2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1922362904 MD
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HALEIGH JAMES, MD

Endocrinology, Diabetes & Metabolism Physician in ST LOUIS PARK, Minnesota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 295 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
51%
generic claims · 49% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.3056/100
▲ 11 pts above national avg 83.1 · [object Object]
What the federal data reveals: HALEIGH JAMES, MD is a Endocrinology, Diabetes & Metabolism Physician ([object Object]) practicing in ST LOUIS PARK, Minnesota with a Medicare Part D prescribing footprint of 2K claims across 295 beneficiaries — 49% brand-name prescribing . Their CMS MIPS Final Score of 94.3056/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: HALEIGH JAMES, MD reported a CMS MIPS final score of 94.3056 out of 100, above the 83.1 national average, and filed 2,361 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HALEIGH JAMES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

HALEIGH JAMES, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/25/2012

NPI 1922362904

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

2,361 11% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

94.3056/100 11.205600000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Minnesota

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Minnesota providers

Minnesota providers

Endocrinology, Diabetes & Metabolism Physician share within Minnesota

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within Minnesota

Medicare quality performance — MIPS

HALEIGH JAMES, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

High performer (top quartile)
MIPS Final Score
94.3056/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 94.3056/100 vs national avg 83.1

0%100%National avg83%94.3%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 94.3056/100 vs national avg 83.1

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).

HALEIGH JAMES, MD is a Endocrinology, Diabetes & Metabolism Physician provider practicing in ST LOUIS PARK, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1922362904. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

HALEIGH JAMES, MD appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN, 55416, with a listed phone of (952) 993-3123. NPI 1922362904 was issued on 06/25/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JAMES most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,361 prescription claims written by this provider, covering 295 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 49% brand-name and 51% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.3056/100 for the 2023 performance year (Quality 85.5889), compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Provider Details

NPI 1922362904
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials MD
Gender Female
NPI Issued 06/25/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.3056
Final Score
Avg: 83.1
85.5889
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HALEIGH JAMES, MD 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.

PARK NICOLLET CLINIC
CHAMPLIN, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

HALEIGH JAMES, MD — brand share 49.0%
Specialty average (est.)

49% brand-name claims vs 51% generic, on 2,361 2023 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 2023.

2,361
Total Claims
$1.3M
Total Drug Cost
295
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,204
Total Day Supply
150,366
Brand vs Generic
49% brand / 51% generic
Brand Drug Cost
$1.3M
Generic Drug Cost
$33K

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
1.42
Gender Split
71% female / 29% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
301
Ozempic
Semaglutide
223
Metformin Hcl Er
Metformin Hcl
170
Jardiance
Empagliflozin
115
Tresiba Flextouch U-200
Insulin Degludec
87
Novolog Flexpen
Insulin Aspart
80
Methimazole
77
Hydrocortisone
73
Metformin Hcl
72
Tresiba Flextouch U-100
Insulin Degludec
63

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Endocrinology, Diabetes & Metabolism Physician Overview

How HALEIGH JAMES, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

HALEIGH JAMES, MD's 2,361 claims are below the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Minnesota

Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as JAMES.

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HALEIGH JAMES, MD's specialty?
HALEIGH JAMES, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in ST LOUIS PARK, Minnesota. Credentials: MD.
How much does HALEIGH JAMES, MD prescribe under Medicare Part D?
In 2023, HALEIGH JAMES, MD wrote 2,361 Medicare Part D claims totaling $1.3M in drug costs for 295 beneficiaries.
What is HALEIGH JAMES, MD's Medicare quality score?
HALEIGH JAMES, MD has a CMS MIPS Final Score of 94.3056/100 (Quality: 85.5889). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HALEIGH JAMES, MD located?
HALEIGH JAMES, MD is located at 3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN, 55416. Phone: (952) 993-3123.
What is HALEIGH JAMES, MD's NPI number?
HALEIGH JAMES, MD's National Provider Identifier (NPI) is 1922362904, issued on 06/25/2012.
Does HALEIGH JAMES, MD prescribe more brand-name or generic drugs?
HALEIGH JAMES, MD's prescribing is 49% brand-name and 51% generic drugs by claim count, with $1.3M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does HALEIGH JAMES, MD prescribe most often?
Based on 2023 Medicare Part D data, HALEIGH JAMES, MD's most frequently prescribed drugs include Levothyroxine Sodium, Ozempic, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HALEIGH JAMES, MD accept Medicare?
HALEIGH JAMES, MD appears in CMS Medicare data with 2,361 Part D claims and 295 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HALEIGH JAMES, MD's credentials?
HALEIGH JAMES, MD's NPI is 1922362904 with credentials MD. 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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