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2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1134218100 M.D.
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James Little, M.D.

Physical Medicine & Rehabilitation Physician in Chattanooga, Tennessee.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,618 in Physical Medicine & Rehabilitation 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
2K
Medicare Part D claims · 378 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 793
MIPS score
22.8/100
▼ 61 pts below national avg 83.5 · Below average
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Compiled from official public sources by the editorial process.

What the federal data shows

James Little, M.D. reported a CMS MIPS final score of 22.8/100 - below the 83.5 national average - and filed 2,152 Medicare Part D claims in 2024.

22.8/100
MIPS score · -61 vs avg
2K
Part D claims, 2024
Likely
board-certified (heuristic)
≥3rd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about James Little, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1134218100), first enumerated 10/11/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,152 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 22.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1134218100 · Physical Medicine & Rehabilitation Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1134218100
  • ENUM-LEGACY 2006
  • TAX-MID 16K Physical Medicine
  • MIPS-LOW 22.8/100
  • RX-MID 2,152
  • BOOK-THIN 248 in Tennessee
  • PHOTO-FINISH Jesus Hernandez · ±0.5

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

James Little, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

23 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). This entry sits in this band. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where James Little, M.D. sits

This provider among physical medicine & rehabilitation physician peers

Across the 2,483 physical medicine & rehabilitation physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Little, M.D. writes more Part D claims than 91% of them and scores higher on MIPS quality than 7% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.647.370.994.5Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 28James Little, M.D., Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 7
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physical medicine & rehabilitation physician peer from a representative sample of 60; the gold marker is James Little, 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 Little, M.D. 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 Little, M.D.?

Below national average

NPI registry status

Active

Issued 10/11/2006

NPI 1134218100

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,618 US NPIs in this specialty

Medicare Part D claims

2,152 171% vs specialty avg

2024 prescription claims

Specialty avg: 793

MIPS final score

22.8/100 60.7 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Tennessee

How Physical Medicine & Rehabilitation Physician compares to other specialties among Tennessee providers

Tennessee providers
Family Nurse Practitioner6.4%Pharmacist5.8%Student in an Organized Heal…4.7%Behavior Technician4.5%Physical Therapist4.2%Registered Nurse3.9%Physical Medicine & Rehabili…0.2%
Largest specialties in Tennessee (% of in-state providers)

Medicare quality performance, MIPS

James Little, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
22.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%22.8%
MIPS final score (Physical Medicine & Rehabilitation Physician) - 22.8/100 vs national avg 83.5
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).

Practice Address

1011 SPRING CREEK RD
Chattanooga, TN 37412
(423) 510-0092

Provider Details

NPI 1134218100
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Male
NPI Issued 10/11/2006

CMS Quality Score (MIPS)

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

22.8034
Final Score
Measured-score avg: 83.5
30
Quality
11.9895
Cost

Reporting: Individual

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

2,152
Total Claims
$101K
Total Drug Cost
378
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,221.2
Total Day Supply
58,296
Generic Drug Cost
$23K
Opioid Claims
94 (4.4% rate)
Antibiotic Claims
39

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
2.35
Gender Split
61% female / 39% male
Age Distribution
<65: 33, 65-74: 138, 75-84: 132, 85+: 75

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What James Little, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Pantoprazole Sodium
 126
Atorvastatin Calcium
 106
Potassium Chloride
 82
Levothyroxine Sodium
 78
Metoprolol Tartrate
 61
Losartan Potassium
 58
Carvedilol
 51
Amlodipine Besylate
 48
Eliquis
Apixaban
47
Tamsulosin Hcl
 45

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

More Physical Medicine & Rehabilitation Physician in TN → All providers in Tennessee → Compare specialties →

Physical Medicine & Rehabilitation Physician Overview

How James Little, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,618
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
793
Avg Claims per Provider

James Little, M.D.'s 2,152 claims are above the specialty average of 793.

Nationwide Physical Medicine & Rehabilitation Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Little, both outside Tennessee so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (22.8 here).

Jesus Hernandez 23.3 NY Ajith Castelino 21.8 IL Peter Roumanos 23.9 KY Neville Walker 20.8 NY

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Derek Tuohy Mountain Village, CO Keith Okamuro Livermore, CA David Haddock Orlando, FL Ian Novotny West Hollywood, CA

Nearby Physical Medicine & Rehabilitation Physician Providers in Tennessee

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

One of 248 Physical Medicine & Rehabilitation Physician providers enrolled in Tennessee, 5 are shown here.

Dr. Syed Ahmed
D.O.
Memphis, TN
Dr. Christopher Alessia
DO
Nashville, TN
Rebecca Anderson
PT
Knoxville, TN
Dr. Christopher Ashley
MD
Hendersonville, TN
Toni Ballew
Chattanooga, TN

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is James Little, M.D.'s specialty? ▼
James Little, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in Chattanooga, Tennessee. Credentials: M.D..
How much does James Little, M.D. prescribe under Medicare Part D? ▼
In 2024, James Little, M.D. wrote 2,152 Medicare Part D claims totaling $101K in drug costs for 378 beneficiaries.
What is James Little, M.D.'s Medicare quality score? ▼
James Little, M.D. has a CMS MIPS Final Score of 22.8/100 (Quality: 30, Cost: 12). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Little, M.D. located? ▼
James Little, M.D. is located at 1011 SPRING CREEK RD, Chattanooga, TN, 37412. Phone: (423) 510-0092.
What is James Little, M.D.'s NPI number? ▼
James Little, M.D.'s National Provider Identifier (NPI) is 1134218100, issued on 10/11/2006.
Does James Little, M.D. prescribe opioids? ▼
Yes, James Little, M.D. had 94 opioid claims in 2024 with an opioid prescribing rate of 4.4%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US? ▼
There are 15,618 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 793 Medicare Part D claims per year.
What drugs does James Little, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, James Little, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Atorvastatin Calcium, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Little, M.D. accept Medicare? ▼
James Little, M.D. appears in CMS Medicare data with 2,152 Part D claims and 378 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Little, M.D.'s credentials? ▼
James Little, M.D.'s NPI is 1134218100 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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

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 August 2026.