2026 NPPES data Specialist NPI 1205884376 M.D.
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James Hall, M.D.

Specialist in Union City, Tennessee.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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
11K
Medicare Part D claims · 667 beneficiaries · Specialist avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.7/100
▼ 0 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Hall, M.D. reported a CMS MIPS final score of 82.7/100 - below the 83.1 national average - and filed 10,631 Medicare Part D claims in 2023.

82.7/100
MIPS score · 0 vs avg
11K
Part D claims, 2023
87%
generic prescribing

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 Hall, M.D.'s MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. 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

Where James Hall, M.D. sits

This provider among specialist peers

Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, James Hall, M.D. writes more Part D claims than 98% of them and scores higher on MIPS quality than 53% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 60James Hall, M.D.-Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 53
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is James Hall, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about James Hall, M.D.?

Near national average

NPI registry status

Active

Issued 05/04/2006

NPI 1205884376

Primary specialty

Specialist

High-volume

69,608 US NPIs in this specialty

Medicare Part D claims

10,631 vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

82.7/100 0.4 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Specialist compares to other specialties among Tennessee providers

Tennessee providers
Family Nurse Practitioner - 6.4%Family Nurse Practitioner6.4%Pharmacist - 5.9%Pharmacist5.9%Student in an Organized Health Care Education/Training Program - 4.6%Student in an Organized Health Care Education/Training Program4.6%Physical Therapist - 4.2%Physical Therapist4.2%Behavior Technician - 4.2%Behavior Technician4.2%Registered Nurse - 3.9%Registered Nurse3.9%Specialist - 0.8%Specialist0.8%
Largest specialties in Tennessee (% of in-state providers)

Medicare quality performance, MIPS

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

Near national average
MIPS Final Score
82.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) - 82.7/100 vs national avg 83.1

0%100%National avg83%82.7%
MIPS final score (Specialist) - 82.7/100 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 Hall, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1304 MEDICAL PARK CIR, Union City, TN, 38261, with a listed phone of (731) 886-1212. NPI 1205884376 was issued on 05/04/2006.

Medicare Part D records for calendar year 2023 show 10,631 prescription claims written by this provider, covering 667 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 13% 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 82.7/100 for the 2023 performance year (Quality 100, Cost 42.2), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,608 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

1304 MEDICAL PARK CIR
Union City, TN 38261

Provider Details

NPI 1205884376
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 05/04/2006

CMS Quality Score (MIPS)

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

82.663
Final Score
Avg: 83.1
100
Quality
42.21
Cost

Reporting: Individual

Brand vs generic prescribing mix · Typical

James Hall, M.D. - brand share 13.0%
Specialist average

13% brand-name claims vs 87% generic, on 10,631 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.

10,631
Total Claims
$1.1M
Total Drug Cost
667
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,228
Total Day Supply
620,164
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$852K
Generic Drug Cost
$224K
Opioid Claims
44 (0.4% rate)
Antibiotic Claims
132

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.34
Gender Split
53% female / 47% male
Age Distribution
<65: 105, 65-74: 244, 75-84: 217, 85+: 101

Top Prescribed Drugs (Medicare Part D)

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

What James Hall, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Felodipine Er
Felodipine
944
Bisoprolol-Hydrochlorothiazide
Bisoprolol/Hydrochlorothiazide
526
Furosemide
439
Levothyroxine Sodium
402
Valsartan-Hydrochlorothiazide
Valsartan/Hydrochlorothiazide
394
Carvedilol
370
Eliquis
Apixaban
349
Rosuvastatin Calcium
349
Sotalol
Sotalol Hcl
348
Atorvastatin Calcium
305

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

Specialist Overview

How James Hall, M.D. fits within the Specialist landscape nationally.

69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

James Hall, M.D.'s 10,631 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Tennessee

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

Compare Specialist 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 Tennessee medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist 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.

Frequently Asked Questions

What is James Hall, M.D.'s specialty?
James Hall, M.D. specializes in Specialist and practices in Union City, Tennessee. Credentials: M.D..
How much does James Hall, M.D. prescribe under Medicare Part D?
In 2023, James Hall, M.D. wrote 10,631 Medicare Part D claims totaling $1.1M in drug costs for 667 beneficiaries.
What is James Hall, M.D.'s Medicare quality score?
James Hall, M.D. has a CMS MIPS Final Score of 82.7/100 (Quality: 100, Cost: 42.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Hall, M.D. located?
James Hall, M.D. is located at 1304 MEDICAL PARK CIR, Union City, TN, 38261. Phone: (731) 886-1212.
What is James Hall, M.D.'s NPI number?
James Hall, M.D.'s National Provider Identifier (NPI) is 1205884376, issued on 05/04/2006.
Does James Hall, M.D. prescribe more brand-name or generic drugs?
James Hall, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $852K in brand drug costs.
Does James Hall, M.D. prescribe opioids?
Yes, James Hall, M.D. had 44 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Specialist providers are there in the US?
There are 69,608 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 Hall, M.D. prescribe most often?
Based on 2023 Medicare Part D data, James Hall, M.D.'s most frequently prescribed drugs include Felodipine Er, Bisoprolol-Hydrochlorothiazide, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Hall, M.D. accept Medicare?
James Hall, M.D. appears in CMS Medicare data with 10,631 Part D claims and 667 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Hall, M.D.'s credentials?
James Hall, M.D.'s NPI is 1205884376 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

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.