NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1194165886
Verify on CMS → James Clay
Student in an Organized Health Care Education/Training Program in Bemidji, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 351,014 in Student in an Organized Health Care Education/Training Program, 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
173
Medicare Part D claims · 97 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 488
MIPS score
80.5/100
▼ 3 pts below national avg 83.5 · Above neutral
Industry payments
$100
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
James Clay reported a CMS MIPS final score of 80.5/100 - below the 83.5 national average - and filed 173 Medicare Part D claims in 2024.
- 80.5/100
- MIPS score · -3 vs avg
- 173
- Part D claims, 2024
- $100
- industry payments (Sunshine Act)
- ≥30th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about James Clay
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1194165886), first enumerated 06/27/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 173 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 80.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$100 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1194165886 · Student in an Organized Health Care Education/Training Program
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1194165886
- ENUM-MID 2013
- TAX-MEGA 351K Student in
- MIPS-INLINE 80.5/100
- RX-LIGHT 173
- BOOK-LIGHT 4,595 in Minnesota
- PHOTO-FINISH Vineel Bhatlapenumar… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Clay · this prov…
Clay · this provider
80.5 MIPS pts
- Brandon French ·…
Brandon French
80.5 MIPS pts
- Vineel Bhatlapen…
Vineel Bhatlapenumarthi
80.5 MIPS pts
- Sabarinath Venni…
Sabarinath Venniyil Radhakrishna
80.5 MIPS pts
- Travis Boud · near
Travis Boud
80.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
James Clay's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
81 ≥ 30th percentile 30% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where James Clay sits
This provider among student in an organized health care education/training program peers
Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, James Clay writes more Part D claims than 40% of them and scores higher on MIPS quality than 27% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is James Clay. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about James Clay?
Near national averagePrimary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
173 65% vs specialty avg
MIPS final score
80.5/100 3 pts vs avg
Specialty distribution in Minnesota
How Student in an Organized Health Care Education/Training Program compares to other specialties among Minnesota providers
Medicare quality performance, MIPS
James Clay's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 80.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1194165886 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Gender | Male |
| NPI Issued | 06/27/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.471
Final Score
Measured-score avg: 83.5
73.9659
Quality
33.925
Cost
95
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Clay 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.
Department OF Health And Human Services Phs Ihs
Cass Lake, MN
Sanford Health OF Northern Minnesota
Bemidji, MN
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 Clay. Source: openpaymentsdata.cms.gov.
Total received
$100
Largest payer
Zimmer Biomet Holdings, Inc.
Most common payment type
Education
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
173
Total Claims
$1K
Total Drug Cost
97
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 231
- Total Day Supply
- 3,920
- Generic Drug Cost
- $1K
- Opioid Claims
- 51 (29.5% rate)
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 1.72
- Gender Split
- 51% female / 49% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What James Clay prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ibuprofen
Ibuprofen
51 claims
- Oxycodone Hcl
Oxycodone Hcl
36 claims
- Omeprazole
Omeprazole
26 claims
| Drug | Claims |
|---|---|
| Ibuprofen | 51 |
| Oxycodone Hcl | 36 |
| Omeprazole | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Student in an Organized Health Care Education/Training Program in MN →
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Student in an Organized Health Care Education/Training Program Overview
How James Clay fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
351,014
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
488
Avg Claims per Provider
James Clay's 173 claims are below the specialty average of 488.
Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year
Two federal-record peer sets for Clay, both outside Minnesota so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (80.5 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Student in an Organized Health Care Education/Training Program Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Clay.
One of 4,595 Student in an Organized Health Care Education/Training Program providers enrolled in Minnesota, 5 are shown here.
Frequently Asked Questions
What is James Clay's specialty? ▼
James Clay specializes in Student in an Organized Health Care Education/Training Program and practices in Bemidji, Minnesota.
How much does James Clay prescribe under Medicare Part D? ▼
In 2024, James Clay wrote 173 Medicare Part D claims totaling $1K in drug costs for 97 beneficiaries.
What is James Clay's Medicare quality score? ▼
James Clay has a CMS MIPS Final Score of 80.5/100 (Quality: 74, Cost: 33.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Clay located? ▼
James Clay is located at 1300 ANNE ST NW, Bemidji, MN, 56601. Phone: (218) 333-5000.
What is James Clay's NPI number? ▼
James Clay's National Provider Identifier (NPI) is 1194165886, issued on 06/27/2013.
Does James Clay prescribe opioids? ▼
Yes, James Clay had 51 opioid claims in 2024 with an opioid prescribing rate of 29.5%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 351,014 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 488 Medicare Part D claims per year.
What drugs does James Clay prescribe most often? ▼
Based on 2024 Medicare Part D data, James Clay's most frequently prescribed drugs include Ibuprofen, Oxycodone Hcl, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Clay accept Medicare? ▼
James Clay appears in CMS Medicare data with 173 Part D claims and 97 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Clay's credentials? ▼
James Clay's NPI is 1194165886. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.