2026 NPPES data Otology & Neurotology Physician NPI 1700058468 M.D.
Verify on CMS →

JAMES LUPO, M.D.

Otology & Neurotology Physician in ENGLEWOOD, Colorado. 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
437
Medicare Part D claims · 137 beneficiaries · Otology & Neurotology Physician avg: 401
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.4349/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$102.81
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES LUPO, M.D. reported a CMS MIPS final score of 78.4349/100 — below the 83.1 national average — and filed 437 Medicare Part D claims in 2023.

78.4349/100
MIPS score · -5 vs avg
437
Part D claims, 2023
84%
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 LUPO, M.D.'s MIPS score vs every scored U.S. clinician

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

78 27th percentile higher than 27% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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 LUPO, M.D. 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 LUPO, M.D.?

Near national average

NPI registry status

Active

Issued 04/02/2008

NPI 1700058468

Primary specialty

Otology & Neurotology Physician

Rare

333 US NPIs in this specialty

Medicare Part D claims

437 9% vs specialty avg

2023 prescription claims

Specialty avg: 401

MIPS final score

78.4349/100 4.665099999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Otology & Neurotology Physician compares to other specialties among Colorado providers

Colorado providers

Otology & Neurotology Physician share within Colorado

1. Otology & Neurotology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otology & Neurotology Physician share within Colorado

Medicare quality performance — MIPS

JAMES LUPO, M.D.'s 2023 MIPS final score plotted against the Otology & Neurotology Physician national average

Near national average
MIPS Final Score
78.4349/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otology & Neurotology Physician) — 78.4349/100 vs national avg 83.1

0%100%National avg83%78.4%
MIPS final score (Otology & Neurotology Physician) — 78.4349/100 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 LUPO, M.D. appears in the CMS NPPES registry as a Otology & Neurotology Physician provider holding M.D. credentials at 601 E HAMPDEN AVE STE 430, ENGLEWOOD, CO, 80113, with a listed phone of (303) 783-9220. NPI 1700058468 was issued on 04/02/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LUPO 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 437 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $9K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 9.4%. 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 78.4349/100 for the 2023 performance year (Quality 56.8698), compared with the national average of 83.1.

Otology & Neurotology Physician is a narrow specialty nationwide, with 333 enrolled providers across 46 states and an average of 401 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

601 E HAMPDEN AVE STE 430
ENGLEWOOD, CO 80113

Provider Details

NPI 1700058468
Specialty Otology & Neurotology Physician
Credentials M.D.
Gender Male
NPI Issued 04/02/2008

CMS Quality Score (MIPS)

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

78.4349
Final Score
Avg: 83.1
56.8698
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where JAMES LUPO, M.D. 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.

DAVID C KELSALL MD PC
ENGLEWOOD, CO

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 LUPO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$103

Largest payer

Cochlear Americas

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 · Typical

JAMES LUPO, M.D. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 437 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.

437
Total Claims
$9K
Total Drug Cost
137
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
572
Total Day Supply
11,008
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$3K
Generic Drug Cost
$6K
Opioid Claims
41 (9.4% rate)
Antibiotic Claims
57

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.13
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

What JAMES LUPO, M.D. 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
Ciprofloxacin Hcl
54
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
40
Prednisolone Acetate
39
Cephalexin
38
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
33
Nortriptyline Hcl
28
Venlafaxine Hcl Er
Venlafaxine Hcl
25
Ondansetron Hcl
20
Prednisone
20
Fluocinolone Acetonide Oil
18

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

Otology & Neurotology Physician Overview

How JAMES LUPO, M.D. fits within the Otology & Neurotology Physician landscape nationally.

333
Otology & Neurotology Physician Providers in US
46
States with Otology & Neurotology Physician
401
Avg Claims per Provider

JAMES LUPO, M.D.'s 437 claims are above the specialty average of 401.

Nearby Otology & Neurotology Physician Providers in Colorado

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

Compare Otology & Neurotology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES LUPO, M.D.'s specialty?
JAMES LUPO, M.D. specializes in Otology & Neurotology Physician and practices in ENGLEWOOD, Colorado. Credentials: M.D..
How much does JAMES LUPO, M.D. prescribe under Medicare Part D?
In 2023, JAMES LUPO, M.D. wrote 437 Medicare Part D claims totaling $9K in drug costs for 137 beneficiaries.
What is JAMES LUPO, M.D.'s Medicare quality score?
JAMES LUPO, M.D. has a CMS MIPS Final Score of 78.4349/100 (Quality: 56.8698). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES LUPO, M.D. located?
JAMES LUPO, M.D. is located at 601 E HAMPDEN AVE STE 430, ENGLEWOOD, CO, 80113. Phone: (303) 783-9220.
What is JAMES LUPO, M.D.'s NPI number?
JAMES LUPO, M.D.'s National Provider Identifier (NPI) is 1700058468, issued on 04/02/2008.
Does JAMES LUPO, M.D. prescribe more brand-name or generic drugs?
JAMES LUPO, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $3K in brand drug costs.
Does JAMES LUPO, M.D. prescribe opioids?
Yes, JAMES LUPO, M.D. had 41 opioid claims in 2023 with an opioid prescribing rate of 9.4%.
How many Otology & Neurotology Physician providers are there in the US?
There are 333 Otology & Neurotology Physician providers across 46 states in the US. The average Otology & Neurotology Physician provider writes 401 Medicare Part D claims per year.
What drugs does JAMES LUPO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES LUPO, M.D.'s most frequently prescribed drugs include Ciprofloxacin Hcl, Hydrocodone-Acetaminophen, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES LUPO, M.D. accept Medicare?
JAMES LUPO, M.D. appears in CMS Medicare data with 437 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES LUPO, M.D.'s credentials?
JAMES LUPO, M.D.'s NPI is 1700058468 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.
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