2026 NPPES data Pediatric Otolaryngology Physician NPI 1598842213 M.D.
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JAMES KEMPINERS, M.D.

Pediatric Otolaryngology Physician in FORT THOMAS, Kentucky. 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
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
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$369.21
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES KEMPINERS, M.D. reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 710 Medicare Part D claims in 2023.

90.3837/100
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

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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 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)

NPI registry status

Active

Issued 11/01/2006

NPI 1598842213

Primary specialty

Pediatric Otolaryngology Physician

Niche

574 US NPIs in this specialty

Medicare Part D claims

710 127% vs specialty avg

2023 prescription claims

Specialty avg: 313

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Pediatric Otolaryngology Physician compares to other specialties among Kentucky providers

Kentucky providers

Pediatric Otolaryngology Physician share within Kentucky

1. Pediatric Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Otolaryngology Physician share within Kentucky

Medicare quality performance — MIPS

JAMES KEMPINERS, M.D.'s 2023 MIPS final score plotted against the Pediatric Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Otolaryngology Physician) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Pediatric Otolaryngology Physician) — 90.3837/100 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 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KEMPINERS 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 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%. 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 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Pediatric Otolaryngology Physician is a narrow specialty nationwide, with 574 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

40 N GRAND AVE
FORT THOMAS, KY 41075

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

574
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.

Compare Pediatric Otolaryngology Physician nationally: see state-by-state distribution →

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 90.3837/100 (Quality: 80.7674). 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 574 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

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