Medicare Enrolled

Dr. James Grimes, MD

Orthopedic Surgery · Saint Augustine, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1301 PLANTATION ISLAND DR S STE 106A, Saint Augustine, FL 32080
9048148365
In practice since 2006 (20 years)
NPI: 1689644833 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. Grimes 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 →
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What this data tells you about Dr. Grimes

Dr. James Grimes is an orthopedic surgery in Saint Augustine, FL, with 20 years in practice. Based on federal Medicare data, Dr. Grimes performed 1,777 Medicare services across 1,299 unique beneficiaries.

Between the years covered by Open Payments, Dr. Grimes received a total of $3,076 from 18 pharmaceutical and/or device companies across 71 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Grimes 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.

✓ 20 years in practice▲ Top 43% volume in FL$ $3,076 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,777
Medicare services
Top 43% in FL for orthopedic surgery
1,299
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~89 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
Office visit, established patient (20-29 min)353$68$222
Joint injection, major joint328$50$150
Dexamethasone injection (steroid)283$0$10
New patient office visit (30-44 min)265$79$257
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose107$57$178
X-ray of knee, 1-2 views101$28$91
Drug injection, under skin or into muscle65$9$35
Shoulder X-ray, 2+ views53$27$83
Initial hospital admission, high complexity40$127$499
X-ray of knee, 4 or more views36$31$109
New patient office visit (45-59 min)25$131$345
Injection, methylprednisolone sodium succinate, up to 125 mg23$4$19
Total hip replacement17$1,039$3,400
Office visit, established patient (30-39 min)16$81$312
Betamethasone steroid injection16$5$20
Partial replacement of thigh bone at hip joint with prosthesis14$885$2,964
Treatment of broken neck of thigh bone with bone implant12$994$3,025
Initial hospital admission, moderate complexity12$103$250
Total knee replacement11$935$3,500
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.
2.4% high complexity
46.3% medium
51.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,076
Total received (2018-2024)
Avg $513/year across 6 years
Bottom 38% in FL for orthopedic surgery
18
Companies
71
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
$3,076 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$142
2023
$1,925
2022
$402
2020
$65
2019
$157
2018
$384

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Arthrex, Inc.
$1,532
Zimmer Biomet Holdings, Inc.
$416
Bioventus LLC
$339
Stryker Corporation
$283
Pinnacle, Inc
$135
Allergan Inc.
$85
Pacira Pharmaceuticals Incorporated
$39
Curonix LLC
$33
Dynasplint Systems Inc.
$33
DePuy Synthes Sales Inc.
$28
Aroa Biosurgery Incorporated
$24
Embody, Inc.
$23
Heraeus Medical, LLC.
$23
KCI USA, Inc
$20
Sonex Health, Inc.
$18
KCI USA, Inc.
$16
Smith+Nephew, Inc.
$16
HERAEUS MEDICAL, LLC.
$12
Top 3 companies account for 74.4% of total payments
Associated products mentioned in payments ›
ACTIV.A.C. · ALPHAVENT · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · Dynasplint · Exogen · Exparel · GAMMA · GELSYN 3 · LINZESS · MAKO · MONOVISC · OASIS · OMEGA · PALACOS · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PREVENA · Persona Revision · ROSA · SUPARTZ FX SODIUM HYALURONATE · SX-ONE MICROKNIFE · Supartz · T2 ALPHA · VRAYLAR
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $173 per 100 Medicare services performed
Looking for a orthopedic surgery in Saint Augustine?
Compare orthopedic surgerys in the Saint Augustine area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic Surgerys within 10 mi
24
Per 100K population
8.2
County median income
$106,169
Nearest hospital
FLAGLER HOSPITAL
5.7 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. Grimes is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement, with 20 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. Grimes experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Grimes performed 353 office visit, established patient (20-29 min) 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. Grimes receive payments from pharmaceutical companies?
Yes. Dr. Grimes received a total of $3,076 from 18 companies across 71 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. Grimes's costs compare to other orthopedic surgerys in Saint Augustine?
Dr. Grimes's average Medicare payment per service is $77. 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. Grimes) 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 →