2026 NPPES data Ophthalmology Physician NPI 1295738748 MD
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JAMES KELLY, MD

Ophthalmology Physician in BIRMINGHAM, Alabama. 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
110
Medicare Part D claims · Ophthalmology Physician avg: 1K
What the federal data reveals: JAMES KELLY, MD is a Ophthalmology Physician ([object Object]) practicing in BIRMINGHAM, Alabama with a Medicare Part D prescribing footprint of 110 claims .

What stands out: JAMES KELLY, MD filed 110 Medicare Part D claims in 2023 across BIRMINGHAM, Alabama. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JAMES KELLY, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

JAMES KELLY, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/28/2005

NPI 1295738748

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

110 92% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Alabama

How Ophthalmology Physician compares to other specialties among Alabama providers

Alabama providers

Ophthalmology Physician share within Alabama

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Ophthalmology 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 KELLY, MD is a Ophthalmology Physician provider practicing in BIRMINGHAM, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1295738748. 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 Ophthalmology Physician provider holding MD credentials at 3240 EDWARDS LAKE PKWY, BIRMINGHAM, AL, 35235, with a listed phone of (205) 949-2020. NPI 1295738748 was issued on 05/28/2005. 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 110 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $20K 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.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

3240 EDWARDS LAKE PKWY
BIRMINGHAM, AL 35235

Provider Details

NPI 1295738748
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 05/28/2005

Medicare Part D Prescribing Data

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

110
Total Claims
$20K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
128
Total Day Supply
3,511
Generic Drug Cost
$4K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.87

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
14
Cephalexin
12

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

Ophthalmology Physician Overview

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

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JAMES KELLY, MD's 110 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Alabama

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

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

Frequently Asked Questions

What is JAMES KELLY, MD's specialty?
JAMES KELLY, MD specializes in Ophthalmology Physician and practices in BIRMINGHAM, Alabama. Credentials: MD.
How much does JAMES KELLY, MD prescribe under Medicare Part D?
In 2023, JAMES KELLY, MD wrote 110 Medicare Part D claims totaling $20K in drug costs for N/A beneficiaries.
Where is JAMES KELLY, MD located?
JAMES KELLY, MD is located at 3240 EDWARDS LAKE PKWY, BIRMINGHAM, AL, 35235. Phone: (205) 949-2020.
What is JAMES KELLY, MD's NPI number?
JAMES KELLY, MD's National Provider Identifier (NPI) is 1295738748, issued on 05/28/2005.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 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 Levothyroxine Sodium, Cephalexin. 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 110 Part D claims and N/A 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 1295738748 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.
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