2026 NPPES data Gynecology Physician NPI 1043250269 M.D.
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JAMES HALEY, M.D.

Gynecology Physician in WOODSTOCK, Georgia. 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
303
Medicare Part D claims · 81 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$42.81
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES HALEY, M.D. filed 303 Medicare Part D claims in 2023 as a Gynecology Physician in WOODSTOCK, Georgia, prescribing 79% generic.

303
Part D claims, 2023
79%
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 HALEY, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

303 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 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 certification likely (heuristic — not verified)

JAMES HALEY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 HALEY, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/07/2006

NPI 1043250269

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

303 3% vs specialty avg

2023 prescription claims

Specialty avg: 295

Specialty distribution in Georgia

How Gynecology Physician compares to other specialties among Georgia providers

Georgia providers

Gynecology Physician share within Georgia

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Gynecology 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 HALEY, M.D. is a Gynecology Physician provider practicing in WOODSTOCK, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1043250269. 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 HALEY, M.D. appears in the CMS NPPES registry as a Gynecology Physician provider holding M.D. credentials at 100 STONEFOREST DR, WOODSTOCK, GA, 30189, with a listed phone of (770) 720-7733. NPI 1043250269 was issued on 06/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HALEY 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 303 prescription claims written by this provider, covering 81 Medicare beneficiaries and totaling roughly $29K in drug spend, split 21% brand-name and 79% generic by claim count. 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.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

100 STONEFOREST DR
WOODSTOCK, GA 30189

Provider Details

NPI 1043250269
Specialty Gynecology Physician
Credentials M.D.
Gender Male
NPI Issued 06/07/2006

Hospital and facility affiliations

Facilities where JAMES HALEY, M.D. 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.

CHEROKEE WOMEN'S HEALTH SPECIALIST, P.C.
CANTON, GA

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 HALEY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$43

Largest payer

OptumHealth Care Solutions, 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 HALEY, M.D. — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 303 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.

303
Total Claims
$29K
Total Drug Cost
81
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
553
Total Day Supply
14,960
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$21K
Generic Drug Cost
$9K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
65.3 years
Avg HCC Risk Score
0.81
Gender Split
100% female / 0% male
Age Distribution
<65: 24, 65-74: 37, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
92
Medroxyprogesterone Acetate
42
Estradiol (Twice Weekly)
Estradiol
12
Premarin
"Estrogens
N/A

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

Gynecology Physician Overview

How JAMES HALEY, M.D. fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

JAMES HALEY, M.D.'s 303 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is JAMES HALEY, M.D.'s specialty?
JAMES HALEY, M.D. specializes in Gynecology Physician and practices in WOODSTOCK, Georgia. Credentials: M.D..
How much does JAMES HALEY, M.D. prescribe under Medicare Part D?
In 2023, JAMES HALEY, M.D. wrote 303 Medicare Part D claims totaling $29K in drug costs for 81 beneficiaries.
Where is JAMES HALEY, M.D. located?
JAMES HALEY, M.D. is located at 100 STONEFOREST DR, WOODSTOCK, GA, 30189. Phone: (770) 720-7733.
What is JAMES HALEY, M.D.'s NPI number?
JAMES HALEY, M.D.'s National Provider Identifier (NPI) is 1043250269, issued on 06/07/2006.
Does JAMES HALEY, M.D. prescribe more brand-name or generic drugs?
JAMES HALEY, M.D.'s prescribing is 21% brand-name and 79% generic drugs by claim count, with $21K in brand drug costs.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does JAMES HALEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES HALEY, M.D.'s most frequently prescribed drugs include Estradiol, Medroxyprogesterone Acetate, Estradiol (Twice Weekly). This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES HALEY, M.D. accept Medicare?
JAMES HALEY, M.D. appears in CMS Medicare data with 303 Part D claims and 81 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES HALEY, M.D.'s credentials?
JAMES HALEY, M.D.'s NPI is 1043250269 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.
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