Active NPI 1194165886 Individual Practitioner Male Practitioner

James Clay

Surgery • Bemidji, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Clay is a certified Surgery practicing in Bemidji, MN. With approximately 13 years of clinical experience since graduating from Medical College Of Wisconsin in 2013, James Clay delivers high-quality medical care to the local community at 1300 ANNE ST NW.

James Clay maintains professional affiliations with Sanford Health Of Northern Minnesota, Department Of Health And Human Services Phs Ihs and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, subsequent hospital care with moderate levelof medical decision making, if using time, at least, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Anne St Nw

Bemidji, MN 56601

Telephone 2183335000

Associated Practice Facility / Clinic

🏢 Sanford Health Of Northern Minnesota Facility NPI 1801870191

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bemidji, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -8.4 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

10 Specialists

Practicing in Bemidji, MN (770 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clay (13 Years) 13 Yrs

Bemidji Specialty Average (21.4 Years) 21.4 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
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	56	55	$1386.93	$235.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	16	$218.18	$74.66
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	33	33	$1498.21	$100.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	29	$1161.71	$81.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$571.00	$164.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$121.00	$92.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$131.35	$46.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$165.00	$126.18
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$103.89	$62.53
76937 Ultrasonic guidance for blood vessel access	14	14	$71.00	$12.82
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$58.00	$16.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$1039.23	$170.22
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3096.00	$301.91
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1034.18	$151.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	34	$1348.69	$241.99
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	32	$1139.70	$86.83
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$87.71	$64.28
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	28	28	$58.00	$17.16
76937 Ultrasonic guidance for blood vessel access	27	27	$71.00	$13.40
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	25	25	$1466.80	$116.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$563.96	$169.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	17	$202.96	$77.14
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$3096.00	$306.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$133.29	$95.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$378.00	$126.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	53	53	$1308.39	$247.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	44	$1094.78	$73.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	18	$198.38	$69.50
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	35	35	$1407.29	$112.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$553.67	$193.07
99213 Established patient office or other outpatient visit, typically 15 minutes	28	22	$110.25	$65.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$128.86	$96.92
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	26	26	$58.00	$17.92
76937 Ultrasonic guidance for blood vessel access	24	24	$71.00	$13.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$192.90	$132.26
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$3096.00	$312.35
45380 Biopsy of large bowel using an endoscope	15	15	$1257.60	$92.91
43249 Balloon dilation of esophagus using an endoscope	13	11	$3212.31	$137.97
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$835.00	$99.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$118.91	$81.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	46	$1036.39	$80.56
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	46	46	$1276.72	$249.65
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	35	35	$1321.60	$138.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	19	$195.47	$70.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$200.60	$133.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$370.48	$133.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$111.27	$97.23
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$80.00	$64.47
45380 Biopsy of large bowel using an endoscope	17	17	$1197.35	$63.29
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$951.33	$176.05
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$948.92	$158.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$98.45	$75.20

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	77	34	$189.57	$71.34
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	37	$1273.00	$246.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	35	$993.61	$94.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$128.03	$78.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	29	$529.00	$202.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$167.29	$128.50
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	28	28	$1284.00	$114.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	24	$355.08	$136.84
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$73.91	$51.13
45380 Biopsy of large bowel using an endoscope	17	17	$1164.00	$81.82
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	15	$58.00	$18.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$35.36	$25.55
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$773.00	$113.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	65	65	$1273.00	$245.70
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	49	49	$1278.00	$100.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	27	$183.30	$70.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	42	$106.36	$76.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	42	$987.00	$77.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$155.84	$124.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$515.00	$196.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$348.33	$132.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	14	$265.06	$101.05
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$58.00	$49.64
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$58.00	$18.16
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2933.00	$325.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$513.00	$197.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1296.15	$252.08

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 64457

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Department Of Health And Human Services Phs Ihs

425 7th St Nw, Cass Lake, MN 566333360

Phone: 2183353200

Sanford Health Of Northern Minnesota

1611 Anne St Nw, Bemidji, MN 566015114

Phone: 2183335000

Sanford Health Of Northern Minnesota

1300 Anne St Nw, Bemidji, MN 566015103

Phone: 2183335000

Sanford Health Of Northern Minnesota

1233 34th St Nw, Bemidji, MN 566015112

Phone: 2183335522

Secondary Practice Locations

1000 N Oak Ave

Marshfield, WI 544495703

Phone: 7153875511

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kayla Mcclellan , AuD

Audiologist

NPI 1003392887

Doctor of Audiology

Deborah Steinbar , PA-C

Physician Assistant - Medical

NPI 1013230051

Physician Assistant (Certified)

Donna Shorter , PA-C

Physician Assistant

NPI 1013938232

Physician Assistant (Certified)

Dr. Benjamin Roy , MD

Surgery

NPI 1023076064

Doctor of Medicine (M.D.)

Kayla Kaiser , FNP-BC

Nurse Practitioner - Family

NPI 1023633096

Family Nurse Practitioner (Board Certified)

Dr. Rodney Will , MD

Internal Medicine

NPI 1033131628

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 27, 2018

Registered at 1300 ANNE ST NW, BEMIDJI, MN 56601 (Tel: 2183335000)

📍

Updated Business Mailing Address August 27, 2018

Registered at 1300 ANNE ST NW, BEMIDJI, MN 566015103 (Tel: 2183335000)

✅

NPI Profile Active June 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 27, 2013

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495703 (Tel: 7153875511)

📍

Updated Business Mailing Address June 27, 2013

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495703

👤

Provider Name / Credentials Updated June 27, 2013

Recorded as JAMES CLAY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 27, 2013

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: 1194165886

Entity Type:

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

Enumeration Date: June 27, 2013

Last Update: August 27, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1300 Anne St Nw

Bemidji, MN 566015103

Phone: 2183335000

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.