NPPES file of Aug 9, 2026

James Fernandez, M.D.

Otolaryngology Physician · Granite City, IL

James Fernandez, M.D. is an otolaryngology physician with a practice address in Granite City, Illinois, and NPI 1528037280, issued on Mar 15, 2006. Check the license on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1528037280
Name
James Fernandez
Credential
M.D.
Primary taxonomy
Otolaryngology Physician 207Y00000X
License number
R6F41 MO
Self-reported in NPPES; status is on the state search
Practice location
2120 Madison Ave, Granite City, IL 62040
Phone
(618) 451-1800
Enumerated
Mar 15, 2006
Record last updated
Jan 23, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(618) 451-1526
Medicare enrollment
Enrolled (PECOS I20120530000356); accepts Medicare assignment
Medical or professional school
Saint Louis University School Of Medicine, 1981
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2120 Madison Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jeffrey Fierstein, M.D.Otolaryngology Physician1740259043
  2. Karl Gundersen, MDPsychiatry Physician1548362775
  3. Arif Habib, MDPsychiatry Physician1215912977

Verify James Fernandez in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional RegulationCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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49% fewer Medicare Part D claims than the average otolaryngology physician in 2024

274 Medicare Part D claims for 117 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D.

  1. James Fernandez274
  2. Specialty average541

Most prescribed

  1. Fluticasone Propionate91 claims
  2. Azelastine Hcl34 claims
  3. Mometasone Furoate30 claims
  4. Cefdinir28 claims
  5. Montelukast Sodium25 claims
  6. Azithromycin11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $36.58

2 payments; by number, the most common kind was food and beverage; the largest payer was Genzyme Corporation. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Fernandez$36.58
  2. Specialty average$1,922.50

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

2 hospitals and group practices

  1. Southern Illinois Health Care Foundation IncEast Alton, IL
  2. Touchette Regional Hospital IncSauget, IL · Acute Care Hospitals

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).

James Fernandez among 482 otolaryngology physician records in Illinois

James Fernandez, M.D. is one of 482 otolaryngology physician records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.

  • NPI issued2006 · 12% of these records are older, 56% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated1981 · median 2005 among the 290 with a school on file
  • Record last updated2008 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in Illinois

There are 482 otolaryngology physician records in Illinois.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Jeffrey Fierstein, M.D.Granite City, IL 620401740259043
  2. Ayham Alkarmi, MDEdwardsville, IL 620251194399139
  3. Philip Kannel, DOAlton, IL 620021134177728
  4. Harry Borovik, M.D.Mattoon, IL 619381780767681
  5. Lori Cudone, M.D.Mattoon, IL 619381003037169
  6. Sandra Ettema, M.D., PH.D.Mattoon, IL 619381760577902
  7. Mary Gorman, M.D.Mattoon, IL 619381063636041
  8. Anand Ponnappan, MDMattoon, IL 619381629124243

Common questions

What is James Fernandez, M.D.'s NPI number?

James Fernandez, M.D.'s National Provider Identifier (NPI) is 1528037280, issued on Mar 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James Fernandez, M.D. located?

The NPPES record lists a practice address at 2120 Madison Ave, Granite City, IL, 62040. Phone: (618) 451-1800. Providers update this record themselves, so call before visiting.

How can I verify James Fernandez, M.D.'s license?

Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Fernandez, M.D. prescribe under Medicare Part D?

In 2024, James Fernandez, M.D. had 274 Medicare Part D claims for 117 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.