2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1902896863 M.D.
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JAMES MCKINLEY, M.D.

Sports Medicine (Family Medicine) Physician in TYLER, Texas. 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
903
Medicare Part D claims · 527 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
13.4798/100
▼ 70 pts below national avg 83.1 · [object Object]
Industry payments
$69.2K
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES MCKINLEY, M.D. reported a CMS MIPS final score of 13.4798/100 — below the 83.1 national average — and filed 903 Medicare Part D claims in 2023.

13.4798/100
MIPS score · -70 vs avg
903
Part D claims, 2023
96%
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 MCKINLEY, 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

13 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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 MCKINLEY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 MCKINLEY, M.D.?

Below national average

NPI registry status

Active

Issued 10/24/2005

NPI 1902896863

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

903 27% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

MIPS final score

13.4798/100 69.6202% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Sports Medicine (Family Medicine) Physician compares to other specialties among Texas providers

Texas providers

Sports Medicine (Family Medicine) Physician share within Texas

1. Sports Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Family Medicine) Physician share within Texas

Medicare quality performance — MIPS

JAMES MCKINLEY, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average

Below national average
MIPS Final Score
13.4798/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Family Medicine) Physician) — 13.4798/100 vs national avg 83.1

0%100%National avg83%13.5%
MIPS final score (Sports Medicine (Family Medicine) Physician) — 13.4798/100 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 MCKINLEY, M.D. appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding M.D. credentials at 1814 ROSELAND BLVD, TYLER, TX, 75701, with a listed phone of (903) 526-8754. NPI 1902896863 was issued on 10/24/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCKINLEY 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 903 prescription claims written by this provider, covering 527 Medicare beneficiaries and totaling roughly $16K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 50.6%. 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 13.4798/100 for the 2023 performance year (Quality 0, Cost 44.9325), compared with the national average of 83.1.

Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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

1814 ROSELAND BLVD
TYLER, TX 75701

Provider Details

NPI 1902896863
Specialty Sports Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 10/24/2005

CMS Quality Score (MIPS)

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

13.4798
Final Score
Avg: 83.1
0
Quality
44.9325
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES MCKINLEY, 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.

INPATIENT PHYSICIAN ASSOCIATES PLLC
DALLAS, TX
IPA ER GROUP PLLC
TYLER, TX

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

Total received

$69.2K

Largest payer

Takeda Pharmaceuticals U.S.A., Inc.

Most common payment type

Consulting Fee

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to JAMES MCKINLEY, M.D.. To verify JAMES MCKINLEY, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JAMES MCKINLEY, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 903 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.

903
Total Claims
$16K
Total Drug Cost
527
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
910
Total Day Supply
9,720
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$8K
Generic Drug Cost
$9K
Opioid Claims
457 (50.6% rate)
Antibiotic Claims
75

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.04
Gender Split
58% female / 42% male
Age Distribution
<65: 54, 65-74: 284, 75-84: 169, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What JAMES MCKINLEY, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
277
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
107
Methocarbamol
63
Gabapentin
44
Celecoxib
41
Tramadol Hcl
38
Cefadroxil
33
Cyclobenzaprine Hcl
33
Ondansetron Hcl
30
Acetaminophen-Codeine
Acetaminophen With Codeine
25

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

Sports Medicine (Family Medicine) Physician Overview

How JAMES MCKINLEY, M.D. fits within the Sports Medicine (Family Medicine) Physician landscape nationally.

2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider

JAMES MCKINLEY, M.D.'s 903 claims are below the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in Texas

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

Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES MCKINLEY, M.D.'s specialty?
JAMES MCKINLEY, M.D. specializes in Sports Medicine (Family Medicine) Physician and practices in TYLER, Texas. Credentials: M.D..
How much does JAMES MCKINLEY, M.D. prescribe under Medicare Part D?
In 2023, JAMES MCKINLEY, M.D. wrote 903 Medicare Part D claims totaling $16K in drug costs for 527 beneficiaries.
What is JAMES MCKINLEY, M.D.'s Medicare quality score?
JAMES MCKINLEY, M.D. has a CMS MIPS Final Score of 13.4798/100 (Quality: 0, Cost: 44.9325). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES MCKINLEY, M.D. located?
JAMES MCKINLEY, M.D. is located at 1814 ROSELAND BLVD, TYLER, TX, 75701. Phone: (903) 526-8754.
What is JAMES MCKINLEY, M.D.'s NPI number?
JAMES MCKINLEY, M.D.'s National Provider Identifier (NPI) is 1902896863, issued on 10/24/2005.
Does JAMES MCKINLEY, M.D. prescribe more brand-name or generic drugs?
JAMES MCKINLEY, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $8K in brand drug costs.
Does JAMES MCKINLEY, M.D. prescribe opioids?
Yes, JAMES MCKINLEY, M.D. had 457 opioid claims in 2023 with an opioid prescribing rate of 50.6%.
How many Sports Medicine (Family Medicine) Physician providers are there in the US?
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does JAMES MCKINLEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES MCKINLEY, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Methocarbamol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES MCKINLEY, M.D. accept Medicare?
JAMES MCKINLEY, M.D. appears in CMS Medicare data with 903 Part D claims and 527 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES MCKINLEY, M.D.'s credentials?
JAMES MCKINLEY, M.D.'s NPI is 1902896863 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