2026 NPPES data Internal Medicine Physician NPI 1871605790 MD
Verify on CMS →

JAMES LEGAN, MD

Internal Medicine Physician in GREAT FALLS, Montana. 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
6K
Medicare Part D claims · 316 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.5841/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$94.87
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES LEGAN, MD reported a CMS MIPS final score of 85.5841/100 — above the 83.1 national average — and filed 5,633 Medicare Part D claims in 2023.

85.5841/100
MIPS score · +2 vs avg
6K
Part D claims, 2023
91%
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 LEGAN, MD's MIPS score vs every scored U.S. clinician

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

86 49th percentile higher than 49% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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 LEGAN, 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).

What does the federal data show about JAMES LEGAN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/31/2006

NPI 1871605790

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

5,633 107% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

85.5841/100 2.484100000000012% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Internal Medicine Physician compares to other specialties among Montana providers

Montana providers

Internal Medicine Physician share within Montana

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

Medicare quality performance — MIPS

JAMES LEGAN, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
85.5841/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 85.5841/100 vs national avg 83.1

0%100%National avg83%85.6%
MIPS final score (Internal Medicine Physician) — 85.5841/100 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 LEGAN, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 401 15TH AVE S STE 201, GREAT FALLS, MT, 59405, with a listed phone of (406) 727-2121. NPI 1871605790 was issued on 08/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEGAN 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 5,633 prescription claims written by this provider, covering 316 Medicare beneficiaries and totaling roughly $419K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 3.5%. 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 85.5841/100 for the 2023 performance year (Quality 100, Cost 51.947), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

401 15TH AVE S STE 201
GREAT FALLS, MT 59405

Provider Details

NPI 1871605790
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 08/31/2006

CMS Quality Score (MIPS)

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

85.5841
Final Score
Avg: 83.1
100
Quality
51.947
Cost

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

Total received

$95

Largest payer

Novartis Pharmaceuticals 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 · Generic-heavy

JAMES LEGAN, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 5,633 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.

5,633
Total Claims
$419K
Total Drug Cost
316
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,864
Total Day Supply
365,214
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$336K
Generic Drug Cost
$81K
Opioid Claims
199 (3.5% rate)
Antibiotic Claims
81

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
0.96
Gender Split
42% female / 58% male
Age Distribution
<65: 14, 65-74: 145, 75-84: 105, 85+: 52

Top Prescribed Drugs (Medicare Part D)

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

What JAMES LEGAN, MD 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
Atorvastatin Calcium
402
Amlodipine Besylate
350
Levothyroxine Sodium
249
Metoprolol Succinate
198
Lisinopril
151
Metformin Hcl
148
Omeprazole
139
Warfarin Sodium
136
Simvastatin
130
Glimepiride
125

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

Internal Medicine Physician Overview

How JAMES LEGAN, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

JAMES LEGAN, MD's 5,633 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Montana

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES LEGAN, MD's specialty?
JAMES LEGAN, MD specializes in Internal Medicine Physician and practices in GREAT FALLS, Montana. Credentials: MD.
How much does JAMES LEGAN, MD prescribe under Medicare Part D?
In 2023, JAMES LEGAN, MD wrote 5,633 Medicare Part D claims totaling $419K in drug costs for 316 beneficiaries.
What is JAMES LEGAN, MD's Medicare quality score?
JAMES LEGAN, MD has a CMS MIPS Final Score of 85.5841/100 (Quality: 100, Cost: 51.947). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES LEGAN, MD located?
JAMES LEGAN, MD is located at 401 15TH AVE S STE 201, GREAT FALLS, MT, 59405. Phone: (406) 727-2121.
What is JAMES LEGAN, MD's NPI number?
JAMES LEGAN, MD's National Provider Identifier (NPI) is 1871605790, issued on 08/31/2006.
Does JAMES LEGAN, MD prescribe more brand-name or generic drugs?
JAMES LEGAN, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $336K in brand drug costs.
Does JAMES LEGAN, MD prescribe opioids?
Yes, JAMES LEGAN, MD had 199 opioid claims in 2023 with an opioid prescribing rate of 3.5%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does JAMES LEGAN, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES LEGAN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES LEGAN, MD accept Medicare?
JAMES LEGAN, MD appears in CMS Medicare data with 5,633 Part D claims and 316 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES LEGAN, MD's credentials?
JAMES LEGAN, MD's NPI is 1871605790 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