NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1851648364 D.O.
Verify on CMS → James Lively, D.O.
Emergency Medicine Physician in Wheeling, West Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine 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
322
Medicare Part D claims · 234 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
90.3/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$57.09
3 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
James Lively, D.O. reported a CMS MIPS final score of 90.3/100 - above the 83.1 national average - and filed 322 Medicare Part D claims in 2023.
- 90.3/100
- MIPS score · +7 vs avg
- 322
- 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 Lively, D.O.'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 Lively, D.O. sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Lively, D.O. writes more Part D claims than 81% of them and scores higher on MIPS quality than 52% - 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 emergency medicine physician peer from a representative sample of 60; the gold marker is James Lively, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Lively, D.O. 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 Lively, D.O.?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
322 9% vs specialty avg
MIPS final score
90.3/100 7.2 pts vs avg
Specialty distribution in West Virginia
How Emergency Medicine Physician compares to other specialties among West Virginia providers
Medicare quality performance, MIPS
James Lively, D.O.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 90.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 90.3/100 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 Lively, D.O. appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding D.O. credentials at 2000 EOFF ST, Wheeling, WV, 26003, with a listed phone of (304) 234-0123. NPI 1851648364 was issued on 08/14/2012.
Medicare Part D records for calendar year 2023 show 322 prescription claims written by this provider, covering 234 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 11.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.3/100 for the 2023 performance year (Quality 70.6), compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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 | 1851648364 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 08/14/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.3173
Final Score
Avg: 83.1
70.6347
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Lively, D.O. 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.
Oak Hill Emergency Physicians, LLC
Oak Hill, WV
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 Lively, D.O.. Source: openpaymentsdata.cms.gov.
Total received
$57
Largest payer
AstraZeneca Pharmaceuticals LP
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.
322
Total Claims
$5K
Total Drug Cost
234
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 322
- Total Day Supply
- 2,561
- Generic Drug Cost
- $2K
- Opioid Claims
- 36 (11.2% rate)
- Antibiotic Claims
- 113
Patient Demographics
- Average Patient Age
- 70.4 years
- Avg HCC Risk Score
- 1.73
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 53, 65-74: 79, 75-84: 68, 85+: 34
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Lively, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
33 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
31 claims
- Ondansetron Odt
Ondansetron Odt
27 claims
- Cephalexin
Cephalexin
24 claims
- Methylprednisolone
Methylprednisolone
20 claims
- Doxycycline Hyclate
Doxycycline Hyclate
18 claims
- Ciprofloxacin Hcl
Ciprofloxacin Hcl
15 claims
- Amoxicillin-Clavul… 13
Amoxicillin-Clavulanate Potass
13 claims
| Drug | Claims |
|---|---|
| Prednisone | 33 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 31 |
| Ondansetron Odt Ondansetron | 27 |
| Cephalexin | 24 |
| Methylprednisolone | 20 |
| Doxycycline Hyclate | 18 |
| Ciprofloxacin Hcl | 15 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 13 |
| Levofloxacin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How James Lively, D.O. fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
James Lively, D.O.'s 322 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Lively.
Dr. Sam Abdul
MD
Charleston, WV
Dr. Frank Abraham
M.D.
Kingwood, WV
Dr. Nelio Abrenica
MD
Huntington, WV
Dr. Jeremy Adams
D.O.
Wheeling, WV
Dr. Olumade Adenupe
M.D.
Welch, WV
Compare Emergency Medicine 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 West Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine 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 Lively, D.O.'s specialty? ▼
James Lively, D.O. specializes in Emergency Medicine Physician and practices in Wheeling, West Virginia. Credentials: D.O..
How much does James Lively, D.O. prescribe under Medicare Part D? ▼
In 2023, James Lively, D.O. wrote 322 Medicare Part D claims totaling $5K in drug costs for 234 beneficiaries.
What is James Lively, D.O.'s Medicare quality score? ▼
James Lively, D.O. has a CMS MIPS Final Score of 90.3/100 (Quality: 70.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Lively, D.O. located? ▼
James Lively, D.O. is located at 2000 EOFF ST, Wheeling, WV, 26003. Phone: (304) 234-0123.
What is James Lively, D.O.'s NPI number? ▼
James Lively, D.O.'s National Provider Identifier (NPI) is 1851648364, issued on 08/14/2012.
Does James Lively, D.O. prescribe opioids? ▼
Yes, James Lively, D.O. had 36 opioid claims in 2023 with an opioid prescribing rate of 11.2%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does James Lively, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, James Lively, D.O.'s most frequently prescribed drugs include Prednisone, Hydrocodone-Acetaminophen, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Lively, D.O. accept Medicare? ▼
James Lively, D.O. appears in CMS Medicare data with 322 Part D claims and 234 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Lively, D.O.'s credentials? ▼
James Lively, D.O.'s NPI is 1851648364 with credentials D.O.. 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.