NPI registry status
Active
2026 NPPES data Hematology & Oncology Physician NPI 1265425078 MD
Verify on CMS → James Essell, MD
Hematology & Oncology Physician in Cincinnati, 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 11,215 in Hematology & Oncology 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
2K
Medicare Part D claims · 217 beneficiaries · Hematology & Oncology Physician avg: 847
Industry payments
$52.4K
41 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Essell, MD filed 2,387 Medicare Part D claims in 2023 as a Hematology & Oncology Physician in Cincinnati, Ohio.
- 2K
- Part D claims, 2023
- 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 Essell, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
2,387 Top 14% higher than 86% 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
✓
Board certification likely (heuristic, not verified)
James Essell, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Essell, MD?
Quality data not reportedPrimary specialty
Hematology & Oncology Physician
Medicare Part D claims
2,387 182% vs specialty avg
Specialty distribution in Ohio
How Hematology & Oncology Physician compares to other specialties among Ohio 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 Hematology & Oncology Physician. 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 Essell, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 4777 E GALBRAITH RD, Cincinnati, OH, 45236, with a listed phone of (513) 751-2273. NPI 1265425078 was issued on 08/26/2005.
Medicare Part D records for calendar year 2023 show 2,387 prescription claims written by this provider, covering 217 Medicare beneficiaries and totaling roughly $8.4 million in drug spend, with an opioid prescribing rate of 1.0%.
Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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 | 1265425078 |
|---|---|
| Specialty | Hematology & Oncology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/26/2005 |
Hospital and facility affiliations
Facilities where James Essell, MD 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.
Oncology Hematology Care Inc
Cincinnati, OH
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 Essell, MD. Source: openpaymentsdata.cms.gov.
Total received
$52.4K
Largest payer
ABBVIE INC.
Most common payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
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.
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 Essell, MD. To verify James Essell, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,387
Total Claims
$8.4M
Total Drug Cost
217
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,105
- Total Day Supply
- 87,698
- Generic Drug Cost
- $454K
- Opioid Claims
- 23 (1.0% rate)
- Antibiotic Claims
- 289
Patient Demographics
- Average Patient Age
- 72.0 years
- Avg HCC Risk Score
- 3.52
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 24, 65-74: 118, 75-84: 58, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Essell, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Valacyclovir
Valacyclovir
185 claims
- Penicillin V Potas…
Penicillin V Potassium
162 claims
- Acyclovir
Acyclovir
134 claims
- Eliquis
Eliquis
102 claims
- Calquence
Calquence
75 claims
- Fluconazole
Fluconazole
74 claims
- Jakafi
Jakafi
74 claims
- Revlimid 64
Revlimid
64 claims
| Drug | Claims |
|---|---|
| Valacyclovir Valacyclovir Hcl | 185 |
| Penicillin V Potassium | 162 |
| Acyclovir | 134 |
| Eliquis Apixaban | 102 |
| Calquence Acalabrutinib Maleate | 75 |
| Fluconazole | 74 |
| Jakafi Ruxolitinib Phosphate | 74 |
| Revlimid Lenalidomide | 64 |
| Warfarin Sodium | 64 |
| Imbruvica Ibrutinib | 63 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hematology & Oncology Physician Overview
How James Essell, MD fits within the Hematology & Oncology Physician landscape nationally.
11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider
James Essell, MD's 2,387 claims are above the specialty average of 847.
Nearby Hematology & Oncology Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Essell.
Dr. Vivek Abhyankar
MD
Marietta, OH
Dr. David Adelstein
M.D.
Cleveland, OH
Dr. Faisal Adhami
M.D., PH.D.
Cincinnati, OH
Dr. Mahmoud Afifi
MD
Bryan, OH
Dr. Farouq Ahmed
M.D.
Massillon, OH
Compare Hematology & Oncology 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 Hematology & Oncology 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 Essell, MD's specialty? ▼
James Essell, MD specializes in Hematology & Oncology Physician and practices in Cincinnati, Ohio. Credentials: MD.
How much does James Essell, MD prescribe under Medicare Part D? ▼
In 2023, James Essell, MD wrote 2,387 Medicare Part D claims totaling $8.4M in drug costs for 217 beneficiaries.
Where is James Essell, MD located? ▼
James Essell, MD is located at 4777 E GALBRAITH RD, Cincinnati, OH, 45236. Phone: (513) 751-2273.
What is James Essell, MD's NPI number? ▼
James Essell, MD's National Provider Identifier (NPI) is 1265425078, issued on 08/26/2005.
Does James Essell, MD prescribe opioids? ▼
Yes, James Essell, MD had 23 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Hematology & Oncology Physician providers are there in the US? ▼
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does James Essell, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, James Essell, MD's most frequently prescribed drugs include Valacyclovir, Penicillin V Potassium, Acyclovir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Essell, MD accept Medicare? ▼
James Essell, MD appears in CMS Medicare data with 2,387 Part D claims and 217 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Essell, MD's credentials? ▼
James Essell, MD's NPI is 1265425078 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.
- 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.