2026 NPPES data Pulmonary Disease Physician NPI 1962502153 M.D.
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James Fiastro, M.D.

Pulmonary Disease Physician in Tucson, Arizona. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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
757
Medicare Part D claims · 138 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$19.28
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Fiastro, M.D. filed 757 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in Tucson, Arizona, prescribing 0% generic.

757
Part D claims, 2023
0%
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 Fiastro, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

757 Top 29% higher than 71% 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%). This entry sits in this band. 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. 2K+: 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

Board certification likely (heuristic, not verified)

James Fiastro, M.D. 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 Fiastro, M.D.?

Quality data not reported

NPI registry status

Active

Issued 09/25/2006

NPI 1962502153

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

757 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Arizona

How Pulmonary Disease Physician compares to other specialties among Arizona providers

Arizona providers

Largest specialties in Arizona (% of in-state providers)

Pharmacist - 5.6%Pharmacist5.6%Behavior Technician - 5.6%Behavior Technician5.6%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4.2%Physical Therapist4.2%Speech-Language Pathologist - 3.5%Speech-Language Pathologist3.5%Student in an Organized Health Care Education/Training Program - 3.5%Student in an Organized Health Care Education/Training Program3.5%Pulmonary Disease Physician - 0.2%Pulmonary Disease Physician0.2%
Largest specialties in Arizona (% of in-state 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 Pulmonary Disease Physician. Verify directly:

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 Fiastro, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 320 W PRINCE RD, Tucson, AZ, 85705, with a listed phone of (520) 670-3909. NPI 1962502153 was issued on 09/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Fiastro 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 757 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $273K in drug spend, split 66% brand-name and 0% 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

320 W PRINCE RD
Tucson, AZ 85705

Provider Details

NPI 1962502153
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 09/25/2006

Hospital and facility affiliations

Facilities where James Fiastro, M.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.

EL Rio Santa Cruz Neighborhood Health Center Inc
Tucson, AZ

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 Fiastro, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$19

Largest payer

Genentech USA, 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 · Brand-heavy

James Fiastro, M.D. - brand share 66.0%
Pulmonary Disease Physician average

66% brand-name claims vs 0% generic, on 757 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.

757
Total Claims
$273K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
974
Total Day Supply
26,548
Brand vs Generic
66% brand / 0% generic
Brand Drug Cost
$254K
Antibiotic Claims
21

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.91
Gender Split
64% female / 36% 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 Fiastro, M.D. 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
Albuterol Sulfate Hfa
Albuterol Sulfate
123
Spiriva Handihaler
Tiotropium Bromide
74
Prednisone
68
Breo Ellipta
Fluticasone/Vilanterol
65
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
51
Flovent Diskus
Fluticasone Propionate
35
Symbicort
Budesonide/Formoterol Fumarate
26
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
25
Advair Diskus
Fluticasone Propion/Salmeterol
24
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
24

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

Pulmonary Disease Physician Overview

How James Fiastro, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

James Fiastro, M.D.'s 757 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Arizona

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

Compare Pulmonary Disease 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 Arizona medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.

Frequently Asked Questions

What is James Fiastro, M.D.'s specialty?
James Fiastro, M.D. specializes in Pulmonary Disease Physician and practices in Tucson, Arizona. Credentials: M.D..
How much does James Fiastro, M.D. prescribe under Medicare Part D?
In 2023, James Fiastro, M.D. wrote 757 Medicare Part D claims totaling $273K in drug costs for 138 beneficiaries.
Where is James Fiastro, M.D. located?
James Fiastro, M.D. is located at 320 W PRINCE RD, Tucson, AZ, 85705. Phone: (520) 670-3909.
What is James Fiastro, M.D.'s NPI number?
James Fiastro, M.D.'s National Provider Identifier (NPI) is 1962502153, issued on 09/25/2006.
Does James Fiastro, M.D. prescribe more brand-name or generic drugs?
James Fiastro, M.D.'s prescribing is 66% brand-name and 0% generic drugs by claim count, with $254K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does James Fiastro, M.D. prescribe most often?
Based on 2023 Medicare Part D data, James Fiastro, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Spiriva Handihaler, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Fiastro, M.D. accept Medicare?
James Fiastro, M.D. appears in CMS Medicare data with 757 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Fiastro, M.D.'s credentials?
James Fiastro, M.D.'s NPI is 1962502153 with credentials M.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

Compiled from official public sources by the PlainDoctor editorial team.