NPI registry status
Active
2026 NPPES data Pharmacist NPI 1295398576 PHARMD
Verify on CMS → James Defoe, PHARMD
Pharmacist in Helena, Montana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 291,043 in Pharmacist, 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
426
Medicare Part D claims · 57 beneficiaries · Pharmacist avg: 135
Generic prescribing
68%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Defoe, PHARMD filed 426 Medicare Part D claims in 2023 as a Pharmacist in Helena, Montana, prescribing 68% generic.
- 426
- Part D claims, 2023
- 68%
- generic prescribing
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 Defoe, PHARMD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
426 Top 38% higher than 62% of 1,370,886 prescribers
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 Defoe, PHARMD?
Quality data not reportedPrimary specialty
Pharmacist
Medicare Part D claims
426 216% vs specialty avg
Specialty distribution in Montana
How Pharmacist compares to other specialties among Montana providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pharmacist. Verify directly:
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).
James Defoe, PHARMD appears in the CMS NPPES registry as a Pharmacist provider holding PHARMD credentials at 1930 9TH AVE, Helena, MT, 59601, with a listed phone of (406) 500-2080. NPI 1295398576 was issued on 04/22/2019.
Medicare Part D records for calendar year 2023 show 426 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $182K in drug spend, split 29% brand-name and 68% generic by claim count.
Pharmacist is a high-volume specialty nationwide, with 291,043 enrolled providers across 56 states and an average of 135 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
Provider Details
| NPI | 1295398576 |
|---|---|
| Specialty | Pharmacist |
| Credentials | PHARMD |
| Gender | Male |
| NPI Issued | 04/22/2019 |
Brand vs generic prescribing mix · Above average
James Defoe, PHARMD - brand share 29.0%
Pharmacist average
29% brand-name claims vs 68% generic, on 426 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.
426
Total Claims
$182K
Total Drug Cost
57
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 645
- Total Day Supply
- 18,441
- Brand vs Generic
- 29% brand / 68% generic
- Brand Drug Cost
- $177K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 66.4 years
- Avg HCC Risk Score
- 1.25
- Gender Split
- 44% female / 56% male
- Age Distribution
- <65: 18, 65-74: 29, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Defoe, PHARMD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trulicity
Trulicity
36 claims
- Atorvastatin Calcium
Atorvastatin Calcium
32 claims
- Lisinopril
Lisinopril
26 claims
- Metformin Hcl Er
Metformin Hcl Er
23 claims
- Metoprolol Succinate
Metoprolol Succinate
23 claims
- Pioglitazone Hcl
Pioglitazone Hcl
23 claims
- Montelukast Sodium
Montelukast Sodium
17 claims
- Furosemide
Furosemide
15 claims
| Drug | Claims |
|---|---|
| Trulicity Dulaglutide | 36 |
| Atorvastatin Calcium | 32 |
| Lisinopril | 26 |
| Metformin Hcl Er Metformin Hcl | 23 |
| Metoprolol Succinate | 23 |
| Pioglitazone Hcl | 23 |
| Montelukast Sodium | 17 |
| Furosemide | 15 |
| Tamsulosin Hcl | 13 |
| Jardiance Empagliflozin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pharmacist Overview
How James Defoe, PHARMD fits within the Pharmacist landscape nationally.
291,043
Pharmacist Providers in US
56
States with Pharmacist
135
Avg Claims per Provider
James Defoe, PHARMD's 426 claims are above the specialty average of 135.
Nearby Pharmacist Providers in Montana
Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as Defoe.
Dr. Charles Adams
PHARMD
Dillon, MT
Dr. Kelly Adams
PHARMD
Dillon, MT
Abigail Agatep
Billings, MT
Vivienne Akey
Whitefish, MT
Dr. Darin Allard
RPH
St Ignatius, MT
Compare Pharmacist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Montana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pharmacist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Frequently Asked Questions
What is James Defoe, PHARMD's specialty? ▼
James Defoe, PHARMD specializes in Pharmacist and practices in Helena, Montana. Credentials: PHARMD.
How much does James Defoe, PHARMD prescribe under Medicare Part D? ▼
In 2023, James Defoe, PHARMD wrote 426 Medicare Part D claims totaling $182K in drug costs for 57 beneficiaries.
Where is James Defoe, PHARMD located? ▼
James Defoe, PHARMD is located at 1930 9TH AVE, Helena, MT, 59601. Phone: (406) 500-2080.
What is James Defoe, PHARMD's NPI number? ▼
James Defoe, PHARMD's National Provider Identifier (NPI) is 1295398576, issued on 04/22/2019.
Does James Defoe, PHARMD prescribe more brand-name or generic drugs? ▼
James Defoe, PHARMD's prescribing is 29% brand-name and 68% generic drugs by claim count, with $177K in brand drug costs.
How many Pharmacist providers are there in the US? ▼
There are 291,043 Pharmacist providers across 56 states in the US. The average Pharmacist provider writes 135 Medicare Part D claims per year.
What drugs does James Defoe, PHARMD prescribe most often? ▼
Based on 2023 Medicare Part D data, James Defoe, PHARMD's most frequently prescribed drugs include Trulicity, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Defoe, PHARMD accept Medicare? ▼
James Defoe, PHARMD appears in CMS Medicare data with 426 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Defoe, PHARMD's credentials? ▼
James Defoe, PHARMD's NPI is 1295398576 with credentials PHARMD. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.