2026 NPPES data Ophthalmology Physician NPI 1013974260 M.D.
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JAMES BURCHAM, M.D.

Ophthalmology Physician in AURORA, Colorado. 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
437
Medicare Part D claims · 126 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.2128/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$28.57
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES BURCHAM, M.D. reported a CMS MIPS final score of 96.2128/100 — above the 83.1 national average — and filed 437 Medicare Part D claims in 2023.

96.2128/100
MIPS score · +13 vs avg
437
Part D claims, 2023
70%
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 BURCHAM, 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

96 Top 17% higher than 83% 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%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

JAMES BURCHAM, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 BURCHAM, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/28/2006

NPI 1013974260

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

437 69% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

96.2128/100 13.112800000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Ophthalmology Physician compares to other specialties among Colorado providers

Colorado providers

Ophthalmology Physician share within Colorado

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Colorado

Medicare quality performance — MIPS

JAMES BURCHAM, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
96.2128/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 96.2128/100 vs national avg 83.1

0%100%National avg83%96.2%
MIPS final score (Ophthalmology Physician) — 96.2128/100 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 BURCHAM, M.D. is a Ophthalmology Physician provider practicing in AURORA, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1013974260. 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 BURCHAM, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 750 POTOMAC ST, AURORA, CO, 80011, with a listed phone of (303) 340-4600. NPI 1013974260 was issued on 04/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BURCHAM 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 437 prescription claims written by this provider, covering 126 Medicare beneficiaries and totaling roughly $96K in drug spend, split 30% brand-name and 70% generic by claim count. 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 96.2128/100 for the 2023 performance year (Quality 100, Cost 87.376), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

750 POTOMAC ST
AURORA, CO 80011

Provider Details

NPI 1013974260
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 04/28/2006

CMS Quality Score (MIPS)

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

96.2128
Final Score
Avg: 83.1
100
Quality
87.376
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES BURCHAM, M.D. 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.

ADVANCED EYECARE CENTERS, PC
LONE TREE, CO
COCO EYE SURGERY CONSULTING, PLLC
AURORA, CO

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 BURCHAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$29

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.

Brand vs generic prescribing mix · Above average

JAMES BURCHAM, M.D. — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 437 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.

437
Total Claims
$96K
Total Drug Cost
126
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
861
Total Day Supply
24,290
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$83K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.41
Gender Split
57% female / 43% 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
Latanoprost
153
Restasis
Cyclosporine
34
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
31
Brimonidine Tartrate
30
Lumigan
Bimatoprost
27
Prednisolone Acetate
27
Timolol Maleate
21
Moxifloxacin
Moxifloxacin Hcl
19
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
19
Bromfenac Sodium
11

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

Ophthalmology Physician Overview

How JAMES BURCHAM, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JAMES BURCHAM, M.D.'s 437 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Colorado

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES BURCHAM, M.D.'s specialty?
JAMES BURCHAM, M.D. specializes in Ophthalmology Physician and practices in AURORA, Colorado. Credentials: M.D..
How much does JAMES BURCHAM, M.D. prescribe under Medicare Part D?
In 2023, JAMES BURCHAM, M.D. wrote 437 Medicare Part D claims totaling $96K in drug costs for 126 beneficiaries.
What is JAMES BURCHAM, M.D.'s Medicare quality score?
JAMES BURCHAM, M.D. has a CMS MIPS Final Score of 96.2128/100 (Quality: 100, Cost: 87.376). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES BURCHAM, M.D. located?
JAMES BURCHAM, M.D. is located at 750 POTOMAC ST, AURORA, CO, 80011. Phone: (303) 340-4600.
What is JAMES BURCHAM, M.D.'s NPI number?
JAMES BURCHAM, M.D.'s National Provider Identifier (NPI) is 1013974260, issued on 04/28/2006.
Does JAMES BURCHAM, M.D. prescribe more brand-name or generic drugs?
JAMES BURCHAM, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $83K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JAMES BURCHAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES BURCHAM, M.D.'s most frequently prescribed drugs include Latanoprost, Restasis, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BURCHAM, M.D. accept Medicare?
JAMES BURCHAM, M.D. appears in CMS Medicare data with 437 Part D claims and 126 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BURCHAM, M.D.'s credentials?
JAMES BURCHAM, M.D.'s NPI is 1013974260 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