James Michael Elia, M.D.
NPI 1154480671ActiveIndividual· Family Medicine· Lancaster, PA
Family Medicine (M.D.) in Lancaster, Pennsylvania, trained at State University of Ny Upstate Medical University (class of 1994). Their prescriptions cost Medicare Part D more than their services did: $567,845 for 7,639 claims, against $59,782 paid for services in 2024. Astrazeneca Pharmaceuticals LP reported $136.55 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1154480671 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 8, 2006 |
| Last updated in NPPES | Mar 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD064125L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 200 |
|---|---|
| Services billed | 1,281 across 39 procedure codes |
| Paid by Medicare | $59,782 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,639 · 16,452 30-day fills |
|---|---|
| Patients | 429 |
| Total drug cost | $567,845 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | State University of Ny Upstate Medical University |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Wellspan Medical GroupEphrata, PA · 2,480 clinicians
Hospital affiliations
- Lancaster General HospitalLancaster, PA
- Upmc LititzLititz, PA
- Wellspan Ephrata Community HospitalEphrata, PA
- Wellspan Good Samaritan HospitalLebanon, PA
- Wellspan York HospitalYork, PA
Industry payments (Open Payments)
- 2025$136.55 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $136.55 | 2 |
What the 2025 payments were for
- Food and Beverage$124.99 · 1 payment
- Education$11.56 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 273 family medicine physicians in Lancaster · All family medicine physicians in Pennsylvania