James Douglas Birmingham, MD
Rheumatology Physician · Ada, MI
James Douglas Birmingham, MD is a rheumatology physician with a practice address in Ada, Michigan, and NPI 1891811543, issued on Mar 22, 2007. Check the license (Michigan 4301072323, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- James Douglas Birmingham
- Credential
- MD
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License number
- 4301072323 MI
Self-reported in NPPES; status is on the state search - Practice location
- 6741 Fulton St E, Ada, MI 49301
- Phone
- (616) 320-5330
- Enumerated
- Mar 22, 2007
- Record last updated
- Feb 24, 2026
- Fax
- (616) 320-5331
- Medicare enrollment
- Enrolled (PECOS I20040628000029); accepts Medicare assignment
- Medical or professional school
- Ohio State University College Of Medicine, 1998
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 226 in Michigan → Look up another NPI →
Also registered at 6741 Fulton St E
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Julia Bos, PA-CPhysician Assistant1144937822
- Rachel Kloosterman, MSN RN, FNP-CNurse Practitioner1518508704
- Andrew Lewandoski, D.O.Rheumatology Physician1578806113
- Benjamin Nykamp, MDDermatology Physician1700984390
- Beth Sweney, PA-CPhysician Assistant1689136434
- Allison TrevinoPhysician Assistant1306444187
Verify James Douglas Birmingham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301072323Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2% more Medicare Part D claims than the average rheumatology physician in 2024
2,022 Medicare Part D claims for 263 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 30% of claims.
Most prescribed
- Hydroxychloroquine Sulfate351 claims
- Methotrexate339 claims
- Prednisone311 claims
- Humira(Cf) Pen184 claims
- Enbrel Sureclick95 claims
- Folic Acid86 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 62.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $7,505.42
172 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- American Arthritis And Rheumatology Associates -MI PLLCAda, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James Douglas Birmingham among 226 rheumatology physician records in Michigan
James Douglas Birmingham, MD is one of 226 rheumatology physician records with a practice address in Michigan. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 51% of them.
- NPI issued2007 · 51% of these records are older, 40% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated1998 · median 2003 among the 156 with a school on file
- Record last updated2026 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rheumatology Physician providers in Michigan
There are 226 rheumatology physician records in Michigan.
All 226 in Michigan → Every provider in Ada → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Andrew Lewandoski, D.O.Ada, MI 493011578806113
- Hamead MoshrefiMichigan Center, MI 492541891173696
- Rabeea Mirza, M.DJackson, MI 492011679993216
- Hazem Zebda, MDJackson, MI 492011528447968
- Stephanie Branam, D.O.Holland, MI 494231750642831
- Danielle Robinett, M.D.Holland, MI 494231437543311
- Philip Velderman, M.D.Holland, MI 494231366401325
- Robert Hylland, M.D.Norton Shores, MI 494441134145576
Common questions
What is James Douglas Birmingham, MD's NPI number?
James Douglas Birmingham, MD's National Provider Identifier (NPI) is 1891811543, issued on Mar 22, 2007. An NPI identifies a provider in billing; it is not a license.
Where is James Douglas Birmingham, MD located?
The NPPES record lists a practice address at 6741 Fulton St E, Ada, MI, 49301. Phone: (616) 320-5330. Providers update this record themselves, so call before visiting.
How can I verify James Douglas Birmingham, MD's license?
NPPES lists Michigan license number 4301072323, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James Douglas Birmingham, MD prescribe under Medicare Part D?
In 2024, James Douglas Birmingham, MD had 2,022 Medicare Part D claims for 263 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
What is James Douglas Birmingham, MD's MIPS final score?
The 2023 MIPS final score is 62.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.