2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1174631535 M.D.
Verify on CMS →

James Asbury, M.D.

Critical Care Medicine (Internal Medicine) Physician in Houston, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,631 in Critical Care Medicine (Internal Medicine) 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
418
Medicare Part D claims · 127 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.9/100
▼ 14 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Asbury, M.D. reported a CMS MIPS final score of 68.9/100 - below the 83.1 national average - and filed 418 Medicare Part D claims in 2023.

68.9/100
MIPS score · -14 vs avg
418
Part D claims, 2023
86%
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 Asbury, 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

69 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 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 Asbury, M.D. sits

This provider among critical care medicine (internal medicine) physician peers

Across the 1,643 critical care medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Asbury, M.D. writes more Part D claims than 36% of them and scores higher on MIPS quality than 8% - 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: 70 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 68James Asbury, M.D.-Part D claim volume, percentile in specialty: 36 · MIPS quality, percentile: 8
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one critical care medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is James Asbury, 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 Asbury, M.D. 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).

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

Below national average

NPI registry status

Active

Issued 08/27/2006

NPI 1174631535

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

418 61% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

68.9/100 14.2 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Texas providers

Texas providers

Largest specialties in Texas (% of in-state providers)

Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Critical Care Medicine (Internal Medicine) Physician - 0.1%Critical Care Medicine (Internal Medicine) Physician0.1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

James Asbury, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
68.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 68.9/100 vs national avg 83.1

0%100%National avg83%68.9%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 68.9/100 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 Asbury, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 6441 MAIN ST, Houston, TX, 77030, with a listed phone of (281) 363-3156. NPI 1174631535 was issued on 08/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Asbury 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 418 prescription claims written by this provider, covering 127 Medicare beneficiaries and totaling roughly $39K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 12.7%. 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 68.9/100 for the 2023 performance year (Quality 97.2, Cost 83.6), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

6441 MAIN ST
Houston, TX 77030

Provider Details

NPI 1174631535
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 08/27/2006

CMS Quality Score (MIPS)

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

68.935
Final Score
Avg: 83.1
97.1588
Quality
83.5714
Cost

Reporting: Individual

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to James Asbury, M.D.. To verify James Asbury, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

James Asbury, M.D. - brand share 14.0%
Critical Care Medicine (Internal Medicine) Physician average

14% brand-name claims vs 86% generic, on 418 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.

418
Total Claims
$39K
Total Drug Cost
127
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
462
Total Day Supply
11,660
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$31K
Generic Drug Cost
$8K
Opioid Claims
53 (12.7% rate)
Antibiotic Claims
35

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
4.08
Gender Split
54% female / 46% male
Age Distribution
<65: 27, 65-74: 39, 75-84: 43, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What James Asbury, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
21
Pantoprazole Sodium
18
Tramadol Hcl
16
Eliquis
Apixaban
13
Metoprolol Succinate
12
Furosemide
11
Gabapentin
11
Xarelto
Rivaroxaban
11

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

Critical Care Medicine (Internal Medicine) Physician Overview

How James Asbury, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

James Asbury, M.D.'s 418 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Texas

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

Compare Critical Care Medicine (Internal Medicine) 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) 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 Asbury, M.D.'s specialty?
James Asbury, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Houston, Texas. Credentials: M.D..
How much does James Asbury, M.D. prescribe under Medicare Part D?
In 2023, James Asbury, M.D. wrote 418 Medicare Part D claims totaling $39K in drug costs for 127 beneficiaries.
What is James Asbury, M.D.'s Medicare quality score?
James Asbury, M.D. has a CMS MIPS Final Score of 68.9/100 (Quality: 97.2, Cost: 83.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Asbury, M.D. located?
James Asbury, M.D. is located at 6441 MAIN ST, Houston, TX, 77030. Phone: (281) 363-3156.
What is James Asbury, M.D.'s NPI number?
James Asbury, M.D.'s National Provider Identifier (NPI) is 1174631535, issued on 08/27/2006.
Does James Asbury, M.D. prescribe more brand-name or generic drugs?
James Asbury, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $31K in brand drug costs.
Does James Asbury, M.D. prescribe opioids?
Yes, James Asbury, M.D. had 53 opioid claims in 2023 with an opioid prescribing rate of 12.7%.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does James Asbury, M.D. prescribe most often?
Based on 2023 Medicare Part D data, James Asbury, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Pantoprazole Sodium, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Asbury, M.D. accept Medicare?
James Asbury, M.D. appears in CMS Medicare data with 418 Part D claims and 127 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Asbury, M.D.'s credentials?
James Asbury, M.D.'s NPI is 1174631535 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

Compiled from official public sources by the PlainDoctor editorial team.