Active NPI 1073645883 Individual Practitioner Female Practitioner

Michelle Lynn James , PA-C

Physician Assistant • Beachwood, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michelle James, PA-C is a certified Physician Assistant practicing in Beachwood, OH. With approximately 20 years of clinical experience since completing medical education in 2006, Michelle James delivers high-quality medical care to the local community at 3401 ENTERPRISE PKWY.

Michelle James is affiliated with Retina Associates Of Cleveland, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of membrane of retina with removal of internal limiting membrane of retina, removal of eye fluid (vitreous) between the lens and retina, repair of detached retina and drainage of eye fluid between lens and retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3401 Enterprise Pkwy
Suite 300

Beachwood, OH 441227341

Telephone 2168315700

Fax 2168311959

Associated Practice Facility / Clinic

🏢 Aligned Health Center Beachwood, Llc Facility NPI 1962949750

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Beachwood, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +8.5 yrs vs City Avg

City Avg: 11.5 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

42 Specialists

Practicing in Beachwood, OH (5376 Statewide)

Telehealth Adoption Rate

11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. James (20 Years) 20 Yrs

Beachwood Specialty Average (11.5 Years) 11.5 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
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	57	56	$300.00	$141.51
67036 Removal of eye fluid (vitreous) between the lens and retina	28	28	$300.00	$112.78
67108 Repair of detached retina and drainage of eye fluid between lens and retina	20	20	$300.00	$149.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	33	33	$300.00	$146.02
67108 Repair of detached retina and drainage of eye fluid between lens and retina	19	18	$300.00	$151.95
67036 Removal of eye fluid (vitreous) between the lens and retina	18	18	$300.00	$114.23
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	16	16	$300.00	$170.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	73	71	$300.00	$148.29
67036 Removal of eye fluid (vitreous) between the lens and retina	42	40	$300.00	$113.95
67108 Repair of detached retina and drainage of eye fluid between lens and retina	29	29	$300.00	$154.49
67121 Removal of implant material from inside the eye	15	15	$300.00	$116.74
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	12	12	$300.00	$172.54
67040 Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser	12	12	$300.00	$125.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	34	34	$300.00	$150.83
67036 Removal of eye fluid (vitreous) between the lens and retina	28	28	$300.00	$117.97
67108 Repair of detached retina and drainage of eye fluid between lens and retina	17	17	$300.00	$156.95
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	11	11	$300.00	$175.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	51	50	$300.00	$153.03
67108 Repair of detached retina and drainage of eye fluid between lens and retina	22	22	$300.00	$159.62
67036 Removal of eye fluid (vitreous) between the lens and retina	20	19	$300.00	$119.23
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	18	16	$300.00	$178.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	49	49	$300.00	$149.24
67108 Repair of detached retina and drainage of eye fluid between lens and retina	28	27	$300.00	$160.54
67036 Removal of eye fluid (vitreous) between the lens and retina	25	25	$300.00	$120.25
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	15	13	$300.00	$179.13
67040 Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser	13	13	$300.00	$139.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	52	52	$300.00	$149.59
67036 Removal of eye fluid (vitreous) between the lens and retina	28	28	$300.00	$118.71
67108 Repair of detached retina and drainage of eye fluid between lens and retina	25	24	$300.00	$158.55
67121 Removal of implant material from inside the eye	14	14	$300.00	$119.78
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	13	13	$300.00	$166.09
67040 Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser	11	11	$300.00	$137.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	67	67	$300.00	$149.23
67108 Repair of detached retina and drainage of eye fluid between lens and retina	36	36	$300.00	$157.40
67036 Removal of eye fluid (vitreous) between the lens and retina	35	35	$300.00	$117.72
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	24	21	$300.00	$175.60
67040 Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser	15	15	$300.00	$136.58

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 1076518

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cert. Of Phys. Asst.

1076518

Commercial Insurance / Payer ID Driver's License

RP860991 (OH)

Hospital & Practice Group Affiliations

Retina Associates Of Cleveland, Inc.

4350 Crocker Rd, Westlake, OH 441458400

Phone: 4408350060

Retina Associates Of Cleveland, Inc.

24075 Commerce Park, Beachwood, OH 441225846

Phone: 2168315700

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Shawn Lewis , MD

Ophthalmology - Retina Specialist

NPI 1023336476

Doctor of Medicine (M.D.)

Leah Fulton , PA-C

Physician Assistant

NPI 1063865764

Physician Assistant (Certified)

Jennifer Peck , PA-C

Physician Assistant - Surgical

NPI 1154407757

Physician Assistant (Certified)

Karly Stevens , PA-C

Physician Assistant - Medical

NPI 1194446831

Physician Assistant (Certified)

Dr. Michael Novak , MD

Ophthalmology - Retina Specialist

NPI 1265437867

Doctor of Medicine (M.D.)

Dr. Lediana Goduni , MD

Ophthalmology - Retina Specialist

NPI 1366897621

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2014

Registered at 3401 ENTERPRISE PKWY, SUITE 300, BEACHWOOD, OH 441227341 (Tel: 2168315700)

📍

Updated Business Mailing Address December 03, 2014

Registered at 3401 ENTERPRISE PKWY, SUITE 300, BEACHWOOD, OH 441227341 (Tel: 2168315700)

👤

Provider Name / Credentials Updated December 03, 2014

Recorded as MICHELLE JAMES, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2014

Physician Assistant (License #1076518 in OH)

🟢

Initial NPI Registration & Enumeration March 09, 2007

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: 1073645883

Entity Type:

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

Enumeration Date: March 09, 2007

Last Update: December 03, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3401 Enterprise Pkwy, Suite 300

Beachwood, OH 441227341

Phone: 2168315700

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.