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- 2823 Fresno St, Fresno, CA 93721
About Dr. Comes
Based in Fresno, CA, James A. Comes, MD is listed in the NPI registry under emergency medicine. James graduated from Perelman School of Med at the University of Pennsylvania in 1990. According to Medicare claims data, James cared for 105 Medicare patients across 106 services. The services billed most often include emergency department visit with high level of medical decision making and emergency department visit with moderate level of medical decision making. NPI 1669424412 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (559) 499-6440
- Email not available
Practice Locations
2823 FRESNO ST
Fresno, CA 93721
Conditions Commonly Evaluated or Treated
Within Emergency Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Abdomen & Digestion
- Appendicitis
- Lower gastrointestinal bleeding
- Vomiting or throwing up blood
Allergy & Immune
Allergy & Immunology
Bites & Stings
- Snake Bite or Venomous Sting
- Spider or insect sting reaction
Blood & Circulation
Brain & Nerves
- Delirium
- Fainting and syncope
- Seizure in Child
- Severe headache or sudden migraine
- Status epilepticus
- Stroke
- Transient ischemic attack
Breathing
- Choking or swallowed object
- Coughing up blood
- Severe asthma attack
- Shortness of breath
Digestion & Stomach
Ear, Nose & Throat
Endocrine & Metabolic
- Dangerous high blood sugar
- Dangerously low blood sugar
Environmental
Eye Care
- Open-globe eye injury
Eye Emergency
General Emergency
- Severe dehydration
- Uncontrolled bleeding
Heart & Chest
Heart & Circulation
Heart & Lungs
Infections & Illness
Injuries & Trauma
- Animal or dog bite
- Bone fractures
- Deep cut or wound
- Dislocated joint
- Severe burn
- Sprains and muscle strains
- Traumatic brain injury
Lungs & Breathing
Men's Health
Poisoning & Environmental
Poisoning & Toxins
Skin & Infections
- Skin abscess or boil
Spine & Back
Urinary & Bladder
- Inability to pee
Urinary & Kidney
Women's Health
- Ectopic pregnancy
- Heavy vaginal bleeding
Procedures & services
Abdominal Procedures
Airway & Breathing
Anesthesia & Sedation
Breathing & Airway
Critical Care
Diagnostics
- Lumbar puncture
- Rapid blood work
Digestive Care
Ear, Nose & Throat
- Nasal packing for nosebleed
Eye & ENT
- Eye-pressure measurement
- Foreign Object Removal from Eye
- Superficial foreign-body removal
Eye Care
Heart & Diagnostics
Heart Care
Imaging & Diagnostics
- Emergency CT scan
- Emergency MRI scan
- Emergency ultrasound
- Emergency X-ray
Injections & Vaccines
- Rabies shot series
- Tetanus shot
Kidney Care
- Emergency dialysis
Lung & Respiratory
Medications
- Emergency epinephrine injection
- IV medication for severe nausea
- IV medication for severe pain
Mental Health
- Emergency psychiatric evaluation
Minor Procedures
- Fishhook or embedded splinter removal
- Incision and drainage of an abscess
- Nasal cautery for nosebleeds
- Tick Removal
- Urinary catheter insertion
Minor Trauma
- Stuck ring removal
Orthopedic Procedures
Orthopedics
- Popping a dislocated joint back in place
- Splinting and temporary casting
Poisoning & Toxicology
- Antivenom treatment
Specialized Care
- Sexual assault forensic exam
Stroke & Vascular
- Clot busting medication for stroke
Supportive Care
Toxicology
- Narcan overdose reversal
- Stomach pumping or activated charcoal
Women's Health
- Emergency pelvic exam
Wound Care
- Burn dressing and care
- Skin glue for cuts
- Stitches and Laceration Repair
- Wound cleaning and debridement
- Wound stapling
Procedures Most Often Billed to Medicare
106 services · 105 patients · 2 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Emergency department visit with high level of medical decision making | Office visit | 99285 |
77 | Less often than most peers in Emergency Medicine |
| Emergency department visit with moderate level of medical decision making | Office visit | 99284 |
29 | Less often than most peers in Emergency Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other emergency physicians at this location 5
Same specialty, same street address — most likely the same department or group.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other emergency physicians in Fresno 4
Same specialty, same city.
More connections — 16 related providers in 2 groups
Trained at Perelman School of Med at the University of Pennsylvania 8
Other providers in the same specialty who trained at the same institution.
Class of 1990 at Perelman School of Med at the University of Pennsylvania 8
Providers who graduated from the same medical school in the same year.
Common questions
What is Dr. Comes's specialty?
Dr. Comes is an emergency physician in Fresno, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Emergency Medicine”.
NPI registry
Where can I find Dr. Comes?
Dr. Comes is listed at 2823 Fresno St, Fresno, CA 93721. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Dr. Comes?
The number on file is (559) 499-6440. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Dr. Comes's NPI number?
Dr. Comes's National Provider Identifier is 1669424412. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Dr. Comes's medical education?
Dr. Comes attended Perelman School of Med at the University of Pennsylvania, graduating in 1990. This comes from the CMS National Downloadable File.
CMS public data
How long has Dr. Comes been practicing?
Dr. Comes has 36 years experience. Calculated from a graduation year of 1990, reported in the CMS National Downloadable File.
CMS public data
What is Dr. Comes known for?
According to Medicare billing data, Dr. Comes the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Dr. Comes confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Comes. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.