2026 NPPES data Internal Medicine Physician NPI 1780046433 MD
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James Keeton, MD

Internal Medicine Physician in San Antonio, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal 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
563
Medicare Part D claims · 109 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$442.29
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

James Keeton, MD filed 563 Medicare Part D claims in 2023 as an Internal Medicine Physician in San Antonio, Texas, prescribing 69% generic.

563
Part D claims, 2023
69%
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 Keeton, MD's Medicare Part D volume vs every U.S. prescriber

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

563 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. 2K+: 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 Keeton, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - 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 Keeton, MD?

Quality data not reported

NPI registry status

Active

Issued 03/22/2016

NPI 1780046433

Primary specialty

Internal Medicine Physician

High-volume

172,737 US NPIs in this specialty

Medicare Part D claims

563 79% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Texas

How Internal Medicine Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician5.6%Student in an Organized Heal…5.1%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.4%Speech-Language Pathologist3.9%Internal Medicine Physician2.6%
Largest specialties in Texas (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Internal Medicine Physician. Verify directly:

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 Keeton, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at 4502 MEDICAL DR, San Antonio, TX, 78229, with a listed phone of (210) 358-4000. NPI 1780046433 was issued on 03/22/2016.

Medicare Part D records for calendar year 2023 show 563 prescription claims written by this provider, covering 109 Medicare beneficiaries and totaling roughly $237K in drug spend, split 31% brand-name and 69% generic by claim count.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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

4502 MEDICAL DR
San Antonio, TX 78229

Provider Details

NPI 1780046433
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/22/2016

Hospital and facility affiliations

Facilities where James Keeton, MD 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.

Community Medicine Associates
San Antonio, TX
University OF Texas Health Science Center AT San Antonio
San Antonio, TX

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 Keeton, MD. Source: openpaymentsdata.cms.gov.

Total received

$442

Largest payer

E.R. Squibb & Sons, L.L.C.

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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to James Keeton, MD. To verify James Keeton, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

James Keeton, MD - brand share 31.0%
Internal Medicine Physician average

31% brand-name claims vs 69% generic, on 563 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.

563
Total Claims
$237K
Total Drug Cost
109
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,444
Total Day Supply
42,878
Brand vs Generic
31% brand / 69% generic
Brand Drug Cost
$221K
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
2.27
Gender Split
62% female / 38% 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 Keeton, MD 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
58
Furosemide
50
Farxiga
Dapagliflozin Propanediol
47
Eliquis
Apixaban
39
Metoprolol Succinate
38
Entresto
Sacubitril/Valsartan
32
Carvedilol
30
Spironolactone
30
Rosuvastatin Calcium
25
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
18

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

Internal Medicine Physician Overview

How James Keeton, MD fits within the Internal Medicine Physician landscape nationally.

172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

James Keeton, MD's 563 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Texas

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

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

Frequently Asked Questions

What is James Keeton, MD's specialty?
James Keeton, MD specializes in Internal Medicine Physician and practices in San Antonio, Texas. Credentials: MD.
How much does James Keeton, MD prescribe under Medicare Part D?
In 2023, James Keeton, MD wrote 563 Medicare Part D claims totaling $237K in drug costs for 109 beneficiaries.
Where is James Keeton, MD located?
James Keeton, MD is located at 4502 MEDICAL DR, San Antonio, TX, 78229. Phone: (210) 358-4000.
What is James Keeton, MD's NPI number?
James Keeton, MD's National Provider Identifier (NPI) is 1780046433, issued on 03/22/2016.
Does James Keeton, MD prescribe more brand-name or generic drugs?
James Keeton, MD's prescribing is 31% brand-name and 69% generic drugs by claim count, with $221K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does James Keeton, MD prescribe most often?
Based on 2023 Medicare Part D data, James Keeton, MD's most frequently prescribed drugs include Atorvastatin Calcium, Furosemide, Farxiga. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Keeton, MD accept Medicare?
James Keeton, MD appears in CMS Medicare data with 563 Part D claims and 109 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Keeton, MD's credentials?
James Keeton, MD's NPI is 1780046433 with credentials MD. 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.
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.