James Desimone, M.D.
NPI 1164475448ActiveIndividual· Internal Medicine· Stafford, VA
Internal Medicine (M.D.) in Stafford, Virginia, trained at Virginia Commonwealth University, School of Medicine (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $101,068 for 1,101 claims, against $13,662 paid for services in 2024.
Overview
| NPI | 1164475448 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 18, 2006 |
| Last updated in NPPES | Dec 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 0101045756 | VA |
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 - Internal Medicine (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 199 across 7 procedure codes |
| Paid by Medicare | $13,662 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,101 · 2,077 30-day fills |
|---|---|
| Patients | 61 |
| Total drug cost | $101,068 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | Virginia Commonwealth University, School of Medicine |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Hospital affiliations
- Mary Washington HospitalFredericksburg, VA
- Stafford Hospital, LLCStafford, VA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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