James Daniel Fondren, M.D.
NPI 1598781213ActiveIndividual· Internal Medicine· Newport Beach, CA
Internal Medicine (M.D.) in Newport Beach, California, trained at University of Southern California Keck School of Medicine (class of 1995). Their prescriptions cost Medicare Part D more than their services did: $590,144 for 4,918 claims, against $91,720 paid for services in 2024. Abbvie Inc. was the largest of 2 companies reporting payments in 2025, $68.84 in all, mostly food and beverage.
Overview
| NPI | 1598781213 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Jul 21, 2021 |
| Certified by provider | Jul 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A60586 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 13,559 across 30 procedure codes |
| Paid by Medicare | $91,720 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,918 · 9,975 30-day fills |
|---|---|
| Patients | 244 |
| Total drug cost | $590,144 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | University of Southern California Keck School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Internal Medicine |
Hospital affiliation
- Hoag Memorial Hospital PresbyterianNewport Beach, CA
Other facilities
- All Linked Home Health, IncHome health agency · Van Nuys, CA
- Allied Home Health Care CorporationHome health agency · Chino, CA
- Hoag Home HealthHome health agency · Newport Beach, CA
- Wellness Care Home Health LLCHome health agency · Santa Ana, CA
- Lucent HospiceHospice · Huntington Beach, CA
Industry payments (Open Payments)
- 2025$68.84 · 3 payments from 2 companies
- 2024$197.84 · 9 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $45.19 | 2 |
| Lilly USA, LLC | $23.65 | 1 |
What the 2025 payments were for
- Food and Beverage$68.84 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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