI 480754818

Phone: 2484243000

Henry Ford Health Providence Hospital

16001 W 9 Mile Rd 3rd Floor, Southfield, MI 480754818

Phone: 2488496033

Henry Ford Health Providence Hospital

16001 W 9 Mile Rd 3rd Fl, Southfield, MI 480754818

Phone: 2488496033

Henry Ford Health Providence Hospital

1435 N Milford Rd, Milford, MI 483811015

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Garret Clark , MD

Internal Medicine

NPI 1023709151

Doctor of Medicine (M.D.)

Dr. Amanda Vivian , DO

Internal Medicine

NPI 1174935191

Doctor of Osteopathic Medicine (D.O.)

Dr. Tiffany Bassily , DO

Internal Medicine

NPI 1669736153

Doctor of Osteopathic Medicine (D.O.)

Dr. Anthony Joseph , MD

Surgery

NPI 1831298223

Doctor of Medicine (M.D.)

Dr. Jeffrey Herman , DO

Internal Medicine

NPI 1992807358

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 05, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2009

Registered at 1435 N MILFORD RD, STE 101, MILFORD, MI 483811032 (Tel: 2486859780)

📍

Updated Business Mailing Address August 05, 2009

Registered at 1435 N MILFORD RD, STE 101, MILFORD, MI 483811032 (Tel: 2486859780)

👤

Provider Name / Credentials Updated August 05, 2009

Recorded as JAMES LEARNER, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2009

Internal Medicine (License #1007690 in MI)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053422006

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: August 05, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1435 N Milford Rd, Ste 101

Milford, MI 483811032

Phone: 2486859780

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.