NPI registry status
Active
2026 NPPES data Nurse Practitioner NPI 1366842015 DNP, CRNP
Verify on CMS → James Gramling, DNP, CRNP
Nurse Practitioner in Birmingham, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 in Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 665 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.5/100
▲ 4 pts above national avg 83.1 · Above neutral
Industry payments
$2.0K
96 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Gramling, DNP, CRNP reported a CMS MIPS final score of 87.5/100 - above the 83.1 national average - and filed 4,252 Medicare Part D claims in 2023.
- 87.5/100
- MIPS score · +4 vs avg
- 4K
- Part D claims, 2023
- 87%
- generic prescribing
- $2.0K
- industry payments (Sunshine Act)
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 Gramling, DNP, CRNP'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
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
Where James Gramling, DNP, CRNP sits
This provider among nurse practitioner peers
Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, James Gramling, DNP, CRNP writes more Part D claims than 94% of them and scores higher on MIPS quality than 55% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is James Gramling, DNP, CRNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about James Gramling, DNP, CRNP?
High performer (top quartile)Primary specialty
Nurse Practitioner
Medicare Part D claims
4,252 292% vs specialty avg
MIPS final score
87.5/100 4.4 pts vs avg
Specialty distribution in Alabama
How Nurse Practitioner compares to other specialties among Alabama providers
Medicare quality performance, MIPS
James Gramling, DNP, CRNP's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 87.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) - 87.5/100 vs national avg 83.1
How MIPS and board certification work
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 Gramling, DNP, CRNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding DNP, CRNP credentials at 5890 VALLEY RD STE 200, Birmingham, AL, 35235, with a listed phone of (205) 655-7600. NPI 1366842015 was issued on 08/31/2014.
Medicare Part D records for calendar year 2023 show 4,252 prescription claims written by this provider, covering 665 Medicare beneficiaries and totaling roughly $424K in drug spend, split 12% brand-name and 87% generic by claim count, with an opioid prescribing rate of 0.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.5/100 for the 2023 performance year (Quality 75), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,700 enrolled providers across 56 states and an average of 1,084 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
Provider Details
| NPI | 1366842015 |
|---|---|
| Specialty | Nurse Practitioner |
| Credentials | DNP, CRNP |
| Gender | Male |
| NPI Issued | 08/31/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
87.4763
Final Score
Avg: 83.1
74.9526
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where James Gramling, DNP, CRNP 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.
Affinity Physician Services, LLC
Birmingham, AL
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 Gramling, DNP, CRNP. Source: openpaymentsdata.cms.gov.
Total received
$2.0K
Largest payer
Lilly USA, 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.
Brand vs generic prescribing mix · Typical
James Gramling, DNP, CRNP - brand share 12.0%
Nurse Practitioner average
12% brand-name claims vs 87% generic, on 4,252 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.
4,252
Total Claims
$424K
Total Drug Cost
665
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,327
- Total Day Supply
- 264,935
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $328K
- Generic Drug Cost
- $96K
- Opioid Claims
- 17 (0.4% rate)
- Antibiotic Claims
- 270
Patient Demographics
- Average Patient Age
- 71.7 years
- Avg HCC Risk Score
- 1.32
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 115, 65-74: 291, 75-84: 196, 85+: 63
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Gramling, DNP, CRNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
195 claims
- Levothyroxine Sodium
Levothyroxine Sodium
182 claims
- Amlodipine Besylate
Amlodipine Besylate
171 claims
- Pantoprazole Sodium
Pantoprazole Sodium
120 claims
- Lisinopril
Lisinopril
96 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
94 claims
- Losartan Potassium
Losartan Potassium
88 claims
- Pravastatin Sodium
Pravastatin Sodium
85 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 195 |
| Levothyroxine Sodium | 182 |
| Amlodipine Besylate | 171 |
| Pantoprazole Sodium | 120 |
| Lisinopril | 96 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 94 |
| Losartan Potassium | 88 |
| Pravastatin Sodium | 85 |
| Rosuvastatin Calcium | 80 |
| Carvedilol | 77 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nurse Practitioner Overview
How James Gramling, DNP, CRNP fits within the Nurse Practitioner landscape nationally.
87,700
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider
James Gramling, DNP, CRNP's 4,252 claims are above the specialty average of 1,084.
Nearby Nurse Practitioner Providers in Alabama
Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Gramling.
Dr. Jon Aaron
CRNP
Jasper, AL
Dr. Brittney Abercrombie
CRNP
Birmingham, AL
Dr. Janice Abrams
CRNP
Owens Cross Roads, AL
Dr. Sherri Abrams-Phillips
CRNP
Birmingham, AL
Amber Acklin Moore
Birmingham, AL
Compare Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Alabama medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is James Gramling, DNP, CRNP's specialty? ▼
James Gramling, DNP, CRNP specializes in Nurse Practitioner and practices in Birmingham, Alabama. Credentials: DNP, CRNP.
How much does James Gramling, DNP, CRNP prescribe under Medicare Part D? ▼
In 2023, James Gramling, DNP, CRNP wrote 4,252 Medicare Part D claims totaling $424K in drug costs for 665 beneficiaries.
What is James Gramling, DNP, CRNP's Medicare quality score? ▼
James Gramling, DNP, CRNP has a CMS MIPS Final Score of 87.5/100 (Quality: 75). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Gramling, DNP, CRNP located? ▼
James Gramling, DNP, CRNP is located at 5890 VALLEY RD STE 200, Birmingham, AL, 35235. Phone: (205) 655-7600.
What is James Gramling, DNP, CRNP's NPI number? ▼
James Gramling, DNP, CRNP's National Provider Identifier (NPI) is 1366842015, issued on 08/31/2014.
Does James Gramling, DNP, CRNP prescribe more brand-name or generic drugs? ▼
James Gramling, DNP, CRNP's prescribing is 12% brand-name and 87% generic drugs by claim count, with $328K in brand drug costs.
Does James Gramling, DNP, CRNP prescribe opioids? ▼
Yes, James Gramling, DNP, CRNP had 17 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Nurse Practitioner providers are there in the US? ▼
There are 87,700 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does James Gramling, DNP, CRNP prescribe most often? ▼
Based on 2023 Medicare Part D data, James Gramling, DNP, CRNP's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Gramling, DNP, CRNP accept Medicare? ▼
James Gramling, DNP, CRNP appears in CMS Medicare data with 4,252 Part D claims and 665 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Gramling, DNP, CRNP's credentials? ▼
James Gramling, DNP, CRNP's NPI is 1366842015 with credentials DNP, CRNP. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.