NPI registry status
Active
2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1063426369 MD
Verify on CMS → James Appelbaum, MD
Neurology with Special Qualifications in Child Neurology Physician in Kansas City, Kansas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,886 in Neurology with Special Qualifications in Child Neurology 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
2K
Medicare Part D claims · 277 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 360
Generic prescribing
92%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76/100
▼ 8 pts below national avg 83.5 · Above neutral
Industry payments
$2.6K
173 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
James Appelbaum, MD reported a CMS MIPS final score of 76/100 - below the 83.5 national average - and filed 2,316 Medicare Part D claims in 2024.
- 76/100
- MIPS score · -8 vs avg
- 2K
- Part D claims, 2024
- 92%
- generic prescribing
- 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.
Federal trust snapshot
What official records show about James Appelbaum, MD
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 1063426369), first enumerated 07/29/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 2,316 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 76/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- 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
$2.6K in reported industry payments (173 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 1063426369 · Neurology with Special Qualifications in Child Neurology Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-BELOW · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1063426369
- ENUM-LEGACY 2006
- TAX-NARROW 1,886
- MIPS-BELOW 76/100
- RX-MID 2,316
- BOOK-THIN 6 in Kansas
- PHOTO-FINISH Stacey Elkhatib Smidt · ±0.2
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Stacey Elkhatib …
Stacey Elkhatib Smidt
75.8 MIPS pts
- Felicia Gliksman…
Felicia Gliksman
75.8 MIPS pts
- Appelbaum · this…
Appelbaum · this provider
76 MIPS pts
- Nassim Zecavati …
Nassim Zecavati
76.2 MIPS pts
- Lawrence Morton …
Lawrence Morton
76.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
James Appelbaum, MD'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.
76 ≥ 15th percentile 15% 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 James Appelbaum, MD sits
This provider among neurology with special qualifications in child neurology physician peers
Across the 157 neurology with special qualifications in child neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Appelbaum, MD writes more Part D claims than 90% of them and scores higher on MIPS quality than 18% - 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 neurology with special qualifications in child neurology physician peer from a representative sample of 60; the gold marker is James Appelbaum, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Appelbaum, 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).
What does the federal data show about James Appelbaum, MD?
Below national averagePrimary specialty
Neurology with Special Qualifications in Child Neurology Physician
Medicare Part D claims
2,316 6× vs specialty avg
MIPS final score
76/100 7.5 pts vs avg
Specialty distribution in Kansas
How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Kansas providers
Medicare quality performance, MIPS
James Appelbaum, MD's 2023 MIPS final score plotted against the Neurology with Special Qualifications in Child Neurology Physician national average
- MIPS Final Score
- 76/100
- 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 | 1063426369 |
|---|---|
| Specialty | Neurology with Special Qualifications in Child Neurology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/29/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.9714
Final Score
Measured-score avg: 83.5
59.1217
Quality
61.6162
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Appelbaum, 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.
Prime Healthcare Physician Services - Providence Inc
Kansas City, KS
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 James Appelbaum, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.6K
Largest payer
UCB, 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 · Generic-heavy
James Appelbaum, MD - brand share 7.0%
Neurology with Special Qualifications in Child Neurology Physician average
7% brand-name claims vs 92% generic, on 2,316 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.
2,316
Total Claims
$379K
Total Drug Cost
277
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,420.467
- Total Day Supply
- 99,138
- Brand vs Generic
- 7% brand / 92% generic
- Brand Drug Cost
- $295K
- Generic Drug Cost
- $84K
- Opioid Claims
- 103 (4.4% rate)
Patient Demographics
- Average Patient Age
- 69.5 years
- Avg HCC Risk Score
- 1.75
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 74, 65-74: 102, 75-84: 77, 85+: 24
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What James Appelbaum, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Gabapentin
Gabapentin
247 claims
- Donepezil Hcl
Donepezil Hcl
119 claims
- Levetiracetam
Levetiracetam
105 claims
- Pregabalin
Pregabalin
103 claims
- Topiramate
Topiramate
100 claims
- Memantine Hcl 97
Memantine Hcl
97 claims
- Alprazolam 92
Alprazolam
92 claims
- Escitalopram Oxalate 79
Escitalopram Oxalate
79 claims
| Drug | Claims |
|---|---|
| Gabapentin | 247 |
| Donepezil Hcl | 119 |
| Levetiracetam | 105 |
| Pregabalin | 103 |
| Topiramate | 100 |
| Memantine Hcl | 97 |
| Alprazolam | 92 |
| Escitalopram Oxalate | 79 |
| Aimovig Autoinjector Erenumab-Aooe | 78 |
| Baclofen | 67 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Neurology with Special Qualifications in Child Neurology Physician in KS →
All providers in Kansas →
Compare specialties →
Neurology with Special Qualifications in Child Neurology Physician Overview
How James Appelbaum, MD fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.
1,886
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
360
Avg Claims per Provider
James Appelbaum, MD's 2,316 claims are above the specialty average of 360.
Nationwide Neurology with Special Qualifications in Child Neurology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Appelbaum, both outside Kansas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Kansas
Other clinicians with the same primary specialty enrolled in Kansas, drawn from the same CMS NPPES roster as Appelbaum.
One of 6 Neurology with Special Qualifications in Child Neurology Physician providers enrolled in Kansas, 5 are shown here.
Frequently Asked Questions
What is James Appelbaum, MD's specialty? ▼
James Appelbaum, MD specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in Kansas City, Kansas. Credentials: MD.
How much does James Appelbaum, MD prescribe under Medicare Part D? ▼
In 2024, James Appelbaum, MD wrote 2,316 Medicare Part D claims totaling $379K in drug costs for 277 beneficiaries.
What is James Appelbaum, MD's Medicare quality score? ▼
James Appelbaum, MD has a CMS MIPS Final Score of 76/100 (Quality: 59.1, Cost: 61.6). 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 James Appelbaum, MD located? ▼
James Appelbaum, MD is located at 8919 PARALLEL PKWY, Kansas City, KS, 66112. Phone: (913) 596-7286.
What is James Appelbaum, MD's NPI number? ▼
James Appelbaum, MD's National Provider Identifier (NPI) is 1063426369, issued on 07/29/2006.
Does James Appelbaum, MD prescribe more brand-name or generic drugs? ▼
James Appelbaum, MD's prescribing is 7% brand-name and 92% generic drugs by claim count, with $295K in brand drug costs.
Does James Appelbaum, MD prescribe opioids? ▼
Yes, James Appelbaum, MD had 103 opioid claims in 2024 with an opioid prescribing rate of 4.4%.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US? ▼
There are 1,886 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 360 Medicare Part D claims per year.
What drugs does James Appelbaum, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, James Appelbaum, MD's most frequently prescribed drugs include Gabapentin, Donepezil Hcl, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Appelbaum, MD accept Medicare? ▼
James Appelbaum, MD appears in CMS Medicare data with 2,316 Part D claims and 277 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Appelbaum, MD's credentials? ▼
James Appelbaum, MD's NPI is 1063426369 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
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.