James E. Fleming Jr., MD
Orthopaedic Surgery, Orthopaedic Surgery of the Spine (MD) in Chillicothe, Ohio, trained at Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University (class of 1989). 137 Medicare patients in 2024, $67,856 paid; nearly all of their 104 Part D prescriptions were generic (99%). Si-Bone, Inc. was the largest of 6 companies reporting payments in 2025, $7,593 in all, mostly consulting fees. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1952326159 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 12, 2006 |
| Last updated in NPPES | Jun 21, 2022 |
| Certified by provider | Jun 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | 35.062236 | OH |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Ohio, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | James E. Fleming · Internal Medicine | 1128a4 | Jun 19, 2003 | Bratenahl, OH |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| 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 - Orthopedic Surgery (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 137 |
|---|---|
| Services billed | 337 across 33 procedure codes |
| Paid by Medicare | $67,856 |
Part D prescriptions in 2024
| Prescriptions (claims) | 104 · 104 30-day fills |
|---|---|
| Patients | 75 |
| Total drug cost | $501.02 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Adena Medical Group LLCChillicothe, OH · 386 clinicians
Hospital affiliations
- Adena Fayette Medical CenterWashington Ch, OH
- Adena Regional Medical CenterChillicothe, OH
- Greenfield Area Medical CenterGreenfield, OH
Industry payments (Open Payments)
- 2025$7,593 · 13 payments from 6 companies
- 2024$7,243 · 18 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Si-Bone, Inc. | $7,131 | 7 |
| Depuy Synthes Sales Inc. | $170.73 | 2 |
| Boston Scientific Corporation | $133.59 | 1 |
| Lifenet Health | $89.46 | 1 |
| Abbott Laboratories | $48.00 | 1 |
What the 2025 payments were for
- Consulting Fee$6,300 · 1 payment
- Food and Beverage$755.18 · 9 payments
- Travel and Lodging$537.47 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records