Courtney St James, M.D.
Opted out of Medicare from April 2026 to April 2028. Family Medicine (M.D.) with Ability Health Services and Rehabilitation LP and 1 other group, practicing in Sanford, Florida. Their prescriptions cost Medicare Part D more than their services did: $437,021 for 5,348 claims, against $126,615 paid for services in 2024. Novo Nordisk Inc was the largest of 12 companies reporting payments in 2024, $1,064 in all, mostly food and beverage. Lists Adventhealth Deland and 1 other hospital as hospital affiliations.
Overview
| NPI | 1366853202 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 14, 2014 |
| Last updated in NPPES | Jan 7, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | ME135836 | FL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2026 – Apr 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 234 |
|---|---|
| Services billed | 2,248 across 47 procedure codes |
| Paid by Medicare | $126,615 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,348 · 13,271 30-day fills |
|---|---|
| Patients | 445 |
| Total drug cost | $437,021 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Ability Health Services and Rehabilitation LPSanford, FL · 1,269 clinicians
- Ability Health Services, IncSanford, FL · 1,258 clinicians
Hospital affiliations
- Adventhealth DelandDeland, FL
- Adventhealth Fish MemorialOrange City, FL
Other facilities
- Trilogy Home HealthcareHome health agency · Jacksonville, FL
Industry payments (Open Payments)
- 2024$1,064 · 58 payments from 12 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $222.42 | 14 |
| Abbvie Inc. | $193.50 | 15 |
| Astellas Pharma US Inc | $141.99 | 3 |
| Astrazeneca Pharmaceuticals LP | $87.56 | 5 |
| Glaxosmithkline, LLC. | $81.35 | 4 |
What the 2024 payments were for
- Food and Beverage$964.86 · 57 payments
- Education$99.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 34 family medicine physicians in Sanford · All family medicine physicians in Florida