2026 NPPES data Hospitalist Physician NPI 1689105975 M.D.
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JAMES JAMES, M.D.

Hospitalist Physician in NEWARK, New Jersey. 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
599
Medicare Part D claims · 76 beneficiaries · Hospitalist Physician avg: 888

What the federal data shows

JAMES JAMES, M.D. filed 599 Medicare Part D claims in 2023 as a Hospitalist Physician in NEWARK, New Jersey.

599
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 JAMES, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

599 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 JAMES, 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 JAMES, M.D.?

Quality data not reported

NPI registry status

Active

Issued 03/27/2017

NPI 1689105975

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

599 33% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in New Jersey

How Hospitalist Physician compares to other specialties among New Jersey providers

New Jersey providers

Hospitalist Physician share within New Jersey

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within New Jersey

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Hospitalist 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 JAMES, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 166 LYONS AVE, NEWARK, NJ, 07112, with a listed phone of (973) 926-8491. NPI 1689105975 was issued on 03/27/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JAMES 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 599 prescription claims written by this provider, covering 76 Medicare beneficiaries and totaling roughly $15K in drug spend. 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.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

166 LYONS AVE
NEWARK, NJ 07112

Provider Details

NPI 1689105975
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 03/27/2017

Hospital and facility affiliations

Facilities where JAMES JAMES, 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.

BARNABAS HEALTH MEDICAL GROUP PC
NEWARK, NJ

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

Medicare Part D Prescribing Data

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

599
Total Claims
$15K
Total Drug Cost
76
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
613
Total Day Supply
9,042
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
83.1 years
Avg HCC Risk Score
2.46
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What JAMES JAMES, 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
Atorvastatin Calcium
31
Levothyroxine Sodium
30
Amlodipine Besylate
29
Omeprazole
29
Metoprolol Succinate
23
Losartan Potassium
22
Furosemide
21
Tamsulosin Hcl
18
Eliquis
Apixaban
17
Metoprolol Tartrate
17

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

Hospitalist Physician Overview

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

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

JAMES JAMES, M.D.'s 599 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as JAMES.

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

Frequently Asked Questions

What is JAMES JAMES, M.D.'s specialty?
JAMES JAMES, M.D. specializes in Hospitalist Physician and practices in NEWARK, New Jersey. Credentials: M.D..
How much does JAMES JAMES, M.D. prescribe under Medicare Part D?
In 2023, JAMES JAMES, M.D. wrote 599 Medicare Part D claims totaling $15K in drug costs for 76 beneficiaries.
Where is JAMES JAMES, M.D. located?
JAMES JAMES, M.D. is located at 166 LYONS AVE, NEWARK, NJ, 07112. Phone: (973) 926-8491.
What is JAMES JAMES, M.D.'s NPI number?
JAMES JAMES, M.D.'s National Provider Identifier (NPI) is 1689105975, issued on 03/27/2017.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does JAMES JAMES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES JAMES, M.D.'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 JAMES, M.D. accept Medicare?
JAMES JAMES, M.D. appears in CMS Medicare data with 599 Part D claims and 76 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES JAMES, M.D.'s credentials?
JAMES JAMES, M.D.'s NPI is 1689105975 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