2026 NPPES data Urology Physician NPI 1053377333 MD
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JAMES KELLY, MD

Urology Physician in SAINT LOUIS, Missouri. 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
726
Medicare Part D claims · 133 beneficiaries · Urology Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$44.08
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES KELLY, MD is a Urology Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 726 claims across 133 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $44.08 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES KELLY, MD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 726 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES KELLY, MD 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).

JAMES KELLY, MD at a glance

Below national average

NPI registry status

Active

Issued 04/25/2006

NPI 1053377333

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

726 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Missouri

How Urology Physician compares to other specialties among Missouri providers

Missouri providers

Urology Physician share within Missouri

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within Missouri

Medicare quality performance — MIPS

JAMES KELLY, MD's 2023 MIPS final score plotted against the Urology Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Urology Physician) — 0/100 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 KELLY, MD is a Urology Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053377333. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES KELLY, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 3915 WATSON RD STE 203, SAINT LOUIS, MO, 63109, with a listed phone of (314) 771-5822. NPI 1053377333 was issued on 04/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KELLY 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 726 prescription claims written by this provider, covering 133 Medicare beneficiaries and totaling roughly $48K in drug spend, split 11% brand-name and 89% generic by claim count. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

3915 WATSON RD STE 203
SAINT LOUIS, MO 63109

Provider Details

NPI 1053377333
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 04/25/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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

Total received

$44

Largest payer

Boston Scientific Corporation

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.

Brand vs generic prescribing mix · Typical

JAMES KELLY, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 726 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.

726
Total Claims
$48K
Total Drug Cost
133
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
898
Total Day Supply
22,650
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$35K
Generic Drug Cost
$13K
Antibiotic Claims
144

Patient Demographics

Average Patient Age
66.8 years
Avg HCC Risk Score
2.78
Gender Split
41% female / 59% male
Age Distribution
<65: 45, 65-74: 59, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
182
Oxybutynin Chloride Er
Oxybutynin Chloride
174
Myrbetriq
Mirabegron
69
Finasteride
49
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
47
Cefuroxime
Cefuroxime Axetil
29
Ciprofloxacin Hcl
27
Levofloxacin
24
Paliperidone Er
Paliperidone
12
Fluoxetine Hcl
11

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

Urology Physician Overview

How JAMES KELLY, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JAMES KELLY, MD's 726 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Missouri

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

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

Frequently Asked Questions

What is JAMES KELLY, MD's specialty?
JAMES KELLY, MD specializes in Urology Physician and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does JAMES KELLY, MD prescribe under Medicare Part D?
In 2023, JAMES KELLY, MD wrote 726 Medicare Part D claims totaling $48K in drug costs for 133 beneficiaries.
What is JAMES KELLY, MD's Medicare quality score?
JAMES KELLY, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES KELLY, MD located?
JAMES KELLY, MD is located at 3915 WATSON RD STE 203, SAINT LOUIS, MO, 63109. Phone: (314) 771-5822.
What is JAMES KELLY, MD's NPI number?
JAMES KELLY, MD's National Provider Identifier (NPI) is 1053377333, issued on 04/25/2006.
Does JAMES KELLY, MD prescribe more brand-name or generic drugs?
JAMES KELLY, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $35K in brand drug costs.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JAMES KELLY, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES KELLY, MD's most frequently prescribed drugs include Tamsulosin Hcl, Oxybutynin Chloride Er, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES KELLY, MD accept Medicare?
JAMES KELLY, MD appears in CMS Medicare data with 726 Part D claims and 133 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES KELLY, MD's credentials?
JAMES KELLY, MD's NPI is 1053377333 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

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