JAMES METKUS, M.D.
Sleep Medicine (Otolaryngology) Physician in LAKEWOOD, Colorado. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
JAMES METKUS, M.D. filed 31 Medicare Part D claims in 2023 as a Sleep Medicine (Otolaryngology) Physician in LAKEWOOD, Colorado.
- 31
- Part D claims, 2023
- 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 METKUS, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
31 0th percentile higher than 0% of 1,370,886 prescribers
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
JAMES METKUS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 METKUS, M.D.?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Colorado
How Sleep Medicine (Otolaryngology) Physician compares to other specialties among Colorado providers
Sleep Medicine (Otolaryngology) Physician share within Colorado
Sleep Medicine (Otolaryngology) Physician is one of the more visible NUCC categories in Colorado
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Sleep Medicine (Otolaryngology) Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Sleep Medicine (Otolaryngology) Physician ABMS/AOA estimate
Est. board-certified rate (Sleep Medicine (Otolaryngology) Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Sleep Medicine (Otolaryngology) Physician US NPIs
Specialty board-certified rate — Sleep Medicine (Otolaryngology) Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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 METKUS, M.D. appears in the CMS NPPES registry as a Sleep Medicine (Otolaryngology) Physician provider holding M.D. credentials at 274 UNION BLVD STE 200, LAKEWOOD, CO, 80228, with a listed phone of (303) 951-0600. NPI 1376078758 was issued on 04/24/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what METKUS 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 31 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $366 in drug spend. 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.
Sleep Medicine (Otolaryngology) Physician is a narrow specialty nationwide, with 98 enrolled providers across 29 states and an average of 543 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
Provider Details
| NPI | 1376078758 |
|---|---|
| Specialty | Sleep Medicine (Otolaryngology) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/24/2017 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm JAMES METKUS, M.D.'s current license status, disciplinary history, and board certifications with the Colorado Medical Board in Colorado before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where JAMES METKUS, 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 31
- Total Day Supply
- 680
- Generic Drug Cost
- $358
Patient Demographics
- Average Patient Age
- 73.1 years
- Avg HCC Risk Score
- 1.08
Sleep Medicine (Otolaryngology) Physician Overview
How JAMES METKUS, M.D. fits within the Sleep Medicine (Otolaryngology) Physician landscape nationally.
JAMES METKUS, M.D.'s 31 claims are below the specialty average of 543.
Nearby Sleep Medicine (Otolaryngology) Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as METKUS.
Compare Sleep Medicine (Otolaryngology) Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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