2026 NPPES data Optometrist NPI 1316937063 O.D
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JAMES COSBY, O.D

Optometrist in ALBANY, Georgia. 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
192
Medicare Part D claims · 55 beneficiaries · Optometrist avg: 257
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$748.96
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES COSBY, O.D filed 192 Medicare Part D claims in 2023 as a Optometrist in ALBANY, Georgia, prescribing 67% generic.

192
Part D claims, 2023
67%
generic prescribing
$748.96
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 COSBY, O.D's Medicare Part D volume vs every U.S. prescriber

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

192 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 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 COSBY, O.D?

Quality data not reported

NPI registry status

Active

Issued 10/25/2005

NPI 1316937063

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

192 25% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Georgia

How Optometrist compares to other specialties among Georgia providers

Georgia providers

Optometrist share within Georgia

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Optometrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Optometrist ABMS/AOA estimate

Est. board-certified rate (Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Optometrist) — 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 COSBY, O.D is a Optometrist provider practicing in ALBANY, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D. NPI: 1316937063. 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 COSBY, O.D appears in the CMS NPPES registry as a Optometrist provider holding O.D credentials at 2616 POINTE NORTH BLVD, ALBANY, GA, 31721, with a listed phone of (229) 435-7795. NPI 1316937063 was issued on 10/25/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COSBY 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 192 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $24K in drug spend, split 33% brand-name and 67% 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.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 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

2616 POINTE NORTH BLVD
ALBANY, GA 31721

Provider Details

NPI 1316937063
Specialty Optometrist
Credentials O.D
Gender Male
NPI Issued 10/25/2005

Hospital and facility affiliations

Facilities where JAMES COSBY, O.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.

J ELLIS COSBY OD PC
ALBANY, GA

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 COSBY, O.D. Source: openpaymentsdata.cms.gov.

Total received

$749

Largest payer

Alcon Vision LLC

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 COSBY, O.D — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 192 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.

192
Total Claims
$24K
Total Drug Cost
55
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
242
Total Day Supply
6,330
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$18K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.14
Gender Split
56% female / 44% 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
98
Timolol Maleate
34

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

Optometrist Overview

How JAMES COSBY, O.D fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

JAMES COSBY, O.D's 192 claims are below the specialty average of 257.

Nearby Optometrist Providers in Georgia

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

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

Frequently Asked Questions

What is JAMES COSBY, O.D's specialty?
JAMES COSBY, O.D specializes in Optometrist and practices in ALBANY, Georgia. Credentials: O.D.
How much does JAMES COSBY, O.D prescribe under Medicare Part D?
In 2023, JAMES COSBY, O.D wrote 192 Medicare Part D claims totaling $24K in drug costs for 55 beneficiaries.
Where is JAMES COSBY, O.D located?
JAMES COSBY, O.D is located at 2616 POINTE NORTH BLVD, ALBANY, GA, 31721. Phone: (229) 435-7795.
What is JAMES COSBY, O.D's NPI number?
JAMES COSBY, O.D's National Provider Identifier (NPI) is 1316937063, issued on 10/25/2005.
Does JAMES COSBY, O.D prescribe more brand-name or generic drugs?
JAMES COSBY, O.D's prescribing is 33% brand-name and 67% generic drugs by claim count, with $18K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does JAMES COSBY, O.D prescribe most often?
Based on 2023 Medicare Part D data, JAMES COSBY, O.D's most frequently prescribed drugs include Latanoprost, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES COSBY, O.D accept Medicare?
JAMES COSBY, O.D appears in CMS Medicare data with 192 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES COSBY, O.D's credentials?
JAMES COSBY, O.D's NPI is 1316937063 with credentials O.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.
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