2026 NPPES data Specialist NPI 1902908593 MD
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JAMES CLARK, MD

Specialist in BOULDER, 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
1K
Medicare Part D claims · 304 beneficiaries · Specialist avg: 1K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.4374/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$1.6K
59 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES CLARK, MD reported a CMS MIPS final score of 73.4374/100 — below the 83.1 national average — and filed 1,111 Medicare Part D claims in 2023.

73.4374/100
MIPS score · -10 vs avg
1K
Part D claims, 2023
80%
generic prescribing
$1.6K
industry payments (Sunshine Act)

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 CLARK, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

73 11th percentile higher than 11% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 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

What does the federal data show about JAMES CLARK, MD?

Below national average

NPI registry status

Active

Issued 09/02/2006

NPI 1902908593

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,111 25% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

73.4374/100 9.662599999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Colorado

How Specialist compares to other specialties among Colorado providers

Colorado providers

Specialist share within Colorado

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Colorado

Medicare quality performance — MIPS

JAMES CLARK, MD's 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
73.4374/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 73.4374/100 vs national avg 83.1

0%100%National avg83%73.4%
MIPS final score (Specialist) — 73.4374/100 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 CLARK, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 4743 ARAPAHOE AVE, BOULDER, CO, 80303, with a listed phone of (303) 444-9000. NPI 1902908593 was issued on 09/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CLARK 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 1,111 prescription claims written by this provider, covering 304 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 20% brand-name and 80% generic by claim count, with an opioid prescribing rate of 1.1%. 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 73.4374/100 for the 2023 performance year (Quality 66.4457, Cost 54.179), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

4743 ARAPAHOE AVE
BOULDER, CO 80303

Provider Details

NPI 1902908593
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 09/02/2006

CMS Quality Score (MIPS)

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

73.4374
Final Score
Avg: 83.1
66.4457
Quality
54.179
Cost
89
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES CLARK, 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.

ADVANCED UROLOGY PLLC
EVERGREEN, 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 CLARK, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.6K

Largest payer

Janssen Biotech, 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 · Typical

JAMES CLARK, MD — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 1,111 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.

1,111
Total Claims
$1.5M
Total Drug Cost
304
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,246
Total Day Supply
63,390
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$84K
Opioid Claims
12 (1.1% rate)
Antibiotic Claims
136

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
1.26
Gender Split
14% female / 86% male

Top Prescribed Drugs (Medicare Part D)

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

What JAMES CLARK, MD 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
Tamsulosin Hcl
200
Finasteride
99
Myrbetriq
Mirabegron
69
Xtandi
Enzalutamide
69
Prednisone
63
Abiraterone Acetate
53
Solifenacin Succinate
53
Levofloxacin
51
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
28
Amoxicillin
23

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

Specialist Overview

How JAMES CLARK, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

JAMES CLARK, MD's 1,111 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Colorado

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES CLARK, MD's specialty?
JAMES CLARK, MD specializes in Specialist and practices in BOULDER, Colorado. Credentials: MD.
How much does JAMES CLARK, MD prescribe under Medicare Part D?
In 2023, JAMES CLARK, MD wrote 1,111 Medicare Part D claims totaling $1.5M in drug costs for 304 beneficiaries.
What is JAMES CLARK, MD's Medicare quality score?
JAMES CLARK, MD has a CMS MIPS Final Score of 73.4374/100 (Quality: 66.4457, Cost: 54.179). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES CLARK, MD located?
JAMES CLARK, MD is located at 4743 ARAPAHOE AVE, BOULDER, CO, 80303. Phone: (303) 444-9000.
What is JAMES CLARK, MD's NPI number?
JAMES CLARK, MD's National Provider Identifier (NPI) is 1902908593, issued on 09/02/2006.
Does JAMES CLARK, MD prescribe more brand-name or generic drugs?
JAMES CLARK, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $1.4M in brand drug costs.
Does JAMES CLARK, MD prescribe opioids?
Yes, JAMES CLARK, MD had 12 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does JAMES CLARK, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES CLARK, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES CLARK, MD accept Medicare?
JAMES CLARK, MD appears in CMS Medicare data with 1,111 Part D claims and 304 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES CLARK, MD's credentials?
JAMES CLARK, MD's NPI is 1902908593 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