2026 NPPES data Otolaryngology Physician NPI 1689736522 M.D.
Verify on CMS →

James Amsberry, M.D.

Otolaryngology Physician in La Mesa, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,895 in Otolaryngology Physician, 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
159
Medicare Part D claims · 57 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
73.6/100
▼ 9 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Amsberry, M.D. reported a CMS MIPS final score of 73.6/100 - below the 83.1 national average - and filed 159 Medicare Part D claims in 2023.

73.6/100
MIPS score · -9 vs avg
159
Part D claims, 2023
Likely
board-certified (heuristic)

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.

James Amsberry, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

74 11th percentile higher than 11% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where James Amsberry, M.D. sits

This provider among otolaryngology physician peers

Across the 3,669 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Amsberry, M.D. writes more Part D claims than 23% of them and scores higher on MIPS quality than 17% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 43James Amsberry, M.D.-Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 17
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one otolaryngology physician peer from a representative sample of 60; the gold marker is James Amsberry, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

James Amsberry, M.D. 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).

What does the federal data show about James Amsberry, M.D.?

Below national average

NPI registry status

Active

Issued 12/15/2006

NPI 1689736522

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

159 69% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

73.6/100 9.5 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Otolaryngology Physician compares to other specialties among California providers

California providers
Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Otolaryngology Physician - 0.1%Otolaryngology Physician0.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

James Amsberry, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
73.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) - 73.6/100 vs national avg 83.1

0%100%National avg83%73.6%
MIPS final score (Otolaryngology Physician) - 73.6/100 vs national avg 83.1
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).

James Amsberry, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 5565 GROSSMONT CENTER DR BLDG 3 STE 101, La Mesa, CA, 91942, with a listed phone of (619) 464-3353. NPI 1689736522 was issued on 12/15/2006.

Medicare Part D records for calendar year 2023 show 159 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 19.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.6/100 for the 2023 performance year (Quality 74.6, Cost 58.7), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

5565 GROSSMONT CENTER DR BLDG 3 STE 101
La Mesa, CA 91942

Provider Details

NPI 1689736522
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 12/15/2006

CMS Quality Score (MIPS)

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

73.6207
Final Score
Avg: 83.1
74.5653
Quality
58.6993
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Amsberry, M.D. 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.

Sac Health System
San Bernardino, CA

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

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to James Amsberry, M.D.. To verify James Amsberry, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

159
Total Claims
$5K
Total Drug Cost
57
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
160
Total Day Supply
2,212
Generic Drug Cost
$1K
Opioid Claims
31 (19.5% rate)
Antibiotic Claims
85

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.09
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

What James Amsberry, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Cephalexin
37
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
28
Doxycycline Hyclate
27
Prednisone
15

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

Otolaryngology Physician Overview

How James Amsberry, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

James Amsberry, M.D.'s 159 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in California

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Otolaryngology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is James Amsberry, M.D.'s specialty?
James Amsberry, M.D. specializes in Otolaryngology Physician and practices in La Mesa, California. Credentials: M.D..
How much does James Amsberry, M.D. prescribe under Medicare Part D?
In 2023, James Amsberry, M.D. wrote 159 Medicare Part D claims totaling $5K in drug costs for 57 beneficiaries.
What is James Amsberry, M.D.'s Medicare quality score?
James Amsberry, M.D. has a CMS MIPS Final Score of 73.6/100 (Quality: 74.6, Cost: 58.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Amsberry, M.D. located?
James Amsberry, M.D. is located at 5565 GROSSMONT CENTER DR BLDG 3 STE 101, La Mesa, CA, 91942. Phone: (619) 464-3353.
What is James Amsberry, M.D.'s NPI number?
James Amsberry, M.D.'s National Provider Identifier (NPI) is 1689736522, issued on 12/15/2006.
Does James Amsberry, M.D. prescribe opioids?
Yes, James Amsberry, M.D. had 31 opioid claims in 2023 with an opioid prescribing rate of 19.5%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does James Amsberry, M.D. prescribe most often?
Based on 2023 Medicare Part D data, James Amsberry, M.D.'s most frequently prescribed drugs include Cephalexin, Hydrocodone-Acetaminophen, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Amsberry, M.D. accept Medicare?
James Amsberry, M.D. appears in CMS Medicare data with 159 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Amsberry, M.D.'s credentials?
James Amsberry, M.D.'s NPI is 1689736522 with credentials M.D.. 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 (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

Compiled from official public sources by the PlainDoctor editorial team.