2026 NPPES data Pulmonary Disease Physician NPI 1316903016 M.D.
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JAMES LONG, M.D.

Pulmonary Disease Physician in FISHERSVILLE, Virginia. 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
20
Medicare Part D claims · Pulmonary Disease Physician avg: 1K
Generic prescribing
30%
generic claims · 70% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JAMES LONG, M.D. is a Pulmonary Disease Physician ([object Object]) practicing in FISHERSVILLE, Virginia with a Medicare Part D prescribing footprint of 20 claims — 70% brand-name prescribing .

What stands out: JAMES LONG, M.D. filed 20 Medicare Part D claims in 2023 across FISHERSVILLE, Virginia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JAMES LONG, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

JAMES LONG, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/22/2006

NPI 1316903016

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

20 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Virginia

How Pulmonary Disease Physician compares to other specialties among Virginia providers

Virginia providers

Pulmonary Disease Physician share within Virginia

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

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 LONG, M.D. is a Pulmonary Disease Physician provider practicing in FISHERSVILLE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1316903016. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES LONG, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 70 MEDICAL CENTER CIR, FISHERSVILLE, VA, 22939, with a listed phone of (540) 245-7190. NPI 1316903016 was issued on 04/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LONG 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 20 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $31K in drug spend, split 70% brand-name and 30% generic by claim count. 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

70 MEDICAL CENTER CIR
FISHERSVILLE, VA 22939

Provider Details

NPI 1316903016
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 04/22/2006

Brand vs generic prescribing mix · Brand-heavy

JAMES LONG, M.D. — brand share 70.0%
Specialty average (est.)

70% brand-name claims vs 30% generic, on 20 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.

20
Total Claims
$31K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20
Total Day Supply
364
Brand vs Generic
70% brand / 30% generic
Brand Drug Cost
$31K

Patient Demographics

Average Patient Age
81.0 years
Avg HCC Risk Score
1.15

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Nuplazid
Pimavanserin Tartrate
14

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

Pulmonary Disease Physician Overview

How JAMES LONG, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

JAMES LONG, M.D.'s 20 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Virginia

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES LONG, M.D.'s specialty?
JAMES LONG, M.D. specializes in Pulmonary Disease Physician and practices in FISHERSVILLE, Virginia. Credentials: M.D..
How much does JAMES LONG, M.D. prescribe under Medicare Part D?
In 2023, JAMES LONG, M.D. wrote 20 Medicare Part D claims totaling $31K in drug costs for N/A beneficiaries.
Where is JAMES LONG, M.D. located?
JAMES LONG, M.D. is located at 70 MEDICAL CENTER CIR, FISHERSVILLE, VA, 22939. Phone: (540) 245-7190.
What is JAMES LONG, M.D.'s NPI number?
JAMES LONG, M.D.'s National Provider Identifier (NPI) is 1316903016, issued on 04/22/2006.
Does JAMES LONG, M.D. prescribe more brand-name or generic drugs?
JAMES LONG, M.D.'s prescribing is 70% brand-name and 30% generic drugs by claim count, with $31K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does JAMES LONG, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES LONG, M.D.'s most frequently prescribed drugs include Nuplazid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES LONG, M.D. accept Medicare?
JAMES LONG, M.D. appears in CMS Medicare data with 20 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES LONG, M.D.'s credentials?
JAMES LONG, M.D.'s NPI is 1316903016 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.
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