2026 NPPES data Emergency Medicine Physician NPI 1386614626 M.D.
Verify on CMS →

JAMES KELLEY, M.D.

Emergency Medicine Physician in PHOENIX, Arizona. 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
208
Medicare Part D claims · 158 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
78.5864/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

JAMES KELLEY, M.D. reported a CMS MIPS final score of 78.5864/100 — below the 83.1 national average — and filed 208 Medicare Part D claims in 2023.

78.5864/100
MIPS score · -5 vs avg
208
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 KELLEY, 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

79 27th percentile higher than 27% 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 KELLEY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 KELLEY, M.D.?

Near national average

NPI registry status

Active

Issued 01/26/2006

NPI 1386614626

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

208 41% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

78.5864/100 4.513599999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Arizona

How Emergency Medicine Physician compares to other specialties among Arizona providers

Arizona providers

Emergency Medicine Physician share within Arizona

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Arizona

Medicare quality performance — MIPS

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

Near national average
MIPS Final Score
78.5864/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 78.5864/100 vs national avg 83.1

0%100%National avg83%78.6%
MIPS final score (Emergency Medicine Physician) — 78.5864/100 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 KELLEY, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 5777 E MAYO BLVD, PHOENIX, AZ, 85054, with a listed phone of (480) 301-8000. NPI 1386614626 was issued on 01/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KELLEY 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 208 prescription claims written by this provider, covering 158 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 12.5%. 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 78.5864/100 for the 2023 performance year (Quality 69.056, Cost 59.5653), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 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

5777 E MAYO BLVD
PHOENIX, AZ 85054

Provider Details

NPI 1386614626
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 01/26/2006

CMS Quality Score (MIPS)

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

78.5864
Final Score
Avg: 83.1
69.056
Quality
59.5653
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

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

208
Total Claims
$3K
Total Drug Cost
158
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
216
Total Day Supply
1,773
Generic Drug Cost
$2K
Opioid Claims
26 (12.5% rate)
Antibiotic Claims
62

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.90
Gender Split
59% female / 41% male
Age Distribution
<65: 16, 65-74: 61, 75-84: 56, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

What JAMES KELLEY, 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
Etodolac
27
Doxycycline Monohydrate
19
Ondansetron Odt
Ondansetron
17
Cefdinir
14
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
13

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

Emergency Medicine Physician Overview

How JAMES KELLEY, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

JAMES KELLEY, M.D.'s 208 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Arizona

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES KELLEY, M.D.'s specialty?
JAMES KELLEY, M.D. specializes in Emergency Medicine Physician and practices in PHOENIX, Arizona. Credentials: M.D..
How much does JAMES KELLEY, M.D. prescribe under Medicare Part D?
In 2023, JAMES KELLEY, M.D. wrote 208 Medicare Part D claims totaling $3K in drug costs for 158 beneficiaries.
What is JAMES KELLEY, M.D.'s Medicare quality score?
JAMES KELLEY, M.D. has a CMS MIPS Final Score of 78.5864/100 (Quality: 69.056, Cost: 59.5653). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES KELLEY, M.D. located?
JAMES KELLEY, M.D. is located at 5777 E MAYO BLVD, PHOENIX, AZ, 85054. Phone: (480) 301-8000.
What is JAMES KELLEY, M.D.'s NPI number?
JAMES KELLEY, M.D.'s National Provider Identifier (NPI) is 1386614626, issued on 01/26/2006.
Does JAMES KELLEY, M.D. prescribe opioids?
Yes, JAMES KELLEY, M.D. had 26 opioid claims in 2023 with an opioid prescribing rate of 12.5%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 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 KELLEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES KELLEY, M.D.'s most frequently prescribed drugs include Etodolac, Doxycycline Monohydrate, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES KELLEY, M.D. accept Medicare?
JAMES KELLEY, M.D. appears in CMS Medicare data with 208 Part D claims and 158 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES KELLEY, M.D.'s credentials?
JAMES KELLEY, M.D.'s NPI is 1386614626 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