NPI registry status
Active
2026 NPPES data Public Health & General Preventive Medicine Physician NPI 1619966959 MD
Verify on CMS → James McDonald, MD
Public Health & General Preventive Medicine Physician in Albany, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,799 in Public Health & General Preventive 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
10K
Medicare Part D claims · 10K beneficiaries · Public Health & General Preventive Medicine Physician avg: 944
Generic prescribing
0%
generic claims · 81% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$99.37
6 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
James McDonald, MD filed 10,489 Medicare Part D claims in 2024 as a Public Health & General Preventive Medicine Physician in Albany, New York, prescribing 0% generic.
- 10K
- Part D claims, 2024
- 0%
- generic prescribing
- $99.37
- industry payments (Sunshine Act)
- ≥98th
- pct by Part D claim volume (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 McDonald, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1619966959), first enumerated 10/19/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 10,489 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Reported
Industry payment transparency
$99.37 in reported industry payments (6 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not James McDonald, MD's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- 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 1619966959 · Public Health & General Preventive Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-HEAVY · BOOK-THIN · PHOTO-ENUM
- NPI-10 1619966959
- ENUM-LEGACY 2005
- TAX-NARROW 1,799
- RX-HEAVY 10K claims
- BOOK-THIN 124 in New York
- PHOTO-ENUM Elie Khoury · 2005
James McDonald, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
10,489 ≥ 98th percentile 98% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
Board-eligible specialty (heuristic, not verified)
James McDonald, MD 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).
What does the federal data show about James McDonald, MD?
Quality data not reportedPrimary specialty
Public Health & General Preventive Medicine Physician
Medicare Part D claims
10,489 11× vs specialty avg
Specialty distribution in New York
How Public Health & General Preventive Medicine Physician compares to other specialties among New York providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Public Health & General Preventive Medicine Physician. Verify directly:
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
Provider Details
| NPI | 1619966959 |
|---|---|
| Specialty | Public Health & General Preventive Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/19/2005 |
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 McDonald, MD. Source: openpaymentsdata.cms.gov.
Total received
$99
Largest payer
Novo Nordisk Inc
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.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to James McDonald, MD. To verify James McDonald, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
James McDonald, MD - brand share 81.0%
Public Health & General Preventive Medicine Physician average
81% brand-name claims vs 0% generic, on 10,489 2024 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 2024.
10,489
Total Claims
$2.4M
Total Drug Cost
10,105
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,495.033
- Total Day Supply
- 40,597
- Brand vs Generic
- 81% brand / 0% generic
- Brand Drug Cost
- $2.3M
Patient Demographics
- Average Patient Age
- 75.1 years
- Avg HCC Risk Score
- 1.24
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 775, 65-74: 3,922, 75-84: 4,019, 85+: 1,389
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What James McDonald, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Arexvy
Arexvy
4,406 claims
- Abrysvo
Abrysvo
3,499 claims
- Naloxone Hcl
Naloxone Hcl
2,051 claims
- Mresvia 231
Mresvia
231 claims
- Shingrix 222
Shingrix
222 claims
- Boostrix Tdap 32
Boostrix Tdap
32 claims
- Narcan 17
Narcan
17 claims
- Jynneos 11
Jynneos
11 claims
| Drug | Claims |
|---|---|
| Arexvy Rsvpref3 Antigen/As01e/Pf | 4,406 |
| Abrysvo Rsv Vacc, Pref A And Pref B/Pf | 3,499 |
| Naloxone Hcl | 2,051 |
| Mresvia Rsv Vaccine, Pref, Mrna/Pf | 231 |
| Shingrix Varicella-Zoster Ge/As01b/Pf | 222 |
| Boostrix Tdap Diphth,pertuss(Acell),tet Vac | 32 |
| Narcan Naloxone Hcl | 17 |
| Jynneos Smallpox And Mpox Live Vacc/Pf | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Public Health & General Preventive Medicine Physician in NY →
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Public Health & General Preventive Medicine Physician Overview
How James McDonald, MD fits within the Public Health & General Preventive Medicine Physician landscape nationally.
1,799
Public Health & General Preventive Medicine Physician Providers in US
52
States with Public Health & General Preventive Medicine Physician
944
Avg Claims per Provider
James McDonald, MD's 10,489 claims are above the specialty average of 944.
Nationwide Public Health & General Preventive Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for McDonald, both outside New York so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Public Health & General Preventive Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as McDonald.
One of 124 Public Health & General Preventive Medicine Physician providers enrolled in New York, 5 are shown here.
Frequently Asked Questions
What is James McDonald, MD's specialty? ▼
James McDonald, MD specializes in Public Health & General Preventive Medicine Physician and practices in Albany, New York. Credentials: MD.
How much does James McDonald, MD prescribe under Medicare Part D? ▼
In 2024, James McDonald, MD wrote 10,489 Medicare Part D claims totaling $2.4M in drug costs for 10,105 beneficiaries.
Where is James McDonald, MD located? ▼
James McDonald, MD is located at EMPIRE STATE PLAZA, Albany, NY, 12237. Phone: (518) 473-1166.
What is James McDonald, MD's NPI number? ▼
James McDonald, MD's National Provider Identifier (NPI) is 1619966959, issued on 10/19/2005.
Does James McDonald, MD prescribe more brand-name or generic drugs? ▼
James McDonald, MD's prescribing is 81% brand-name and 0% generic drugs by claim count, with $2.3M in brand drug costs.
How many Public Health & General Preventive Medicine Physician providers are there in the US? ▼
There are 1,799 Public Health & General Preventive Medicine Physician providers across 52 states in the US. The average Public Health & General Preventive Medicine Physician provider writes 944 Medicare Part D claims per year.
What drugs does James McDonald, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, James McDonald, MD's most frequently prescribed drugs include Arexvy, Abrysvo, Naloxone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James McDonald, MD accept Medicare? ▼
James McDonald, MD appears in CMS Medicare data with 10,489 Part D claims and 10,105 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James McDonald, MD's credentials? ▼
James McDonald, MD's NPI is 1619966959 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
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.
- 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
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.