2026 NPPES data Urology Physician NPI 1255321519 MD
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JAMES CHOI, MD

Urology Physician in FLEMINGTON, New Jersey. 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
4K
Medicare Part D claims · 843 beneficiaries · Urology Physician avg: 1K
MIPS score
90.0519/100
▲ 7 pts above national avg 83.1 · [object Object]
What the federal data reveals: JAMES CHOI, MD is a Urology Physician ([object Object]) practicing in FLEMINGTON, New Jersey with a Medicare Part D prescribing footprint of 4K claims across 843 beneficiaries . Their CMS MIPS Final Score of 90.0519/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JAMES CHOI, MD reported a CMS MIPS final score of 90.0519 out of 100, above the 83.1 national average, and filed 3,770 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES CHOI, MD 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).

JAMES CHOI, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/26/2005

NPI 1255321519

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

3,770 195% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

90.0519/100 6.951900000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Urology Physician compares to other specialties among New Jersey providers

New Jersey providers

Urology Physician share within New Jersey

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within New Jersey

Medicare quality performance — MIPS

JAMES CHOI, MD's 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
90.0519/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 90.0519/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Urology Physician) — 90.0519/100 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 CHOI, MD is a Urology Physician provider practicing in FLEMINGTON, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1255321519. 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 CHOI, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 5 WALTER FORAN BLVD, FLEMINGTON, NJ, 08822, with a listed phone of (908) 751-5939. NPI 1255321519 was issued on 10/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CHOI 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 3,770 prescription claims written by this provider, covering 843 Medicare beneficiaries and totaling roughly $248K in drug spend. 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 90.0519/100 for the 2023 performance year, compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

5 WALTER FORAN BLVD
FLEMINGTON, NJ 08822

Provider Details

NPI 1255321519
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 10/26/2005

CMS Quality Score (MIPS)

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

90.0519
Final Score
Avg: 83.1
50.173
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,770
Total Claims
$248K
Total Drug Cost
843
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,340
Total Day Supply
264,118
Generic Drug Cost
$86K
Antibiotic Claims
617

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
1.26
Gender Split
17% female / 83% male
Age Distribution
<65: 20, 65-74: 334, 75-84: 365, 85+: 124

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Finasteride
1,315
Tamsulosin Hcl
1,035
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
267
Ciprofloxacin Hcl
187
Dutasteride
180
Myrbetriq
Mirabegron
127
Oxybutynin Chloride Er
Oxybutynin Chloride
103
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
76
Alfuzosin Hcl Er
Alfuzosin Hcl
68
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
66

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

Urology Physician Overview

How JAMES CHOI, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JAMES CHOI, MD's 3,770 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as CHOI.

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

Frequently Asked Questions

What is JAMES CHOI, MD's specialty?
JAMES CHOI, MD specializes in Urology Physician and practices in FLEMINGTON, New Jersey. Credentials: MD.
How much does JAMES CHOI, MD prescribe under Medicare Part D?
In 2023, JAMES CHOI, MD wrote 3,770 Medicare Part D claims totaling $248K in drug costs for 843 beneficiaries.
What is JAMES CHOI, MD's Medicare quality score?
JAMES CHOI, MD has a CMS MIPS Final Score of 90.0519/100, Cost: 50.173. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES CHOI, MD located?
JAMES CHOI, MD is located at 5 WALTER FORAN BLVD, FLEMINGTON, NJ, 08822. Phone: (908) 751-5939.
What is JAMES CHOI, MD's NPI number?
JAMES CHOI, MD's National Provider Identifier (NPI) is 1255321519, issued on 10/26/2005.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JAMES CHOI, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES CHOI, MD's most frequently prescribed drugs include Finasteride, Tamsulosin Hcl, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES CHOI, MD accept Medicare?
JAMES CHOI, MD appears in CMS Medicare data with 3,770 Part D claims and 843 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES CHOI, MD's credentials?
JAMES CHOI, MD's NPI is 1255321519 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

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