NPI registry status
Active
2026 NPPES data Pediatric Otolaryngology Physician NPI 1598842213 M.D.
Verify on CMS → James Kempiners, M.D.
Pediatric Otolaryngology Physician in Fort Thomas, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 577 in Pediatric Otolaryngology 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
710
Medicare Part D claims · 230 beneficiaries · Pediatric Otolaryngology Physician avg: 313
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$369.21
16 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
James Kempiners, M.D. reported a CMS MIPS final score of 90.4/100 - above the 83.1 national average - and filed 710 Medicare Part D claims in 2023.
- 90.4/100
- MIPS score · +7 vs avg
- 710
- Part D claims, 2023
- 94%
- 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 Kempiners, 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
90 Top 40% higher than 60% of 477,587 scored providers
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
Where James Kempiners, M.D. sits
This provider among pediatric otolaryngology physician peers
Across the 58 pediatric otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Kempiners, M.D. writes more Part D claims than 71% of them and scores higher on MIPS quality than 69% - 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
Each dot is one pediatric otolaryngology physician peer from a representative sample of 57; the gold marker is James Kempiners, 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 Kempiners, 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 Kempiners, M.D.?
High performer (top quartile)Primary specialty
Pediatric Otolaryngology Physician
Medicare Part D claims
710 127% vs specialty avg
MIPS final score
90.4/100 7.3 pts vs avg
Specialty distribution in Kentucky
How Pediatric Otolaryngology Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
James Kempiners, M.D.'s 2023 MIPS final score plotted against the Pediatric Otolaryngology Physician national average
- MIPS Final Score
- 90.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Otolaryngology Physician) - 90.4/100 vs national avg 83.1
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 Kempiners, M.D. appears in the CMS NPPES registry as a Pediatric Otolaryngology Physician provider holding M.D. credentials at 40 N GRAND AVE, Fort Thomas, KY, 41075, with a listed phone of (859) 781-4900. NPI 1598842213 was issued on 11/01/2006.
Medicare Part D records for calendar year 2023 show 710 prescription claims written by this provider, covering 230 Medicare beneficiaries and totaling roughly $29K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 3.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4/100 for the 2023 performance year (Quality 80.8), compared with the national average of 83.1.
Pediatric Otolaryngology Physician is a narrow specialty nationwide, with 577 enrolled providers across 43 states and an average of 313 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
Provider Details
| NPI | 1598842213 |
|---|---|
| Specialty | Pediatric Otolaryngology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/01/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where James Kempiners, 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.
Head And Neck Surgery Associates, Psc
Edgewood, KY
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 Kempiners, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$369
Largest payer
Optinose US, Inc.
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 · Generic-heavy
James Kempiners, M.D. - brand share 6.0%
Pediatric Otolaryngology Physician average
6% brand-name claims vs 94% generic, on 710 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.
710
Total Claims
$29K
Total Drug Cost
230
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,108
- Total Day Supply
- 28,719
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $14K
- Opioid Claims
- 23 (3.2% rate)
- Antibiotic Claims
- 84
Patient Demographics
- Average Patient Age
- 70.1 years
- Avg HCC Risk Score
- 1.21
- Gender Split
- 69% female / 31% 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 Kempiners, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluticasone Propio…
Fluticasone Propionate
194 claims
- Montelukast Sodium
Montelukast Sodium
92 claims
- Azelastine Hcl 44
Azelastine Hcl
44 claims
- Prednisone 34
Prednisone
34 claims
- Cefdinir 29
Cefdinir
29 claims
- Ipratropium Bromide 28
Ipratropium Bromide
28 claims
- Ofloxacin 26
Ofloxacin
26 claims
- Fluocinolone Aceto… 23
Fluocinolone Acetonide Oil
23 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 194 |
| Montelukast Sodium | 92 |
| Azelastine Hcl | 44 |
| Prednisone | 34 |
| Cefdinir | 29 |
| Ipratropium Bromide | 28 |
| Ofloxacin | 26 |
| Fluocinolone Acetonide Oil | 23 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 19 |
| Epinephrine | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Otolaryngology Physician Overview
How James Kempiners, M.D. fits within the Pediatric Otolaryngology Physician landscape nationally.
577
Pediatric Otolaryngology Physician Providers in US
43
States with Pediatric Otolaryngology Physician
313
Avg Claims per Provider
James Kempiners, M.D.'s 710 claims are above the specialty average of 313.
Nearby Pediatric Otolaryngology Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Kempiners.
Dr. Christopher Azbell
MD
Lexington, KY
Dr. Angela Cao
MD
Louisville, KY
Dr. Dary Costa
MD
Louisville, KY
Dr. Michael Domet
M.D.
Fort Thomas, KY
Dr. Steven Magary
M.D.
Edgewood, KY
Compare Pediatric Otolaryngology 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Otolaryngology 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 Kempiners, M.D.'s specialty? ▼
James Kempiners, M.D. specializes in Pediatric Otolaryngology Physician and practices in Fort Thomas, Kentucky. Credentials: M.D..
How much does James Kempiners, M.D. prescribe under Medicare Part D? ▼
In 2023, James Kempiners, M.D. wrote 710 Medicare Part D claims totaling $29K in drug costs for 230 beneficiaries.
What is James Kempiners, M.D.'s Medicare quality score? ▼
James Kempiners, M.D. has a CMS MIPS Final Score of 90.4/100 (Quality: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Kempiners, M.D. located? ▼
James Kempiners, M.D. is located at 40 N GRAND AVE, Fort Thomas, KY, 41075. Phone: (859) 781-4900.
What is James Kempiners, M.D.'s NPI number? ▼
James Kempiners, M.D.'s National Provider Identifier (NPI) is 1598842213, issued on 11/01/2006.
Does James Kempiners, M.D. prescribe more brand-name or generic drugs? ▼
James Kempiners, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $15K in brand drug costs.
Does James Kempiners, M.D. prescribe opioids? ▼
Yes, James Kempiners, M.D. had 23 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Pediatric Otolaryngology Physician providers are there in the US? ▼
There are 577 Pediatric Otolaryngology Physician providers across 43 states in the US. The average Pediatric Otolaryngology Physician provider writes 313 Medicare Part D claims per year.
What drugs does James Kempiners, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, James Kempiners, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Montelukast Sodium, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Kempiners, M.D. accept Medicare? ▼
James Kempiners, M.D. appears in CMS Medicare data with 710 Part D claims and 230 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Kempiners, M.D.'s credentials? ▼
James Kempiners, M.D.'s NPI is 1598842213 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
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.