Medicare Enrolled

Dr. James Marcum, PA

Medical Physician Assistant · Daytona Beach, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
303 NORTH CLYDE MORRIS BL, Daytona Beach, FL 32114
3862542285
In practice since 2006 (19 years)
NPI: 1801811120 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Marcum from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Marcum? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Marcum

Dr. James Marcum is a medical physician assistant in Daytona Beach, FL, with 19 years in practice. Based on federal Medicare data, Dr. Marcum performed 4,169 Medicare services across 1,215 unique beneficiaries.

Between the years covered by Open Payments, Dr. Marcum received a total of $467 from 6 pharmaceutical and/or device companies across 11 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in medical physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Marcum is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ Top 4% volume in FL$ $467 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,169
Medicare services
Top 4% in FL for medical physician assistant
1,215
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~219 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Home visit, established patient, low complexity1,242$48$125
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes1,064$28$82
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes610$26$66
Nursing facility visit, low complexity568$49$103
Advance care planning consultation, first 30 min254$54$128
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)153$41$62
Home visit, established patient, moderate complexity119$84$133
Transitional care management services for problem of high complexity62$179$415
Annual wellness visit, follow-up53$107$198
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes44$87$144
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$467
Total received (2021-2024)
Avg $117/year across 4 years
Bottom 46% in FL for medical physician assistant
6
Companies
11
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$405 (86.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$62 (13.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$141
2023
$250
2022
$34
2021
$42

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Neurocrine Biosciences, Inc.
$254
Otsuka America Pharmaceutical, Inc.
$70
Astellas Pharma US Inc
$62
Sunovion Pharmaceuticals Inc.
$42
Teva Pharmaceuticals USA, Inc.
$21
Avanir Pharmaceuticals, Inc.
$18
Top 3 companies account for 82.6% of total payments
Associated products mentioned in payments ›
APTIOM · Austedo XR · INGREZZA · KYNMOBI · Nuedexta · Ongentys · REXULTI
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (87%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $11 per 100 Medicare services performed
Looking for a medical physician assistant in Daytona Beach?
Compare medical physician assistants in the Daytona Beach area by procedure volume, costs, and industry payment transparency.
Browse medical physician assistants nearby

Geographic Context

Medical Physician Assistants within 10 mi
82
Per 100K population
14.4
County median income
$66,581
Nearest hospital
HALIFAX HEALTH MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Marcum is a mixed practice specialist, with above-average Medicare volume (top 4% in FL), and low-engagement industry engagement, with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Marcum experienced with home visit, established patient, low complexity?
Based on Medicare claims data, Dr. Marcum performed 1,242 home visit, established patient, low complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Marcum receive payments from pharmaceutical companies?
Yes. Dr. Marcum received a total of $467 from 6 companies across 11 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Marcum's costs compare to other medical physician assistants in Daytona Beach?
Dr. Marcum's average Medicare payment per service is $44. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Marcum) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →