NPI registry status
Active
2026 NPPES data Medical-Surgical Clinical Nurse Specialist NPI 1871586321 APRN-BC
Verify on CMS → Andrew James, APRN-BC
Medical-Surgical Clinical Nurse Specialist in Columbia, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 284 in Medical-Surgical Clinical Nurse Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
670
Medicare Part D claims · 183 beneficiaries · Medical-Surgical Clinical Nurse Specialist avg: 597
Generic prescribing
37%
generic claims · 54% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.8/100
▲ 1 pts above national avg 83.5 · Above neutral
Industry payments
$7.1K
37 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Andrew James, APRN-BC reported a CMS MIPS final score of 84.8/100 - above the 83.5 national average - and filed 670 Medicare Part D claims in 2024.
- 84.8/100
- MIPS score · +1 vs avg
- 670
- Part D claims, 2024
- 37%
- generic prescribing
- $7.1K
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Andrew James, APRN-BC
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1871586321), first enumerated 08/30/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 670 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 84.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$7.1K in reported industry payments (37 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1871586321 · Medical-Surgical Clinical Nurse Specialist
NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1871586321
- ENUM-LEGACY 2005
- TAX-TRACE 284
- MIPS-INLINE 84.8/100
- RX-LIGHT 670
- BOOK-THIN 21 in Missouri
- PHOTO-FINISH Patricia Bozeman, APRN · ±0.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ashley Davila, C…
Ashley Davila, C.N.S.
83.4 MIPS pts
- Patricia Bozeman…
Patricia Bozeman, APRN
84.5 MIPS pts
- James · this pro…
James · this provider
84.8 MIPS pts
- Angela Flinn · n…
Angela Flinn
85.5 MIPS pts
- Tracy Houle, APR…
Tracy Houle, APRN
87.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Andrew James, APRN-BC's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
85 ≥ 42nd percentile 42% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Andrew James, APRN-BC sits
This provider among medical-surgical clinical nurse specialist peers
Across the 15 medical-surgical clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew James, APRN-BC writes more Part D claims than 67% of them and scores higher on MIPS quality than 40% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one medical-surgical clinical nurse specialist peer from a representative sample of 14; the gold marker is Andrew James, APRN-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Andrew James, APRN-BC?
Near national averagePrimary specialty
Medical-Surgical Clinical Nurse Specialist
Medicare Part D claims
670 12% vs specialty avg
MIPS final score
84.8/100 1.3 pts vs avg
Specialty distribution in Missouri
How Medical-Surgical Clinical Nurse Specialist compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Andrew James, APRN-BC's 2023 MIPS final score plotted against the Medical-Surgical Clinical Nurse Specialist national average
- MIPS Final Score
- 84.8/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1871586321 |
|---|---|
| Specialty | Medical-Surgical Clinical Nurse Specialist |
| Credentials | APRN-BC |
| Gender | Male |
| NPI Issued | 08/30/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.7546
Final Score
Measured-score avg: 83.5
76.682
Cost
85
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Andrew James, APRN-BC bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Columbia Orthopaedic Group LLP
Columbia, MO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Andrew James, APRN-BC. Source: openpaymentsdata.cms.gov.
