2026 NPPES data Adult Psychiatric/Mental Health Registered Nurse NPI 1942863279 DNP, PMHNP-BC
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JAMES COOMBS, DNP, PMHNP-BC

Adult Psychiatric/Mental Health Registered Nurse in ASHEVILLE, North Carolina. 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
2K
Medicare Part D claims · 67 beneficiaries · Adult Psychiatric/Mental Health Registered Nurse avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$551.8
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES COOMBS, DNP, PMHNP-BC filed 1,980 Medicare Part D claims in 2023 as a Adult Psychiatric/Mental Health Registered Nurse in ASHEVILLE, North Carolina, prescribing 86% generic.

2K
Part D claims, 2023
86%
generic prescribing
$551.8
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 COOMBS, DNP, PMHNP-BC's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,980 Top 16% higher than 84% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). This entry sits in this band. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JAMES COOMBS, DNP, PMHNP-BC?

Quality data not reported

NPI registry status

Active

Issued 04/22/2019

NPI 1942863279

Primary specialty

Adult Psychiatric/Mental Health Registered Nurse

Niche

4,591 US NPIs in this specialty

Medicare Part D claims

1,980 73% vs specialty avg

2023 prescription claims

Specialty avg: 1,143

Specialty distribution in North Carolina

How Adult Psychiatric/Mental Health Registered Nurse compares to other specialties among North Carolina providers

North Carolina providers

Adult Psychiatric/Mental Health Registered Nurse share within North Carolina

1. Adult Psychiatric/Mental Health Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Psychiatric/Mental Health Registered Nurse share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Adult Psychiatric/Mental Health Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Psychiatric/Mental Health Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Adult Psychiatric/Mental Health Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Psychiatric/Mental Health Registered Nurse) — ABMS / AOA estimate

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 COOMBS, DNP, PMHNP-BC appears in the CMS NPPES registry as a Adult Psychiatric/Mental Health Registered Nurse provider holding DNP, PMHNP-BC credentials at 119 TUNNEL RD STE D, ASHEVILLE, NC, 28805, with a listed phone of (828) 350-1000. NPI 1942863279 was issued on 04/22/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COOMBS 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 1,980 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $507K in drug spend, split 14% brand-name and 86% 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.

Adult Psychiatric/Mental Health Registered Nurse is a narrow specialty nationwide, with 4,591 enrolled providers across 52 states and an average of 1,143 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

119 TUNNEL RD STE D
ASHEVILLE, NC 28805

Provider Details

NPI 1942863279
Specialty Adult Psychiatric/Mental Health Registered Nurse
Credentials DNP, PMHNP-BC
Gender Male
NPI Issued 04/22/2019

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 COOMBS, DNP, PMHNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$552

Largest payer

Otsuka America Pharmaceutical, 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 COOMBS, DNP, PMHNP-BC — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 1,980 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.

1,980
Total Claims
$507K
Total Drug Cost
67
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,065
Total Day Supply
57,592
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$434K
Generic Drug Cost
$73K

Patient Demographics

Average Patient Age
50.3 years
Avg HCC Risk Score
1.60
Gender Split
46% female / 54% 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 COOMBS, DNP, PMHNP-BC 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
Quetiapine Fumarate
128
Lamotrigine
127
Trazodone Hcl
115
Clonazepam
113
Lithium Carbonate
95
Lorazepam
82
Gabapentin
81
Vraylar
Cariprazine Hcl
76
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
70
Olanzapine
52

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

Adult Psychiatric/Mental Health Registered Nurse Overview

How JAMES COOMBS, DNP, PMHNP-BC fits within the Adult Psychiatric/Mental Health Registered Nurse landscape nationally.

4,591
Adult Psychiatric/Mental Health Registered Nurse Providers in US
52
States with Adult Psychiatric/Mental Health Registered Nurse
1,143
Avg Claims per Provider

JAMES COOMBS, DNP, PMHNP-BC's 1,980 claims are above the specialty average of 1,143.

Nearby Adult Psychiatric/Mental Health Registered Nurse Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as COOMBS.

Compare Adult Psychiatric/Mental Health Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES COOMBS, DNP, PMHNP-BC's specialty?
JAMES COOMBS, DNP, PMHNP-BC specializes in Adult Psychiatric/Mental Health Registered Nurse and practices in ASHEVILLE, North Carolina. Credentials: DNP, PMHNP-BC.
How much does JAMES COOMBS, DNP, PMHNP-BC prescribe under Medicare Part D?
In 2023, JAMES COOMBS, DNP, PMHNP-BC wrote 1,980 Medicare Part D claims totaling $507K in drug costs for 67 beneficiaries.
Where is JAMES COOMBS, DNP, PMHNP-BC located?
JAMES COOMBS, DNP, PMHNP-BC is located at 119 TUNNEL RD STE D, ASHEVILLE, NC, 28805. Phone: (828) 350-1000.
What is JAMES COOMBS, DNP, PMHNP-BC's NPI number?
JAMES COOMBS, DNP, PMHNP-BC's National Provider Identifier (NPI) is 1942863279, issued on 04/22/2019.
Does JAMES COOMBS, DNP, PMHNP-BC prescribe more brand-name or generic drugs?
JAMES COOMBS, DNP, PMHNP-BC's prescribing is 14% brand-name and 86% generic drugs by claim count, with $434K in brand drug costs.
How many Adult Psychiatric/Mental Health Registered Nurse providers are there in the US?
There are 4,591 Adult Psychiatric/Mental Health Registered Nurse providers across 52 states in the US. The average Adult Psychiatric/Mental Health Registered Nurse provider writes 1,143 Medicare Part D claims per year.
What drugs does JAMES COOMBS, DNP, PMHNP-BC prescribe most often?
Based on 2023 Medicare Part D data, JAMES COOMBS, DNP, PMHNP-BC's most frequently prescribed drugs include Quetiapine Fumarate, Lamotrigine, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES COOMBS, DNP, PMHNP-BC accept Medicare?
JAMES COOMBS, DNP, PMHNP-BC appears in CMS Medicare data with 1,980 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES COOMBS, DNP, PMHNP-BC's credentials?
JAMES COOMBS, DNP, PMHNP-BC's NPI is 1942863279 with credentials DNP, PMHNP-BC. 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.
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