2026 NPPES data Obstetrics & Gynecology Physician NPI 1790751998 MD
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JAMES ALFORD, MD

Obstetrics & Gynecology Physician in MANSFIELD, Ohio. 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
118
Medicare Part D claims · 34 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.3083/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: JAMES ALFORD, MD is a Obstetrics & Gynecology Physician ([object Object]) practicing in MANSFIELD, Ohio with a Medicare Part D prescribing footprint of 118 claims across 34 beneficiaries — 24% brand-name prescribing . Their CMS MIPS Final Score of 81.3083/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JAMES ALFORD, MD reported a CMS MIPS final score of 81.3083 out of 100, below the 83.1 national average, and filed 118 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)

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

JAMES ALFORD, MD at a glance

Near national average

NPI registry status

Active

Issued 02/27/2006

NPI 1790751998

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

118 34% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

81.3083/100 1.7916999999999916% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Obstetrics & Gynecology Physician compares to other specialties among Ohio providers

Ohio providers

Obstetrics & Gynecology Physician share within Ohio

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within Ohio

Medicare quality performance — MIPS

JAMES ALFORD, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

Near national average
MIPS Final Score
81.3083/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 81.3083/100 vs national avg 83.1

0%100%National avg83%81.3%
MIPS final score (Obstetrics & Gynecology Physician) — 81.3083/100 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).

JAMES ALFORD, MD is a Obstetrics & Gynecology Physician provider practicing in MANSFIELD, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1790751998. 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.

JAMES ALFORD, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at 770 BALGREEN DR, MANSFIELD, OH, 44906, with a listed phone of (419) 522-6800. NPI 1790751998 was issued on 02/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALFORD 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 118 prescription claims written by this provider, covering 34 Medicare beneficiaries and totaling roughly $52K in drug spend, split 24% brand-name and 76% generic by claim count, with an opioid prescribing rate of 11.0%. 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 81.3083/100 for the 2023 performance year (Quality 73.5834, Cost 65.7777), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

770 BALGREEN DR
MANSFIELD, OH 44906

Provider Details

NPI 1790751998
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Male
NPI Issued 02/27/2006

CMS Quality Score (MIPS)

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

81.3083
Final Score
Avg: 83.1
73.5834
Quality
65.7777
Cost
98
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to JAMES ALFORD, MD. To verify JAMES ALFORD, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JAMES ALFORD, MD — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 118 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.

118
Total Claims
$52K
Total Drug Cost
34
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
150
Total Day Supply
3,798
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$48K
Generic Drug Cost
$4K
Opioid Claims
13 (11.0% rate)

Patient Demographics

Average Patient Age
68.1 years
Avg HCC Risk Score
0.86
Gender Split
100% female / 0% 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
Estradiol
31
Myrbetriq
Mirabegron
16

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

Obstetrics & Gynecology Physician Overview

How JAMES ALFORD, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

JAMES ALFORD, MD's 118 claims are below the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Ohio

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES ALFORD, MD's specialty?
JAMES ALFORD, MD specializes in Obstetrics & Gynecology Physician and practices in MANSFIELD, Ohio. Credentials: MD.
How much does JAMES ALFORD, MD prescribe under Medicare Part D?
In 2023, JAMES ALFORD, MD wrote 118 Medicare Part D claims totaling $52K in drug costs for 34 beneficiaries.
What is JAMES ALFORD, MD's Medicare quality score?
JAMES ALFORD, MD has a CMS MIPS Final Score of 81.3083/100 (Quality: 73.5834, Cost: 65.7777). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES ALFORD, MD located?
JAMES ALFORD, MD is located at 770 BALGREEN DR, MANSFIELD, OH, 44906. Phone: (419) 522-6800.
What is JAMES ALFORD, MD's NPI number?
JAMES ALFORD, MD's National Provider Identifier (NPI) is 1790751998, issued on 02/27/2006.
Does JAMES ALFORD, MD prescribe more brand-name or generic drugs?
JAMES ALFORD, MD's prescribing is 24% brand-name and 76% generic drugs by claim count, with $48K in brand drug costs.
Does JAMES ALFORD, MD prescribe opioids?
Yes, JAMES ALFORD, MD had 13 opioid claims in 2023 with an opioid prescribing rate of 11.0%.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does JAMES ALFORD, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES ALFORD, MD's most frequently prescribed drugs include Estradiol, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES ALFORD, MD accept Medicare?
JAMES ALFORD, MD appears in CMS Medicare data with 118 Part D claims and 34 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES ALFORD, MD's credentials?
JAMES ALFORD, MD's NPI is 1790751998 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