Medicare Enrolled

Dr. James Lim, M.D.

Family Medicine · Irwin, PA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
905 SPRUCE ST, Irwin, PA 15642
7248649595
Registered in NPPES since 2007
NPI: 1326167883 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. Lim 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. Lim? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lim

Dr. James Lim is a family medicine specialist in Irwin, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lim performed 1,038 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Lim received a total of $97,026 from 46 pharmaceutical and/or device companies across 428 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Lim is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years of NPI registration ▲ Top 25% volume in PA $97,026 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,038
Medicare services
Top 25% in PA for family medicine
Not available
Unique patients (not deduplicated)
$123
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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.

Procedure Volume Avg. paid Avg. submitted
Definitive drug test using GC/MS or LC/MS
A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS.
409 $153 $369
Definitive drug test using GC/MS or LC/MS
A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS.
393 $112 $239
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
56 $82 $179
Drug screening test
A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample.
51 $61 $239
Behavioral health care management, 20+ minutes
This service involves clinical staff time directed by a healthcare professional to manage behavioral health conditions. It requires at least 20 minutes of dedicated clinical staff time.
29 $31 $140
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
28 $63 $225
Definitive drug test using GC/MS or LC/MS
A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS.
28 $242 $646
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
21 $85 $150
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
12 $126 $250
Annual depression screening 11 $18 $30
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$97,026
Total received (2018-2024)
Avg $13,861/year across 7 years
Top 0% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
428
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$72,819
2023
$537
2022
$495
2021
$2,835
2020
$7,256
2019
$11,651
2018
$1,432

Payments by company (2024)

Braeburn Inc.
$72,387
PFIZER INC.
$50
Amgen Inc.
$49
Indivior Inc.
$46
AstraZeneca Pharmaceuticals LP
$45
Astellas Pharma US Inc
$44
Phathom Pharmaceuticals, Inc.
$43
ABBVIE INC.
$43
Acella Pharmaceuticals, LLC
$19
GlaxoSmithKline, LLC.
$18
Exact Sciences Corporation
$16
Gilead Sciences, Inc.
$16
Novo Nordisk Inc
$15
Alkermes, Inc.
$15
Lilly USA, LLC
$14
Top 3 companies account for 99.5% of 2024 payments
All-time payments by company (2018-2024) ›
Braeburn Inc.
$72,387
Indivior Inc.
$19,338
Novo Nordisk Inc
$685
Pear Therapeutics (US), Inc.
$648
AbbVie, Inc.
$582
AbbVie Inc.
$427
Merck Sharp & Dohme Corporation
$217
Takeda Pharmaceuticals U.S.A., Inc.
$203
PFIZER INC.
$202
Kowa Pharmaceuticals America, Inc.
$185
Alkermes, Inc.
$182
Biohaven Pharmaceutical Holding Company Ltd.
$181
Lilly USA, LLC
$177
Janssen Pharmaceuticals, Inc
$166
GlaxoSmithKline, LLC.
$158
Orexo US, Inc.
$112
ABBVIE INC.
$106
Amgen Inc.
$96
Amarin Pharma Inc.
$95
Astellas Pharma US Inc
$78
SANOFI-AVENTIS U.S. LLC
$74
AstraZeneca Pharmaceuticals LP
$73
Exact Sciences Corporation
$69
Novartis Pharmaceuticals Corporation
$67
Seqirus USA Inc
$58
Phathom Pharmaceuticals, Inc.
$43
Boehringer Ingelheim Pharmaceuticals, Inc.
$40
Allergan Inc.
$40
Merck Sharp & Dohme LLC
$32
Sunovion Pharmaceuticals Inc.
$31
SANOFI PASTEUR INC.
$29
Synergy Pharmaceuticals Inc
$28
Otsuka America Pharmaceutical, Inc.
$25
Daiichi Sankyo Inc.
$19
Acella Pharmaceuticals, LLC
$19
Boston Scientific Corporation
$17
Gilead Sciences, Inc.
$16
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Currax Pharmaceuticals LLC
$15
Mylan Pharmaceuticals Inc.
$15
IDORSIA PHARMACEUTICALS US INC
$13
Bayer HealthCare Pharmaceuticals Inc.
$12
Scilex Pharmaceuticals Inc.
$12
Nuvectra Corporation
$12
Ironwood Pharmaceuticals, Inc
$12
ACADIA Pharmaceuticals Inc
$11
Top 3 companies account for 95.2% of all-time payments
Associated products mentioned in payments ›
APTIOM · AREXVY · Aimovig · Algovita · Amitiza · BASAGLAR · BREO · BREZTRI · BRIXADI · BYSTOLIC · CHANTIX · CONTRAVE · CREON · Cologuard Collection Kit · Creon · ENTRESTO · EUCRISA · Epclusa · FARXIGA · FLUBLOK QUADRIVALENT · FLUZONE HIGH-DOSE · Fluad · GEMTESA · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LANTUS · LINZESS · LYRICA · Linzess · Livalo · MAVYRET · MOUNJARO · MYRBETRIQ · Mavyret · Morphabond ER · NP Thyroid 60 · NUPLAZID · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · Prolia · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SIVEXTRO · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · SUBLOCADE · SYNTHROID · Symfi Lo · Synthroid · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · Trulance · UBRELVY · VIVITROL · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · Vivitrol 380 mg · WATCHMAN Access System · XARELTO · XIFAXAN · ZERBAXA · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zubsolv · reSET-O
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a family medicine specialist in Irwin?
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Geographic Context

Family medicine physicians in nearby ZIP areas
836
County median income
$72,468
Nearest hospital to ZIP centroid (approximate)
UPMC MCKEESPORT HOSPITAL
6.4 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Lim is a mixed practice specialist, with above-average Medicare volume (top 25% in PA), with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Lim experienced with definitive drug test using gc/ms or lc/ms?
Based on Medicare claims data, Dr. Lim performed 409 definitive drug test using gc/ms or lc/ms services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Lim receive payments from pharmaceutical companies?
Yes. Dr. Lim received a total of $97,026 from 46 companies across 428 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Lim's costs compare to other family medicine physicians in Irwin?
Dr. Lim's average Medicare payment per service is $123. 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. Lim) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →