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2026 NPPES data Emergency Medicine Physician NPI 1205863370 M.D.
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James Kambol, M.D.

Emergency Medicine Physician in Hartford, Wisconsin.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, 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
337
Medicare Part D claims · 215 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
91.7/100
▲ 8 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

James Kambol, M.D. reported a CMS MIPS final score of 91.7/100 - above the 83.5 national average - and filed 337 Medicare Part D claims in 2023.

91.7/100
MIPS score · +8 vs avg
337
Part D claims, 2023
Likely
board-certified (heuristic)
≥61st
pct among measured MIPS (lower-bound band)

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 Kambol, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

92 ≥ 61st percentile 61% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where James Kambol, M.D. sits

This provider among emergency medicine physician peers

Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Kambol, M.D. writes more Part D claims than 84% of them and scores higher on MIPS quality than 55% - 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 quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90James Kambol, M.D., Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 55
Part D claim volume vs MIPS quality, by specialty percentile

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

✓
Board certification likely (heuristic, not verified)

James Kambol, 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 Kambol, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/26/2006

NPI 1205863370

Primary specialty

Emergency Medicine Physician

High-volume

64,463 US NPIs in this specialty

Medicare Part D claims

337 4% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

91.7/100 8.2 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Wisconsin

How Emergency Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers
Physical Therapist5.6%Pharmacist4.8%Registered Nurse4.5%Professional Counselor3.3%Student in an Organized Heal…3.3%Family Medicine Physician3.2%Emergency Medicine Physician1.2%
Largest specialties in Wisconsin (% of in-state providers)

Medicare quality performance, MIPS

James Kambol, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
91.7/100
vs 83.5 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) - 91.7/100 vs national avg 83.5

0%100%National avg84%91.7%
MIPS final score (Emergency Medicine Physician) - 91.7/100 vs national avg 83.5
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 Kambol, M.D. appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding M.D. credentials at 1032 E SUMNER ST, Hartford, WI, 53027, with a listed phone of (262) 673-2300. NPI 1205863370 was issued on 06/26/2006.

Medicare Part D records for calendar year 2023 show 337 prescription claims written by this provider, covering 215 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 22.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.7/100 for the 2023 performance year (Quality 88.9, Cost 70.3), compared with the 83.5 average among clinicians with a measured score.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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

1032 E SUMNER ST
Hartford, WI 53027
(262) 673-2300

Provider Details

NPI 1205863370
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/26/2006

CMS Quality Score (MIPS)

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

91.7411
Final Score
Measured-score avg: 83.5
88.9058
Quality
70.3458
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Kambol, 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.

Aurora Medical Group, Inc.
Hartford, WI

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.

337
Total Claims
$5K
Total Drug Cost
215
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
342
Total Day Supply
3,553
Generic Drug Cost
$3K
Opioid Claims
74 (22.0% rate)
Antibiotic Claims
102

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.85
Gender Split
54% female / 46% male
Age Distribution
<65: 31, 65-74: 86, 75-84: 65, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What James Kambol, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
45
Cephalexin
 40
Prednisone
 24
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
23
Triamcinolone Acetonide
 19
Tramadol Hcl
 15
Ketoconazole
 13
Oxycodone Hcl
 13
Doxycycline Hyclate
 11
Ondansetron Odt
Ondansetron
11

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

More Emergency Medicine Physician in WI → All providers in Wisconsin → Compare specialties →

Emergency Medicine Physician Overview

How James Kambol, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

James Kambol, M.D.'s 337 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Wisconsin

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

Dr. Hythem Abad
DO
Portage, WI
Dr. Alan Abdulla
D.O.
Waukesha, WI
Dr. Krystyna Abdulla
DO
New Berlin, WI
Dr. Abdulmoniem Abdulmoniem
M.D.
Elkhorn, WI
Dr. Justine Abel
DO
Eau Claire, WI

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

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Frequently Asked Questions

What is James Kambol, M.D.'s specialty? ▼
James Kambol, M.D. specializes in Emergency Medicine Physician and practices in Hartford, Wisconsin. Credentials: M.D..
How much does James Kambol, M.D. prescribe under Medicare Part D? ▼
In 2023, James Kambol, M.D. wrote 337 Medicare Part D claims totaling $5K in drug costs for 215 beneficiaries.
What is James Kambol, M.D.'s Medicare quality score? ▼
James Kambol, M.D. has a CMS MIPS Final Score of 91.7/100 (Quality: 88.9, Cost: 70.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Kambol, M.D. located? ▼
James Kambol, M.D. is located at 1032 E SUMNER ST, Hartford, WI, 53027. Phone: (262) 673-2300.
What is James Kambol, M.D.'s NPI number? ▼
James Kambol, M.D.'s National Provider Identifier (NPI) is 1205863370, issued on 06/26/2006.
Does James Kambol, M.D. prescribe opioids? ▼
Yes, James Kambol, M.D. had 74 opioid claims in 2023 with an opioid prescribing rate of 22.0%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does James Kambol, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, James Kambol, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Cephalexin, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Kambol, M.D. accept Medicare? ▼
James Kambol, M.D. appears in CMS Medicare data with 337 Part D claims and 215 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Kambol, M.D.'s credentials? ▼
James Kambol, M.D.'s NPI is 1205863370 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 editorial process.

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.