2026 NPPES data Ophthalmology Physician NPI 1982607958 MD
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JAMES GILLESPIE, MD

Ophthalmology Physician in WAYNESBORO, Virginia. 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
20
Medicare Part D claims · Ophthalmology Physician avg: 1K

What the federal data shows

JAMES GILLESPIE, MD filed 20 Medicare Part D claims in 2023 as a Ophthalmology Physician in WAYNESBORO, Virginia.

20
Part D claims, 2023

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 GILLESPIE, MD's Medicare Part D volume vs every U.S. prescriber

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

20 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 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. 2,000–2,200: 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-eligible specialty (heuristic — not verified)

JAMES GILLESPIE, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JAMES GILLESPIE, MD?

Quality data not reported

NPI registry status

Active

Issued 05/24/2005

NPI 1982607958

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

20 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Virginia

How Ophthalmology Physician compares to other specialties among Virginia providers

Virginia providers

Ophthalmology Physician share within Virginia

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

Specialty board-certification context

Estimated specialty board-certified rate — Ophthalmology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Ophthalmology Physician ABMS/AOA estimate

Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

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 GILLESPIE, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 425 S LINDEN AVE, WAYNESBORO, VA, 22980, with a listed phone of (540) 213-7720. NPI 1982607958 was issued on 05/24/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILLESPIE 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 20 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $409 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.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

425 S LINDEN AVE
WAYNESBORO, VA 22980

Provider Details

NPI 1982607958
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 05/24/2005

Medicare Part D Prescribing Data

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

20
Total Claims
$409
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
41
Total Day Supply
1,219
Generic Drug Cost
$359

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.06

Ophthalmology Physician Overview

How JAMES GILLESPIE, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JAMES GILLESPIE, MD's 20 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Virginia

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

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

Frequently Asked Questions

What is JAMES GILLESPIE, MD's specialty?
JAMES GILLESPIE, MD specializes in Ophthalmology Physician and practices in WAYNESBORO, Virginia. Credentials: MD.
How much does JAMES GILLESPIE, MD prescribe under Medicare Part D?
In 2023, JAMES GILLESPIE, MD wrote 20 Medicare Part D claims totaling $409 in drug costs for N/A beneficiaries.
Where is JAMES GILLESPIE, MD located?
JAMES GILLESPIE, MD is located at 425 S LINDEN AVE, WAYNESBORO, VA, 22980. Phone: (540) 213-7720.
What is JAMES GILLESPIE, MD's NPI number?
JAMES GILLESPIE, MD's National Provider Identifier (NPI) is 1982607958, issued on 05/24/2005.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
Does JAMES GILLESPIE, MD accept Medicare?
JAMES GILLESPIE, MD appears in CMS Medicare data with 20 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 GILLESPIE, MD's credentials?
JAMES GILLESPIE, MD's NPI is 1982607958 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.
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