2026 NPPES data Anesthesiology Physician NPI 1942394127 M.D.
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JAMES HENICK, M.D.

Anesthesiology Physician in SUFFOLK, Virginia. 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
966
Medicare Part D claims · 238 beneficiaries · Anesthesiology Physician avg: 860
MIPS score
76.973/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$194.54
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES HENICK, M.D. reported a CMS MIPS final score of 76.973/100 — below the 83.1 national average — and filed 966 Medicare Part D claims in 2023.

76.973/100
MIPS score · -6 vs avg
966
Part D claims, 2023
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 HENICK, 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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 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

Board certification likely (heuristic — not verified)

JAMES HENICK, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 HENICK, M.D.?

Below national average

NPI registry status

Active

Issued 10/03/2006

NPI 1942394127

Primary specialty

Anesthesiology Physician

High-volume

56,398 US NPIs in this specialty

Medicare Part D claims

966 12% vs specialty avg

2023 prescription claims

Specialty avg: 860

MIPS final score

76.973/100 6.126999999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Anesthesiology Physician compares to other specialties among Virginia providers

Virginia providers

Anesthesiology Physician share within Virginia

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

Medicare quality performance — MIPS

JAMES HENICK, M.D.'s 2023 MIPS final score plotted against the Anesthesiology Physician national average

Below national average
MIPS Final Score
76.973/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Anesthesiology Physician) — 76.973/100 vs national avg 83.1

0%100%National avg83%77%
MIPS final score (Anesthesiology Physician) — 76.973/100 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 HENICK, M.D. appears in the CMS NPPES registry as a Anesthesiology Physician provider holding M.D. credentials at 150 BURNETTS WAY STE 100, SUFFOLK, VA, 23434, with a listed phone of (757) 547-5145. NPI 1942394127 was issued on 10/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HENICK 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 966 prescription claims written by this provider, covering 238 Medicare beneficiaries and totaling roughly $10K in drug spend, with an opioid prescribing rate of 33.2%. 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 76.973/100 for the 2023 performance year (Quality 58.1327), compared with the national average of 83.1.

Anesthesiology Physician is a high-volume specialty nationwide, with 56,398 enrolled providers across 56 states and an average of 860 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

150 BURNETTS WAY STE 100
SUFFOLK, VA 23434

Provider Details

NPI 1942394127
Specialty Anesthesiology Physician
Credentials M.D.
Gender Male
NPI Issued 10/03/2006

CMS Quality Score (MIPS)

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

76.973
Final Score
Avg: 83.1
58.1327
Quality
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where JAMES HENICK, 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.

SPORT MEDICINE AND ORTHOPAEDIC CENTER INC
SUFFOLK, VA

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

Total received

$195

Largest payer

Boston Scientific Corporation

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

966
Total Claims
$10K
Total Drug Cost
238
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
991
Total Day Supply
16,412
Brand Drug Cost
$0
Generic Drug Cost
$10K
Opioid Claims
321 (33.2% rate)
Antibiotic Claims
41

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.36
Gender Split
68% female / 32% male
Age Distribution
<65: 29, 65-74: 104, 75-84: 81, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What JAMES HENICK, 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
282
Tramadol Hcl
209
Gabapentin
163
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
54
Pregabalin
42
Cephalexin
38
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
38
Prednisone
30
Duloxetine Hcl
14
Methocarbamol
12

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

Anesthesiology Physician Overview

How JAMES HENICK, M.D. fits within the Anesthesiology Physician landscape nationally.

56,398
Anesthesiology Physician Providers in US
56
States with Anesthesiology Physician
860
Avg Claims per Provider

JAMES HENICK, M.D.'s 966 claims are above the specialty average of 860.

Nearby Anesthesiology Physician Providers in Virginia

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

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

Frequently Asked Questions

What is JAMES HENICK, M.D.'s specialty?
JAMES HENICK, M.D. specializes in Anesthesiology Physician and practices in SUFFOLK, Virginia. Credentials: M.D..
How much does JAMES HENICK, M.D. prescribe under Medicare Part D?
In 2023, JAMES HENICK, M.D. wrote 966 Medicare Part D claims totaling $10K in drug costs for 238 beneficiaries.
What is JAMES HENICK, M.D.'s Medicare quality score?
JAMES HENICK, M.D. has a CMS MIPS Final Score of 76.973/100 (Quality: 58.1327). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES HENICK, M.D. located?
JAMES HENICK, M.D. is located at 150 BURNETTS WAY STE 100, SUFFOLK, VA, 23434. Phone: (757) 547-5145.
What is JAMES HENICK, M.D.'s NPI number?
JAMES HENICK, M.D.'s National Provider Identifier (NPI) is 1942394127, issued on 10/03/2006.
Does JAMES HENICK, M.D. prescribe opioids?
Yes, JAMES HENICK, M.D. had 321 opioid claims in 2023 with an opioid prescribing rate of 33.2%.
How many Anesthesiology Physician providers are there in the US?
There are 56,398 Anesthesiology Physician providers across 56 states in the US. The average Anesthesiology Physician provider writes 860 Medicare Part D claims per year.
What drugs does JAMES HENICK, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES HENICK, M.D.'s most frequently prescribed drugs include Diazepam, Tramadol Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES HENICK, M.D. accept Medicare?
JAMES HENICK, M.D. appears in CMS Medicare data with 966 Part D claims and 238 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES HENICK, M.D.'s credentials?
JAMES HENICK, M.D.'s NPI is 1942394127 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