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 1,803 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 · 248 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
91%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$2.6K
173 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Appelbaum, MD reported a CMS MIPS final score of 76/100 - below the 83.1 national average - and filed 2,032 Medicare Part D claims in 2023.
- 76/100
- MIPS score · -7 vs avg
- 2K
- Part D claims, 2023
- 91%
- 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.
James Appelbaum, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
76 15th percentile higher than 15% of 477,587 scored providers
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 Appelbaum, MD sits
This provider among neurology with special qualifications in child neurology physician peers
Across the 160 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 88% of them and scores higher on MIPS quality than 19% - placing this provider in the high-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
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
2,032 6× vs specialty avg
MIPS final score
76/100 7.1 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 83.1 national avg · 2023 performance year
MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) - 76/100 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 Appelbaum, MD appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding MD credentials at 8919 PARALLEL PKWY, Kansas City, KS, 66112, with a listed phone of (913) 596-7286. NPI 1063426369 was issued on 07/29/2006.
Medicare Part D records for calendar year 2023 show 2,032 prescription claims written by this provider, covering 248 Medicare beneficiaries and totaling roughly $328K in drug spend, split 7% brand-name and 91% generic by claim count, with an opioid prescribing rate of 5.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76/100 for the 2023 performance year (Quality 59.1, Cost 61.6), compared with the national average of 83.1.
Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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
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
Avg: 83.1
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 91% generic, on 2,032 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.
2,032
Total Claims
$328K
Total Drug Cost
248
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,881
- Total Day Supply
- 82,331
- Brand vs Generic
- 7% brand / 91% generic
- Brand Drug Cost
- $204K
- Generic Drug Cost
- $124K
- Opioid Claims
- 112 (5.5% rate)
Patient Demographics
- Average Patient Age
- 68.3 years
- Avg HCC Risk Score
- 1.75
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 83, 65-74: 82, 75-84: 64, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Appelbaum, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
139 claims
- Levetiracetam
Levetiracetam
137 claims
- Pregabalin
Pregabalin
105 claims
- Donepezil Hcl
Donepezil Hcl
100 claims
- Lamotrigine
Lamotrigine
80 claims
- Topiramate
Topiramate
78 claims
- Escitalopram Oxalate
Escitalopram Oxalate
76 claims
- Alprazolam
Alprazolam
65 claims
| Drug | Claims |
|---|---|
| Gabapentin | 139 |
| Levetiracetam | 137 |
| Pregabalin | 105 |
| Donepezil Hcl | 100 |
| Lamotrigine | 80 |
| Topiramate | 78 |
| Escitalopram Oxalate | 76 |
| Alprazolam | 65 |
| Memantine Hcl | 65 |
| Aimovig Autoinjector Erenumab-Aooe | 61 |
* 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 →
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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.
1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider
James Appelbaum, MD's 2,032 claims are above the specialty average of 359.
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.
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 Kansas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology with Special Qualifications in Child Neurology 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.
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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 2023, James Appelbaum, MD wrote 2,032 Medicare Part D claims totaling $328K in drug costs for 248 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 national average MIPS Final Score is 83.1. 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 91% generic drugs by claim count, with $204K in brand drug costs.
Does James Appelbaum, MD prescribe opioids? ▼
Yes, James Appelbaum, MD had 112 opioid claims in 2023 with an opioid prescribing rate of 5.5%.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US? ▼
There are 1,803 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 359 Medicare Part D claims per year.
What drugs does James Appelbaum, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, James Appelbaum, MD's most frequently prescribed drugs include Gabapentin, Levetiracetam, Pregabalin. 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 2,032 Part D claims and 248 Medicare beneficiaries in 2023. 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 (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.