NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1891918017 MD
Verify on CMS → James Epstein, MD
Internal Medicine Physician in Middleburg Heights, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine Physician, 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
9K
Medicare Part D claims · 674 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
94%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.9/100
▲ 6 pts above national avg 83.1 · Above neutral
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 Epstein, MD reported a CMS MIPS final score of 88.9/100 - above the 83.1 national average - and filed 8,580 Medicare Part D claims in 2023.
- 88.9/100
- MIPS score · +6 vs avg
- 9K
- Part D claims, 2023
- 94%
- generic prescribing
- Likely
- board-certified (heuristic)
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 Epstein, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
89 Top 44% higher than 56% of 477,587 scored providers
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
Where James Epstein, MD sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Epstein, MD writes more Part D claims than 90% of them and scores higher on MIPS quality than 56% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is James Epstein, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Epstein, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Epstein, MD?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
8,580 216% vs specialty avg
MIPS final score
88.9/100 5.8 pts vs avg
Specialty distribution in Ohio
How Internal Medicine Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
James Epstein, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 88.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 88.9/100 vs national avg 83.1
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 Epstein, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at 18660 BAGLEY RD STE 400B, Middleburg Heights, OH, 44130, with a listed phone of (440) 239-8737. NPI 1891918017 was issued on 04/10/2007.
Medicare Part D records for calendar year 2023 show 8,580 prescription claims written by this provider, covering 674 Medicare beneficiaries and totaling roughly $355K in drug spend, split 5% brand-name and 94% generic by claim count, with an opioid prescribing rate of 0.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.9/100 for the 2023 performance year (Quality 100, Cost 62.8), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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 | 1891918017 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/10/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
88.8541
Final Score
Avg: 83.1
100
Quality
62.847
Cost
Reporting: Individual
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to James Epstein, MD. To verify James Epstein, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
James Epstein, MD - brand share 5.0%
Internal Medicine Physician average
5% brand-name claims vs 94% generic, on 8,580 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.
8,580
Total Claims
$355K
Total Drug Cost
674
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 22,593
- Total Day Supply
- 663,652
- Brand vs Generic
- 5% brand / 94% generic
- Brand Drug Cost
- $217K
- Generic Drug Cost
- $138K
- Opioid Claims
- 40 (0.5% rate)
- Antibiotic Claims
- 221
Patient Demographics
- Average Patient Age
- 77.1 years
- Avg HCC Risk Score
- 1.20
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 13, 65-74: 270, 75-84: 266, 85+: 125
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Epstein, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Losartan Potassium
Losartan Potassium
698 claims
- Amlodipine Besylate
Amlodipine Besylate
688 claims
- Atorvastatin Calcium
Atorvastatin Calcium
610 claims
- Levothyroxine Sodium
Levothyroxine Sodium
308 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
299 claims
- Simvastatin
Simvastatin
292 claims
- Lisinopril 276
Lisinopril
276 claims
- Hydrochlorothiazide 248
Hydrochlorothiazide
248 claims
| Drug | Claims |
|---|---|
| Losartan Potassium | 698 |
| Amlodipine Besylate | 688 |
| Atorvastatin Calcium | 610 |
| Levothyroxine Sodium | 308 |
| Rosuvastatin Calcium | 299 |
| Simvastatin | 292 |
| Lisinopril | 276 |
| Hydrochlorothiazide | 248 |
| Triamterene-Hydrochlorothiazid Triamterene/Hydrochlorothiazid | 210 |
| Metoprolol Succinate | 194 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How James Epstein, MD fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
James Epstein, MD's 8,580 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Epstein.
Dr. Evan Abalos
D.O.
Toledo, OH
Dr. Teah Abashidze
M.D.
Cleveland, OH
Dr. Rami Abboud
MD
Lorain, OH
Dr. Walid Abboud
MD
Cleveland, OH
Dr. Moshrik Abd-Alamir
M.D.
Toledo, OH
Compare Internal Medicine Physician 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician 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.
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Frequently Asked Questions
What is James Epstein, MD's specialty? ▼
James Epstein, MD specializes in Internal Medicine Physician and practices in Middleburg Heights, Ohio. Credentials: MD.
How much does James Epstein, MD prescribe under Medicare Part D? ▼
In 2023, James Epstein, MD wrote 8,580 Medicare Part D claims totaling $355K in drug costs for 674 beneficiaries.
What is James Epstein, MD's Medicare quality score? ▼
James Epstein, MD has a CMS MIPS Final Score of 88.9/100 (Quality: 100, Cost: 62.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Epstein, MD located? ▼
James Epstein, MD is located at 18660 BAGLEY RD STE 400B, Middleburg Heights, OH, 44130. Phone: (440) 239-8737.
What is James Epstein, MD's NPI number? ▼
James Epstein, MD's National Provider Identifier (NPI) is 1891918017, issued on 04/10/2007.
Does James Epstein, MD prescribe more brand-name or generic drugs? ▼
James Epstein, MD's prescribing is 5% brand-name and 94% generic drugs by claim count, with $217K in brand drug costs.
Does James Epstein, MD prescribe opioids? ▼
Yes, James Epstein, MD had 40 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does James Epstein, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, James Epstein, MD's most frequently prescribed drugs include Losartan Potassium, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Epstein, MD accept Medicare? ▼
James Epstein, MD appears in CMS Medicare data with 8,580 Part D claims and 674 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Epstein, MD's credentials? ▼
James Epstein, MD's NPI is 1891918017 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
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.
- 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
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.