Total received
$7.1K
Largest payer
Amgen Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Brand-heavy
Andrew James, APRN-BC - brand share 54.0%
Medical-Surgical Clinical Nurse Specialist average
54% brand-name claims vs 37% generic, on 670 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
670
Total Claims
$1.0M
Total Drug Cost
183
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,490.367
- Total Day Supply
- 44,444
- Brand vs Generic
- 54% brand / 37% generic
- Brand Drug Cost
- $912K
- Generic Drug Cost
- $101K
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 79% female / 21% male
- Age Distribution
- <65: 11, 65-74: 92, 75-84: 69, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Andrew James, APRN-BC prescribes most
Top Medicare Part D drugs by claim count, 2024
- Tymlos
Tymlos
191 claims
- Alendronate Sodium
Alendronate Sodium
170 claims
- Prolia
Prolia
81 claims
- Teriparatide 53
Teriparatide
53 claims
- Evenity (2 Syringes) 33
Evenity (2 Syringes)
33 claims
- Forteo 32
Forteo
32 claims
- Ultra-Fine Short P… 26
Ultra-Fine Short Pen Needle
26 claims
- Baclofen 17
Baclofen
17 claims
| Drug | Claims |
|---|---|
| Tymlos Abaloparatide | 191 |
| Alendronate Sodium | 170 |
| Prolia Denosumab | 81 |
| Teriparatide | 53 |
| Evenity (2 Syringes) Romosozumab-Aqqg | 33 |
| Forteo Teriparatide | 32 |
| Ultra-Fine Short Pen Needle Pen Needle, Diabetic | 26 |
| Baclofen | 17 |
| Unifine Pentips Plus Pen Needle, Diabetic | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Medical-Surgical Clinical Nurse Specialist in MO →
All providers in Missouri →
Compare specialties →
Medical-Surgical Clinical Nurse Specialist Overview
How Andrew James, APRN-BC fits within the Medical-Surgical Clinical Nurse Specialist landscape nationally.
284
Medical-Surgical Clinical Nurse Specialist Providers in US
39
States with Medical-Surgical Clinical Nurse Specialist
597
Avg Claims per Provider
Andrew James, APRN-BC's 670 claims are above the specialty average of 597.
Nationwide Medical-Surgical Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for James, both outside Missouri so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (84.8 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Medical-Surgical Clinical Nurse Specialist Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as James.
One of 21 Medical-Surgical Clinical Nurse Specialist providers enrolled in Missouri, 5 are shown here.
Marcia Beck
APRN, BC
Kansas City, MO
Debra Buback
RN, MSN, ANP
Saint Louis, MO
Lavonne Burrows
RN BC M-SCNS
Branson, MO
Janice Dennis
RN, BC, M-SCNS
Kansas City, MO
Mary Dorsey
APN-BC
Saint Louis, MO
Compare Medical-Surgical Clinical Nurse Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Andrew James, APRN-BC's specialty? ▼
Andrew James, APRN-BC specializes in Medical-Surgical Clinical Nurse Specialist and practices in Columbia, Missouri. Credentials: APRN-BC.
How much does Andrew James, APRN-BC prescribe under Medicare Part D? ▼
In 2024, Andrew James, APRN-BC wrote 670 Medicare Part D claims totaling $1.0M in drug costs for 183 beneficiaries.
What is Andrew James, APRN-BC's Medicare quality score? ▼
Andrew James, APRN-BC has a CMS MIPS Final Score of 84.8/100, Cost: 76.7. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew James, APRN-BC located? ▼
Andrew James, APRN-BC is located at 1 S KEENE ST, Columbia, MO, 65201. Phone: (573) 443-2402.
What is Andrew James, APRN-BC's NPI number? ▼
Andrew James, APRN-BC's National Provider Identifier (NPI) is 1871586321, issued on 08/30/2005.
Does Andrew James, APRN-BC prescribe more brand-name or generic drugs? ▼
Andrew James, APRN-BC's prescribing is 54% brand-name and 37% generic drugs by claim count, with $912K in brand drug costs.
How many Medical-Surgical Clinical Nurse Specialist providers are there in the US? ▼
There are 284 Medical-Surgical Clinical Nurse Specialist providers across 39 states in the US. The average Medical-Surgical Clinical Nurse Specialist provider writes 597 Medicare Part D claims per year.
What drugs does Andrew James, APRN-BC prescribe most often? ▼
Based on 2024 Medicare Part D data, Andrew James, APRN-BC's most frequently prescribed drugs include Tymlos, Alendronate Sodium, Prolia. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrew James, APRN-BC accept Medicare? ▼
Andrew James, APRN-BC appears in CMS Medicare data with 670 Part D claims and 183 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew James, APRN-BC's credentials? ▼
Andrew James, APRN-BC's NPI is 1871586321 with credentials APRN-BC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.