2026 NPPES data Legal Medicine NPI 1649280074 M.D.
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JAMES ANASTASI, M.D.

Legal Medicine in SANTA MONICA, California. 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
6K
Medicare Part D claims · 356 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
6.4359/100
▼ 77 pts below national avg 83.1 · [object Object]
Industry payments
$534.75
21 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES ANASTASI, M.D. is a Legal Medicine ([object Object]) practicing in SANTA MONICA, California with a Medicare Part D prescribing footprint of 6K claims across 356 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 6.4359/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $534.75 across 21 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES ANASTASI, M.D. reported a CMS MIPS final score of 6.4359 out of 100, below the 83.1 national average, and filed 6,002 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JAMES ANASTASI, M.D. at a glance

Below national average

NPI registry status

Active

Issued 08/08/2006

NPI 1649280074

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

6,002 113% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

MIPS final score

6.4359/100 76.66409999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Legal Medicine compares to other specialties among California providers

California providers

Legal Medicine share within California

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within California

Medicare quality performance — MIPS

JAMES ANASTASI, M.D.'s 2023 MIPS final score plotted against the Legal Medicine national average

Below national average
MIPS Final Score
6.4359/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Legal Medicine) — 6.4359/100 vs national avg 83.1

0%100%National avg83%6.4%
MIPS final score (Legal Medicine) — 6.4359/100 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 ANASTASI, M.D. is a Legal Medicine provider practicing in SANTA MONICA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1649280074. 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 ANASTASI, M.D. appears in the CMS NPPES registry as a Legal Medicine provider holding M.D. credentials at 1301 20TH ST, SANTA MONICA, CA, 90404, with a listed phone of (310) 829-3544. NPI 1649280074 was issued on 08/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANASTASI 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 6,002 prescription claims written by this provider, covering 356 Medicare beneficiaries and totaling roughly $461K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.6%. 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 6.4359/100 for the 2023 performance year (Quality 0, Cost 21.453), compared with the national average of 83.1.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 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

1301 20TH ST
SANTA MONICA, CA 90404

Provider Details

NPI 1649280074
Specialty Legal Medicine
Credentials M.D.
Gender Male
NPI Issued 08/08/2006

CMS Quality Score (MIPS)

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

6.4359
Final Score
Avg: 83.1
0
Quality
21.453
Cost

Reporting: Individual

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 JAMES ANASTASI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$535

Largest payer

ABBVIE 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.

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 ANASTASI, M.D.. To verify JAMES ANASTASI, 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.

Brand vs generic prescribing mix · Typical

JAMES ANASTASI, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 6,002 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.

6,002
Total Claims
$461K
Total Drug Cost
356
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,916
Total Day Supply
279,335
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$270K
Generic Drug Cost
$190K
Opioid Claims
35 (0.6% rate)
Antibiotic Claims
273

Patient Demographics

Average Patient Age
81.7 years
Avg HCC Risk Score
1.11
Gender Split
62% female / 38% 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
Losartan Potassium
451
Amlodipine Besylate
398
Atorvastatin Calcium
378
Levothyroxine Sodium
255
Synthroid
Levothyroxine Sodium
206
Pantoprazole Sodium
198
Eliquis
Apixaban
123
Gabapentin
122
Mirtazapine
116
Escitalopram Oxalate
114

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

Legal Medicine Overview

How JAMES ANASTASI, M.D. fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

JAMES ANASTASI, M.D.'s 6,002 claims are above the specialty average of 2,821.

Nearby Legal Medicine Providers in California

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

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES ANASTASI, M.D.'s specialty?
JAMES ANASTASI, M.D. specializes in Legal Medicine and practices in SANTA MONICA, California. Credentials: M.D..
How much does JAMES ANASTASI, M.D. prescribe under Medicare Part D?
In 2023, JAMES ANASTASI, M.D. wrote 6,002 Medicare Part D claims totaling $461K in drug costs for 356 beneficiaries.
What is JAMES ANASTASI, M.D.'s Medicare quality score?
JAMES ANASTASI, M.D. has a CMS MIPS Final Score of 6.4359/100 (Quality: 0, Cost: 21.453). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES ANASTASI, M.D. located?
JAMES ANASTASI, M.D. is located at 1301 20TH ST, SANTA MONICA, CA, 90404. Phone: (310) 829-3544.
What is JAMES ANASTASI, M.D.'s NPI number?
JAMES ANASTASI, M.D.'s National Provider Identifier (NPI) is 1649280074, issued on 08/08/2006.
Does JAMES ANASTASI, M.D. prescribe more brand-name or generic drugs?
JAMES ANASTASI, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $270K in brand drug costs.
Does JAMES ANASTASI, M.D. prescribe opioids?
Yes, JAMES ANASTASI, M.D. had 35 opioid claims in 2023 with an opioid prescribing rate of 0.6%.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does JAMES ANASTASI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES ANASTASI, M.D.'s most frequently prescribed drugs include Losartan Potassium, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES ANASTASI, M.D. accept Medicare?
JAMES ANASTASI, M.D. appears in CMS Medicare data with 6,002 Part D claims and 356 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES ANASTASI, M.D.'s credentials?
JAMES ANASTASI, M.D.'s NPI is 1649280074 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

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