2026 NPPES data Otolaryngology Physician NPI 1346274438 M.D.
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JAMES HAWKINS, M.D.

Otolaryngology Physician in BENTON, Kentucky. 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
560
Medicare Part D claims · 176 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JAMES HAWKINS, M.D. filed 560 Medicare Part D claims in 2023 as a Otolaryngology Physician in BENTON, Kentucky, prescribing 96% generic.

560
Part D claims, 2023
96%
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 HAWKINS, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

560 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 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 HAWKINS, 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 HAWKINS, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/11/2006

NPI 1346274438

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

560 10% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Kentucky

How Otolaryngology Physician compares to other specialties among Kentucky providers

Kentucky providers

Otolaryngology Physician share within Kentucky

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Otolaryngology 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 HAWKINS, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 617 OLD SYMSONIA RD, BENTON, KY, 42025, with a listed phone of (270) 339-5269. NPI 1346274438 was issued on 07/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HAWKINS 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 560 prescription claims written by this provider, covering 176 Medicare beneficiaries and totaling roughly $9K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 7.5%. 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

617 OLD SYMSONIA RD
BENTON, KY 42025

Provider Details

NPI 1346274438
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 07/11/2006

Hospital and facility affiliations

Facilities where JAMES HAWKINS, 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.

MASSAC MEMORIAL HOSPITAL
★★☆☆☆ 2/5
METROPOLIS, IL
Critical Access Hospitals
CMS CCN: 141323

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

JAMES HAWKINS, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 560 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.

560
Total Claims
$9K
Total Drug Cost
176
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
586
Total Day Supply
10,015
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$954
Generic Drug Cost
$8K
Opioid Claims
42 (7.5% rate)
Antibiotic Claims
161

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.06
Gender Split
57% female / 43% male
Age Distribution
<65: 37, 65-74: 78, 75-84: 47, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What JAMES HAWKINS, 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
Diazepam
106
Amoxicillin
94
Ofloxacin
51
Prednisone
39
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
25
Cephalexin
24
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
20
Naproxen
19
Acetaminophen-Codeine
Acetaminophen With Codeine
16
Ciprofloxacin Hcl
13

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

Otolaryngology Physician Overview

How JAMES HAWKINS, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

JAMES HAWKINS, M.D.'s 560 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is JAMES HAWKINS, M.D.'s specialty?
JAMES HAWKINS, M.D. specializes in Otolaryngology Physician and practices in BENTON, Kentucky. Credentials: M.D..
How much does JAMES HAWKINS, M.D. prescribe under Medicare Part D?
In 2023, JAMES HAWKINS, M.D. wrote 560 Medicare Part D claims totaling $9K in drug costs for 176 beneficiaries.
Where is JAMES HAWKINS, M.D. located?
JAMES HAWKINS, M.D. is located at 617 OLD SYMSONIA RD, BENTON, KY, 42025. Phone: (270) 339-5269.
What is JAMES HAWKINS, M.D.'s NPI number?
JAMES HAWKINS, M.D.'s National Provider Identifier (NPI) is 1346274438, issued on 07/11/2006.
Does JAMES HAWKINS, M.D. prescribe more brand-name or generic drugs?
JAMES HAWKINS, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $954 in brand drug costs.
Does JAMES HAWKINS, M.D. prescribe opioids?
Yes, JAMES HAWKINS, M.D. had 42 opioid claims in 2023 with an opioid prescribing rate of 7.5%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does JAMES HAWKINS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES HAWKINS, M.D.'s most frequently prescribed drugs include Diazepam, Amoxicillin, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES HAWKINS, M.D. accept Medicare?
JAMES HAWKINS, M.D. appears in CMS Medicare data with 560 Part D claims and 176 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES HAWKINS, M.D.'s credentials?
JAMES HAWKINS, M.D.'s NPI is 1346274438 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