2026 NPPES data Internal Medicine Physician NPI 1013024363 MD FACP
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JAMES GILROY, MD FACP

Internal Medicine Physician in MOODY, Maine. 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
5K
Medicare Part D claims · 400 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.0699/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

JAMES GILROY, MD FACP reported a CMS MIPS final score of 98.0699/100 — above the 83.1 national average — and filed 5,198 Medicare Part D claims in 2023.

98.0699/100
MIPS score · +15 vs avg
5K
Part D claims, 2023
86%
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 GILROY, MD FACP's MIPS score vs every scored U.S. clinician

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

98 Top 11% higher than 89% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 GILROY, MD FACP practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 GILROY, MD FACP?

High performer (top quartile)

NPI registry status

Active

Issued 08/24/2006

NPI 1013024363

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

5,198 91% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Internal Medicine Physician compares to other specialties among Maine providers

Maine providers

Internal Medicine Physician share within Maine

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

Medicare quality performance — MIPS

JAMES GILROY, MD FACP's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
98.0699/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Internal Medicine Physician) — 98.0699/100 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 GILROY, MD FACP is a Internal Medicine Physician provider practicing in MOODY, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD FACP. NPI: 1013024363. 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 GILROY, MD FACP appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD FACP credentials at 277 POST ROAD, MOODY, ME, 04054, with a listed phone of (207) 646-8386. NPI 1013024363 was issued on 08/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILROY 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 5,198 prescription claims written by this provider, covering 400 Medicare beneficiaries and totaling roughly $702K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.9%. 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 98.0699/100 for the 2023 performance year (Quality 86.1398), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

277 POST ROAD
MOODY, ME 04054

Provider Details

NPI 1013024363
Specialty Internal Medicine Physician
Credentials MD FACP
Gender Male
NPI Issued 08/24/2006

CMS Quality Score (MIPS)

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

98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Typical

JAMES GILROY, MD FACP — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 5,198 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.

5,198
Total Claims
$702K
Total Drug Cost
400
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,651
Total Day Supply
373,393
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$593K
Generic Drug Cost
$107K
Opioid Claims
150 (2.9% rate)
Antibiotic Claims
63

Patient Demographics

Average Patient Age
77.7 years
Avg HCC Risk Score
1.11
Gender Split
55% female / 46% male
Age Distribution
<65: 11, 65-74: 127, 75-84: 163, 85+: 99

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
385
Lisinopril
217
Amlodipine Besylate
211
Rosuvastatin Calcium
198
Losartan Potassium
162
Levothyroxine Sodium
150
Hydrochlorothiazide
143
Eliquis
Apixaban
137
Metoprolol Succinate
124
Lorazepam
109

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

Internal Medicine Physician Overview

How JAMES GILROY, MD FACP fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

JAMES GILROY, MD FACP's 5,198 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Maine

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

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

Frequently Asked Questions

What is JAMES GILROY, MD FACP's specialty?
JAMES GILROY, MD FACP specializes in Internal Medicine Physician and practices in MOODY, Maine. Credentials: MD FACP.
How much does JAMES GILROY, MD FACP prescribe under Medicare Part D?
In 2023, JAMES GILROY, MD FACP wrote 5,198 Medicare Part D claims totaling $702K in drug costs for 400 beneficiaries.
What is JAMES GILROY, MD FACP's Medicare quality score?
JAMES GILROY, MD FACP has a CMS MIPS Final Score of 98.0699/100 (Quality: 86.1398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES GILROY, MD FACP located?
JAMES GILROY, MD FACP is located at 277 POST ROAD, MOODY, ME, 04054. Phone: (207) 646-8386.
What is JAMES GILROY, MD FACP's NPI number?
JAMES GILROY, MD FACP's National Provider Identifier (NPI) is 1013024363, issued on 08/24/2006.
Does JAMES GILROY, MD FACP prescribe more brand-name or generic drugs?
JAMES GILROY, MD FACP's prescribing is 14% brand-name and 86% generic drugs by claim count, with $593K in brand drug costs.
Does JAMES GILROY, MD FACP prescribe opioids?
Yes, JAMES GILROY, MD FACP had 150 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does JAMES GILROY, MD FACP prescribe most often?
Based on 2023 Medicare Part D data, JAMES GILROY, MD FACP's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES GILROY, MD FACP accept Medicare?
JAMES GILROY, MD FACP appears in CMS Medicare data with 5,198 Part D claims and 400 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES GILROY, MD FACP's credentials?
JAMES GILROY, MD FACP's NPI is 1013024363 with credentials MD FACP. 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