2026 NPPES data Obstetrics Physician NPI 1740258185 D.O.
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JAMES GILHAM, D.O.

Obstetrics Physician in MONTROSE, Colorado. 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
17
Medicare Part D claims · Obstetrics Physician avg: 319
MIPS score
87.9632/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$107.39
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES GILHAM, D.O. is a Obstetrics Physician ([object Object]) practicing in MONTROSE, Colorado with a Medicare Part D prescribing footprint of 17 claims . Their CMS MIPS Final Score of 87.9632/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $107.39 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

JAMES GILHAM, D.O. reported a CMS MIPS final score of 87.9632/100 — above the 83.1 national average — and filed 17 Medicare Part D claims in 2023.

87.9632/100
MIPS score · +5 vs avg
17
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 GILHAM, D.O.'s MIPS score vs every scored U.S. clinician

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

88 Top 46% higher than 54% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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 GILHAM, D.O. 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).

JAMES GILHAM, D.O. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/10/2006

NPI 1740258185

Primary specialty

Obstetrics Physician

Niche

1,402 US NPIs in this specialty

Medicare Part D claims

17 95% vs specialty avg

2023 prescription claims

Specialty avg: 319

MIPS final score

87.9632/100 4.863200000000006% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Obstetrics Physician compares to other specialties among Colorado providers

Colorado providers

Obstetrics Physician share within Colorado

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

Medicare quality performance — MIPS

JAMES GILHAM, D.O.'s 2023 MIPS final score plotted against the Obstetrics Physician national average

High performer (top quartile)
MIPS Final Score
87.9632/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics Physician) — 87.9632/100 vs national avg 83.1

0%100%National avg83%88%
MIPS final score (Obstetrics Physician) — 87.9632/100 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 GILHAM, D.O. is a Obstetrics Physician provider practicing in MONTROSE, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1740258185. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES GILHAM, D.O. appears in the CMS NPPES registry as a Obstetrics Physician provider holding D.O. credentials at 715 S 3RD ST, MONTROSE, CO, 81401, with a listed phone of (970) 249-6737. NPI 1740258185 was issued on 03/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILHAM 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 17 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $661 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 87.9632/100 for the 2023 performance year (Quality 72.4312), compared with the national average of 83.1.

Obstetrics Physician is a narrow specialty nationwide, with 1,402 enrolled providers across 54 states and an average of 319 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

715 S 3RD ST
MONTROSE, CO 81401

Provider Details

NPI 1740258185
Specialty Obstetrics Physician
Credentials D.O.
Gender Male
NPI Issued 03/10/2006

CMS Quality Score (MIPS)

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

87.9632
Final Score
Avg: 83.1
72.4312
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JAMES GILHAM, D.O. 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.

MONTROSE MEMORIAL HOSPITAL, INC
MONTROSE, CO

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 GILHAM, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$107

Largest payer

Hologic Sales and Service, LLC

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.

17
Total Claims
$661
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
46
Total Day Supply
1,346
Generic Drug Cost
$522

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
0.59

Obstetrics Physician Overview

How JAMES GILHAM, D.O. fits within the Obstetrics Physician landscape nationally.

1,402
Obstetrics Physician Providers in US
54
States with Obstetrics Physician
319
Avg Claims per Provider

JAMES GILHAM, D.O.'s 17 claims are below the specialty average of 319.

Nearby Obstetrics Physician Providers in Colorado

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

Compare Obstetrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES GILHAM, D.O.'s specialty?
JAMES GILHAM, D.O. specializes in Obstetrics Physician and practices in MONTROSE, Colorado. Credentials: D.O..
How much does JAMES GILHAM, D.O. prescribe under Medicare Part D?
In 2023, JAMES GILHAM, D.O. wrote 17 Medicare Part D claims totaling $661 in drug costs for N/A beneficiaries.
What is JAMES GILHAM, D.O.'s Medicare quality score?
JAMES GILHAM, D.O. has a CMS MIPS Final Score of 87.9632/100 (Quality: 72.4312). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES GILHAM, D.O. located?
JAMES GILHAM, D.O. is located at 715 S 3RD ST, MONTROSE, CO, 81401. Phone: (970) 249-6737.
What is JAMES GILHAM, D.O.'s NPI number?
JAMES GILHAM, D.O.'s National Provider Identifier (NPI) is 1740258185, issued on 03/10/2006.
How many Obstetrics Physician providers are there in the US?
There are 1,402 Obstetrics Physician providers across 54 states in the US. The average Obstetrics Physician provider writes 319 Medicare Part D claims per year.
Does JAMES GILHAM, D.O. accept Medicare?
JAMES GILHAM, D.O. appears in CMS Medicare data with 17 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES GILHAM, D.O.'s credentials?
JAMES GILHAM, D.O.'s NPI is 1740258185 with credentials D.O.. 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