2026 NPPES data Public Health & General Preventive Medicine Physician NPI 1609257757 MD
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JAMES KOOLA, MD

Public Health & General Preventive Medicine Physician in TORRINGTON, Connecticut. 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
62
Medicare Part D claims · 37 beneficiaries · Public Health & General Preventive Medicine Physician avg: 968
MIPS score
97.2738/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$33.09
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES KOOLA, MD reported a CMS MIPS final score of 97.2738/100 — above the 83.1 national average — and filed 62 Medicare Part D claims in 2023.

97.2738/100
MIPS score · +14 vs avg
62
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 KOOLA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 15% higher than 85% 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 KOOLA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 KOOLA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/15/2015

NPI 1609257757

Primary specialty

Public Health & General Preventive Medicine Physician

Niche

1,764 US NPIs in this specialty

Medicare Part D claims

62 94% vs specialty avg

2023 prescription claims

Specialty avg: 968

MIPS final score

97.2738/100 14.1738% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Public Health & General Preventive Medicine Physician compares to other specialties among Connecticut providers

Connecticut providers

Public Health & General Preventive Medicine Physician share within Connecticut

1. Public Health & General Preventive Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Public Health & General Preventive Medicine Physician share within Connecticut

Medicare quality performance — MIPS

JAMES KOOLA, MD's 2023 MIPS final score plotted against the Public Health & General Preventive Medicine Physician national average

High performer (top quartile)
MIPS Final Score
97.2738/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Public Health & General Preventive Medicine Physician) — 97.2738/100 vs national avg 83.1

0%100%National avg83%97.3%
MIPS final score (Public Health & General Preventive Medicine Physician) — 97.2738/100 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 KOOLA, MD appears in the CMS NPPES registry as a Public Health & General Preventive Medicine Physician provider holding MD credentials at 540 LITCHFIELD ST, TORRINGTON, CT, 06790, with a listed phone of (860) 496-6557. NPI 1609257757 was issued on 06/15/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOOLA 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 62 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $5K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.2738/100 for the 2023 performance year (Quality 81.6843), compared with the national average of 83.1.

Public Health & General Preventive Medicine Physician is a narrow specialty nationwide, with 1,764 enrolled providers across 52 states and an average of 968 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

540 LITCHFIELD ST
TORRINGTON, CT 06790

Provider Details

NPI 1609257757
Specialty Public Health & General Preventive Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/15/2015

CMS Quality Score (MIPS)

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

97.2738
Final Score
Avg: 83.1
81.6843
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JAMES KOOLA, MD 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.

GRIFFIN FACULTY PHYSICIANS INC
DERBY, CT
THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
NEW BRITAIN, CT

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

Total received

$33

Largest payer

Merck Sharp & Dohme LLC

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.

Medicare Part D Prescribing Data

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

62
Total Claims
$5K
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
63
Total Day Supply
1,230
Generic Drug Cost
$935
Antibiotic Claims
11

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
2.83
Gender Split
46% female / 54% male

Public Health & General Preventive Medicine Physician Overview

How JAMES KOOLA, MD fits within the Public Health & General Preventive Medicine Physician landscape nationally.

1,764
Public Health & General Preventive Medicine Physician Providers in US
52
States with Public Health & General Preventive Medicine Physician
968
Avg Claims per Provider

JAMES KOOLA, MD's 62 claims are below the specialty average of 968.

Nearby Public Health & General Preventive Medicine Physician Providers in Connecticut

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

Compare Public Health & General Preventive Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES KOOLA, MD's specialty?
JAMES KOOLA, MD specializes in Public Health & General Preventive Medicine Physician and practices in TORRINGTON, Connecticut. Credentials: MD.
How much does JAMES KOOLA, MD prescribe under Medicare Part D?
In 2023, JAMES KOOLA, MD wrote 62 Medicare Part D claims totaling $5K in drug costs for 37 beneficiaries.
What is JAMES KOOLA, MD's Medicare quality score?
JAMES KOOLA, MD has a CMS MIPS Final Score of 97.2738/100 (Quality: 81.6843). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES KOOLA, MD located?
JAMES KOOLA, MD is located at 540 LITCHFIELD ST, TORRINGTON, CT, 06790. Phone: (860) 496-6557.
What is JAMES KOOLA, MD's NPI number?
JAMES KOOLA, MD's National Provider Identifier (NPI) is 1609257757, issued on 06/15/2015.
How many Public Health & General Preventive Medicine Physician providers are there in the US?
There are 1,764 Public Health & General Preventive Medicine Physician providers across 52 states in the US. The average Public Health & General Preventive Medicine Physician provider writes 968 Medicare Part D claims per year.
Does JAMES KOOLA, MD accept Medicare?
JAMES KOOLA, MD appears in CMS Medicare data with 62 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES KOOLA, MD's credentials?
JAMES KOOLA, MD's NPI is 1609257757 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