Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. James E Fleming Jr., MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1952326159

Dr. James E Fleming Jr., MD practises Orthopedic Surgery in Chillicothe, Ohio. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1989, 37 years ago. Practices with Adena Medical Group LLC, a 377-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
37
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone: (740) 779-4598
Fax: (740) 779-4599
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence 35.062236 (OH)

Record details

NPI number1952326159
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1989 (37 years in practice)
Group practice Adena Medical Group Llc — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Spinal fusion 55 times · 58th percentile
Laminectomy or laminotomy (partial removal of spine bones) 22 times · 51st percentile
Removal of tissue 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients137
Services billed 337 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Consulting Fee $6,300 1 payment
Food and Beverage $755 9 payments · a meal or drink at a meeting or visit, not a fee
Travel and Lodging $537 3 payments · travel or lodging paid or reimbursed, such as to attend a conference

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Adena Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 377 clinicians in the practice; 12 are shown here.