2026 NPPES data Specialist NPI 1912908161 M.D.
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JAMES GOULD, M.D.

Specialist in FESTUS, Missouri. 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
771
Medicare Part D claims · 273 beneficiaries · Specialist avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.9162/100
▼ 9 pts below national avg 83.1 · [object Object]
What the federal data reveals: JAMES GOULD, M.D. is a Specialist ([object Object]) practicing in FESTUS, Missouri with a Medicare Part D prescribing footprint of 771 claims across 273 beneficiaries — 7% brand-name prescribing . Their CMS MIPS Final Score of 73.9162/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JAMES GOULD, M.D. reported a CMS MIPS final score of 73.9162 out of 100, below the 83.1 national average, and filed 771 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JAMES GOULD, M.D. at a glance

Below national average

NPI registry status

Active

Issued 08/09/2005

NPI 1912908161

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

771 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

73.9162/100 9.18379999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Missouri

How Specialist compares to other specialties among Missouri providers

Missouri providers

Specialist share within Missouri

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Missouri

Medicare quality performance — MIPS

JAMES GOULD, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
73.9162/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 73.9162/100 vs national avg 83.1

0%100%National avg83%73.9%
MIPS final score (Specialist) — 73.9162/100 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 GOULD, M.D. is a Specialist provider practicing in FESTUS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1912908161. 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 GOULD, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1390 HIGHWAY 61, FESTUS, MO, 63028, with a listed phone of (636) 931-7380. NPI 1912908161 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOULD 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 771 prescription claims written by this provider, covering 273 Medicare beneficiaries and totaling roughly $29K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 1.8%. 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 73.9162/100 for the 2023 performance year (Quality 47.8323), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1390 HIGHWAY 61
FESTUS, MO 63028

Provider Details

NPI 1912908161
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 08/09/2005

CMS Quality Score (MIPS)

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

73.9162
Final Score
Avg: 83.1
47.8323
Quality

Reporting: Individual

Brand vs generic prescribing mix · Generic-heavy

JAMES GOULD, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 771 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.

771
Total Claims
$29K
Total Drug Cost
273
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,251
Total Day Supply
33,708
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$7K
Generic Drug Cost
$21K
Opioid Claims
14 (1.8% rate)
Antibiotic Claims
32

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.29
Gender Split
53% female / 47% male
Age Distribution
<65: 39, 65-74: 141, 75-84: 68, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Montelukast Sodium
155
Mupirocin
109
Triamcinolone Acetonide
107
Epinephrine
50
Ipratropium Bromide
46
Levothyroxine Sodium
46
Azelastine Hcl
37
Levocetirizine Dihydrochloride
34
Fluticasone Propionate
28
Prednisone
18

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

Specialist Overview

How JAMES GOULD, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

JAMES GOULD, M.D.'s 771 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Missouri

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES GOULD, M.D.'s specialty?
JAMES GOULD, M.D. specializes in Specialist and practices in FESTUS, Missouri. Credentials: M.D..
How much does JAMES GOULD, M.D. prescribe under Medicare Part D?
In 2023, JAMES GOULD, M.D. wrote 771 Medicare Part D claims totaling $29K in drug costs for 273 beneficiaries.
What is JAMES GOULD, M.D.'s Medicare quality score?
JAMES GOULD, M.D. has a CMS MIPS Final Score of 73.9162/100 (Quality: 47.8323). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES GOULD, M.D. located?
JAMES GOULD, M.D. is located at 1390 HIGHWAY 61, FESTUS, MO, 63028. Phone: (636) 931-7380.
What is JAMES GOULD, M.D.'s NPI number?
JAMES GOULD, M.D.'s National Provider Identifier (NPI) is 1912908161, issued on 08/09/2005.
Does JAMES GOULD, M.D. prescribe more brand-name or generic drugs?
JAMES GOULD, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $7K in brand drug costs.
Does JAMES GOULD, M.D. prescribe opioids?
Yes, JAMES GOULD, M.D. had 14 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does JAMES GOULD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES GOULD, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Mupirocin, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES GOULD, M.D. accept Medicare?
JAMES GOULD, M.D. appears in CMS Medicare data with 771 Part D claims and 273 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES GOULD, M.D.'s credentials?
JAMES GOULD, M.D.'s NPI is 1912908161 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.
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