2026 NPPES data Family Medicine Physician NPI 1225070568 MD
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JAMES GALYEN, MD

Family Medicine Physician in NORFOLK, Nebraska. 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
272
Medicare Part D claims · 43 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
73.9153/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$40.58
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES GALYEN, MD reported a CMS MIPS final score of 73.9153/100 — below the 83.1 national average — and filed 272 Medicare Part D claims in 2023.

73.9153/100
MIPS score · -9 vs avg
272
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 GALYEN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

74 11th percentile higher than 11% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

JAMES GALYEN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 GALYEN, MD?

Below national average

NPI registry status

Active

Issued 06/12/2006

NPI 1225070568

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

272 92% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

73.9153/100 9.184699999999992% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Nebraska

How Family Medicine Physician compares to other specialties among Nebraska providers

Nebraska providers

Family Medicine Physician share within Nebraska

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Nebraska

Medicare quality performance — MIPS

JAMES GALYEN, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
73.9153/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 73.9153/100 vs national avg 83.1

0%100%National avg83%73.9%
MIPS final score (Family Medicine Physician) — 73.9153/100 vs national avg 83.1

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 GALYEN, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 305 N 37TH ST, NORFOLK, NE, 68701, with a listed phone of (402) 370-4100. NPI 1225070568 was issued on 06/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GALYEN 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 272 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $17K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.9153/100 for the 2023 performance year (Quality 79.356, Cost 33.695), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

305 N 37TH ST
NORFOLK, NE 68701

Provider Details

NPI 1225070568
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/12/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

73.9153
Final Score
Avg: 83.1
79.356
Quality
33.695
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES GALYEN, 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.

FAITH REGIONAL PHYSICIAN SERVICES LLC
NORFOLK, NE

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 GALYEN, MD. Source: openpaymentsdata.cms.gov.

Total received

$41

Largest payer

ABBVIE 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

272
Total Claims
$17K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
661
Total Day Supply
19,136
Generic Drug Cost
$5K
Antibiotic Claims
22

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
0.73

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JAMES GALYEN, MD 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
Losartan Potassium
23
Simvastatin
19
Lisinopril
17
Pantoprazole Sodium
14
Atorvastatin Calcium
13
Omeprazole
12
Amlodipine Besylate
11

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

Family Medicine Physician Overview

How JAMES GALYEN, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

JAMES GALYEN, MD's 272 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Nebraska

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES GALYEN, MD's specialty?
JAMES GALYEN, MD specializes in Family Medicine Physician and practices in NORFOLK, Nebraska. Credentials: MD.
How much does JAMES GALYEN, MD prescribe under Medicare Part D?
In 2023, JAMES GALYEN, MD wrote 272 Medicare Part D claims totaling $17K in drug costs for 43 beneficiaries.
What is JAMES GALYEN, MD's Medicare quality score?
JAMES GALYEN, MD has a CMS MIPS Final Score of 73.9153/100 (Quality: 79.356, Cost: 33.695). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES GALYEN, MD located?
JAMES GALYEN, MD is located at 305 N 37TH ST, NORFOLK, NE, 68701. Phone: (402) 370-4100.
What is JAMES GALYEN, MD's NPI number?
JAMES GALYEN, MD's National Provider Identifier (NPI) is 1225070568, issued on 06/12/2006.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does JAMES GALYEN, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES GALYEN, MD's most frequently prescribed drugs include Losartan Potassium, Simvastatin, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES GALYEN, MD accept Medicare?
JAMES GALYEN, MD appears in CMS Medicare data with 272 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES GALYEN, MD's credentials?
JAMES GALYEN, MD's NPI is 1225070568 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

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