James Eldon Lean, MD
NPI 1003913112ActiveIndividual· Psychiatry & Neurology, Psychiatry· La Crosse, WI
Psychiatry & Neurology, Psychiatry (MD) in La Crosse, Wisconsin, trained at Creighton University School of Medicine (class of 1990). Their prescriptions cost Medicare Part D more than their services did: $1,054,561 for 4,398 claims, against $19,910 paid for services in 2024. Neurocrine Biosciences, Inc. was the largest of 3 companies reporting payments in 2025, $509.89 in all, mostly food and beverage.
Overview
| NPI | 1003913112 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Jan 7, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 35461 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 474 across 12 procedure codes |
| Paid by Medicare | $19,910 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,398 · 5,896 30-day fills |
|---|---|
| Patients | 224 |
| Total drug cost | $1,054,561 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | Creighton University School of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Psychiatry |
| Telehealth | Offers telehealth |
Medical group
- Gundersen Lutheran Medical Center IncLa Crosse, WI · 895 clinicians
Hospital affiliation
- Gundersen Lutheran Medical CenterLa Crosse, WI
Industry payments (Open Payments)
- 2025$509.89 · 4 payments from 3 companies
- 2024$465.41 · 5 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $250.90 | 2 |
| E.R. Squibb & Sons, L.L.C. | $133.99 | 1 |
| Alkermes, Inc. | $125.00 | 1 |
What the 2025 payments were for
- Food and Beverage$509.89 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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