2026 NPPES data Internal Medicine Physician NPI 1831135987 M.D.
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JAMES MCGOWAN, M.D.

Internal Medicine Physician in LAGRANGE, Georgia. 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
784
Medicare Part D claims · 13 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JAMES MCGOWAN, M.D. filed 784 Medicare Part D claims in 2023 as a Internal Medicine Physician in LAGRANGE, Georgia, prescribing 88% generic.

784
Part D claims, 2023
88%
generic prescribing

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 MCGOWAN, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

784 Top 29% higher than 71% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

JAMES MCGOWAN, 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).

What does the federal data show about JAMES MCGOWAN, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/20/2006

NPI 1831135987

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

784 71% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Georgia

How Internal Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Internal Medicine Physician share within Georgia

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine 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 MCGOWAN, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at CLARK-HOLDER CLINIC, P.A., LAGRANGE, GA, 30240, with a listed phone of (706) 882-8831. NPI 1831135987 was issued on 06/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGOWAN 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 784 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $27K in drug spend, split 12% brand-name and 88% 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

CLARK-HOLDER CLINIC, P.A.
LAGRANGE, GA 30240

Provider Details

NPI 1831135987
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/20/2006

Brand vs generic prescribing mix · Typical

JAMES MCGOWAN, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 784 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.

784
Total Claims
$27K
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
796
Total Day Supply
7,015
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$21K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
1.44

Top Prescribed Drugs (Medicare Part D)

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

What JAMES MCGOWAN, 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
Tamsulosin Hcl
128
Clopidogrel
Clopidogrel Bisulfate
86
Gabapentin
86
Levothyroxine Sodium
61
Meloxicam
51
Mirtazapine
51
Quetiapine Fumarate
51
Rosuvastatin Calcium
51
Nuedexta
Dextromethorphan Hbr/Quinidine
49
Furosemide
35

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

Internal Medicine Physician Overview

How JAMES MCGOWAN, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

JAMES MCGOWAN, M.D.'s 784 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Georgia

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES MCGOWAN, M.D.'s specialty?
JAMES MCGOWAN, M.D. specializes in Internal Medicine Physician and practices in LAGRANGE, Georgia. Credentials: M.D..
How much does JAMES MCGOWAN, M.D. prescribe under Medicare Part D?
In 2023, JAMES MCGOWAN, M.D. wrote 784 Medicare Part D claims totaling $27K in drug costs for 13 beneficiaries.
Where is JAMES MCGOWAN, M.D. located?
JAMES MCGOWAN, M.D. is located at CLARK-HOLDER CLINIC, P.A., LAGRANGE, GA, 30240. Phone: (706) 882-8831.
What is JAMES MCGOWAN, M.D.'s NPI number?
JAMES MCGOWAN, M.D.'s National Provider Identifier (NPI) is 1831135987, issued on 06/20/2006.
Does JAMES MCGOWAN, M.D. prescribe more brand-name or generic drugs?
JAMES MCGOWAN, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $21K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does JAMES MCGOWAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES MCGOWAN, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Clopidogrel, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES MCGOWAN, M.D. accept Medicare?
JAMES MCGOWAN, M.D. appears in CMS Medicare data with 784 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES MCGOWAN, M.D.'s credentials?
JAMES MCGOWAN, M.D.'s NPI is 1831135987 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