NPPES file of Aug 9, 2026

James Spain, MD

Infectious Disease Physician · Winter Park, FL

James Spain, MD is an infectious disease physician with a practice address in Winter Park, Florida, and NPI 1174987762, issued on Apr 8, 2016. Check the license (Florida ME156002, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174987762
Name
James Spain
Credential
MD
Primary taxonomy
Infectious Disease Physician 207RI0200X
License number
ME156002 FL
Self-reported in NPPES; status is on the state search
Practice location
185 N Lakemont Ave Ste B, Winter Park, FL 32792
Phone
(321) 422-3660
Enumerated
Apr 8, 2016
Record last updated
May 29, 2025
Fax
(407) 644-2981
Medicare enrollment
Enrolled (PECOS I20230410001936); accepts Medicare assignment
Medical or professional school
Eastern Virginia Medical School, 2016
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 185 N Lakemont Ave Ste B

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

  1. Mariko Caberto, ARNPInfectious Disease Physician1427555630
  2. Mariangela Canaan, MDInfectious Disease Physician1689876344
  3. Ronald Gonzales, MDInfectious Disease Physician1285693176
  4. Rita Nwanyanwu, M.DInfectious Disease Physician1952643330
  5. Archana Shah, M.D.Infectious Disease Physician1124096391

Verify James Spain in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME156002
    Check 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 Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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50% fewer Medicare Part D claims than the average infectious disease physician in 2024

342 Medicare Part D claims for 191 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims.

  1. James Spain342
  2. Specialty average689

Most prescribed

  1. Cefdinir34 claims
  2. Daptomycin33 claims
  3. Ciprofloxacin Hcl24 claims
  4. Amoxicillin-Clavulanate Potass21 claims
  5. Doxycycline Hyclate19 claims
  6. Levofloxacin19 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.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $98.88

1 payment: food and beverage; the largest payer was Shionogi Inc. The 3,895 providers of this specialty with any payment received $4,362.19 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Spain$98.88
  2. Specialty average$4,362.19

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

Bills Medicare through one group practice

  1. Premier Infectious Disease Care LLCWinter Park, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Spain among 760 infectious disease physician records in Florida

James Spain, MD is one of 760 infectious disease physician records with a practice address in Florida. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 86% of them.

  • NPI issued2016 · 86% of these records are older, 11% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 77% of these records are
  • Graduated2016 · median 2001 among the 581 with a school on file
  • Record last updated2025 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Infectious Disease Physician providers in Florida

There are 760 infectious disease physician records in Florida.

The 8 infectious disease physician records with the nearest ZIP codes

  1. Mariko Caberto, ARNPWinter Park, FL 327921427555630
  2. Mariangela Canaan, MDWinter Park, FL 327921689876344
  3. Ronald Gonzales, MDWinter Park, FL 327921285693176
  4. Rita Nwanyanwu, M.DWinter Park, FL 327921952643330
  5. Archana Shah, M.D.Winter Park, FL 327921124096391
  6. Phillip Sanchez, M.D.Winter Park, FL 327891124097266
  7. Vincent Spoto, M.D.Winter Park, FL 327891033160718
  8. Javier Tello, M.D.Winter Park, FL 327891518917251

Common questions

What is James Spain, MD's NPI number?

James Spain, MD's National Provider Identifier (NPI) is 1174987762, issued on Apr 8, 2016. An NPI identifies a provider in billing; it is not a license.

Where is James Spain, MD located?

The NPPES record lists a practice address at 185 N Lakemont Ave Ste B, Winter Park, FL, 32792. Phone: (321) 422-3660. Providers update this record themselves, so call before visiting.

How can I verify James Spain, MD's license?

NPPES lists Florida license number ME156002, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Spain, MD prescribe under Medicare Part D?

In 2024, James Spain, MD had 342 Medicare Part D claims for 191 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.

What is James Spain, MD's MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

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.