2026 NPPES data Legal Medicine NPI 1992816615 D.O.
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JAMES HUMPHREY, D.O.

Legal Medicine in LEECHBURG, Pennsylvania. 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
14K
Medicare Part D claims · 762 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.7848/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$444.31
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES HUMPHREY, D.O. reported a CMS MIPS final score of 93.7848/100 — above the 83.1 national average — and filed 13,749 Medicare Part D claims in 2023.

93.7848/100
MIPS score · +11 vs avg
14K
Part D claims, 2023
87%
generic prescribing
$444.31
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 HUMPHREY, D.O.'s MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about JAMES HUMPHREY, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 08/31/2006

NPI 1992816615

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

13,749 387% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

MIPS final score

93.7848/100 10.68480000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Legal Medicine compares to other specialties among Pennsylvania providers

Pennsylvania providers

Legal Medicine share within Pennsylvania

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within Pennsylvania

Medicare quality performance — MIPS

JAMES HUMPHREY, D.O.'s 2023 MIPS final score plotted against the Legal Medicine national average

High performer (top quartile)
MIPS Final Score
93.7848/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Legal Medicine) — 93.7848/100 vs national avg 83.1

0%100%National avg83%93.8%
MIPS final score (Legal Medicine) — 93.7848/100 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 HUMPHREY, D.O. appears in the CMS NPPES registry as a Legal Medicine provider holding D.O. credentials at 1181 STATE ROUTE 356, LEECHBURG, PA, 15656, with a listed phone of (724) 845-1145. NPI 1992816615 was issued on 08/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HUMPHREY 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 13,749 prescription claims written by this provider, covering 762 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.3%. 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 93.7848/100 for the 2023 performance year (Quality 85.0781), compared with the national average of 83.1.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 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

1181 STATE ROUTE 356
LEECHBURG, PA 15656

Provider Details

NPI 1992816615
Specialty Legal Medicine
Credentials D.O.
Gender Male
NPI Issued 08/31/2006

CMS Quality Score (MIPS)

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

93.7848
Final Score
Avg: 83.1
85.0781
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JAMES HUMPHREY, D.O. 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.

ALLEGHENY CLINIC
LEECHBURG, PA

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 HUMPHREY, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$444

Largest payer

ABBVIE INC.

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.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to JAMES HUMPHREY, D.O.. To verify JAMES HUMPHREY, D.O.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JAMES HUMPHREY, D.O. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 13,749 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.

13,749
Total Claims
$1.4M
Total Drug Cost
762
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22,474
Total Day Supply
643,841
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$1.1M
Generic Drug Cost
$232K
Opioid Claims
316 (2.3% rate)
Antibiotic Claims
409

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.21
Gender Split
49% female / 51% male
Age Distribution
<65: 137, 65-74: 389, 75-84: 180, 85+: 56

Top Prescribed Drugs (Medicare Part D)

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

What JAMES HUMPHREY, D.O. 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
Atorvastatin Calcium
671
Levothyroxine Sodium
513
Amlodipine Besylate
468
Pantoprazole Sodium
369
Lisinopril
368
Gabapentin
352
Metformin Hcl
299
Omeprazole
286
Metoprolol Tartrate
262
Alprazolam
247

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

Legal Medicine Overview

How JAMES HUMPHREY, D.O. fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

JAMES HUMPHREY, D.O.'s 13,749 claims are above the specialty average of 2,821.

Nearby Legal Medicine Providers in Pennsylvania

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

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES HUMPHREY, D.O.'s specialty?
JAMES HUMPHREY, D.O. specializes in Legal Medicine and practices in LEECHBURG, Pennsylvania. Credentials: D.O..
How much does JAMES HUMPHREY, D.O. prescribe under Medicare Part D?
In 2023, JAMES HUMPHREY, D.O. wrote 13,749 Medicare Part D claims totaling $1.4M in drug costs for 762 beneficiaries.
What is JAMES HUMPHREY, D.O.'s Medicare quality score?
JAMES HUMPHREY, D.O. has a CMS MIPS Final Score of 93.7848/100 (Quality: 85.0781). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES HUMPHREY, D.O. located?
JAMES HUMPHREY, D.O. is located at 1181 STATE ROUTE 356, LEECHBURG, PA, 15656. Phone: (724) 845-1145.
What is JAMES HUMPHREY, D.O.'s NPI number?
JAMES HUMPHREY, D.O.'s National Provider Identifier (NPI) is 1992816615, issued on 08/31/2006.
Does JAMES HUMPHREY, D.O. prescribe more brand-name or generic drugs?
JAMES HUMPHREY, D.O.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $1.1M in brand drug costs.
Does JAMES HUMPHREY, D.O. prescribe opioids?
Yes, JAMES HUMPHREY, D.O. had 316 opioid claims in 2023 with an opioid prescribing rate of 2.3%.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does JAMES HUMPHREY, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JAMES HUMPHREY, D.O.'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 HUMPHREY, D.O. accept Medicare?
JAMES HUMPHREY, D.O. appears in CMS Medicare data with 13,749 Part D claims and 762 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES HUMPHREY, D.O.'s credentials?
JAMES HUMPHREY, D.O.'s NPI is 1992816615 with credentials D.O.. 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