2026 NPPES data Family Medicine Physician NPI 1518964873 M.D.
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JAMES NELSON, M.D.

Family Medicine Physician in ALBANY, 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
121
Medicare Part D claims · 46 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JAMES NELSON, M.D. filed 121 Medicare Part D claims in 2023 as a Family Medicine Physician in ALBANY, Georgia, prescribing 76% generic.

121
Part D claims, 2023
76%
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 NELSON, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

121 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 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 NELSON, 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 NELSON, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/01/2005

NPI 1518964873

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

121 96% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Georgia

How Family Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Family Medicine Physician share within Georgia

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Family 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 NELSON, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 803 N JEFFERSON ST, ALBANY, GA, 31701, with a listed phone of (229) 312-7800. NPI 1518964873 was issued on 07/01/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NELSON 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 121 prescription claims written by this provider, covering 46 Medicare beneficiaries and totaling roughly $31K in drug spend, split 24% brand-name and 76% 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

803 N JEFFERSON ST
ALBANY, GA 31701

Provider Details

NPI 1518964873
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/01/2005

Brand vs generic prescribing mix · Typical

JAMES NELSON, M.D. — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 121 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.

121
Total Claims
$31K
Total Drug Cost
46
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
150
Total Day Supply
3,314
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$23K
Generic Drug Cost
$7K
Antibiotic Claims
41

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
2.97
Gender Split
46% female / 54% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Santyl
Collagenase Clostridium Hist.
22

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

Family Medicine Physician Overview

How JAMES NELSON, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

JAMES NELSON, M.D.'s 121 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Georgia

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

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

Frequently Asked Questions

What is JAMES NELSON, M.D.'s specialty?
JAMES NELSON, M.D. specializes in Family Medicine Physician and practices in ALBANY, Georgia. Credentials: M.D..
How much does JAMES NELSON, M.D. prescribe under Medicare Part D?
In 2023, JAMES NELSON, M.D. wrote 121 Medicare Part D claims totaling $31K in drug costs for 46 beneficiaries.
Where is JAMES NELSON, M.D. located?
JAMES NELSON, M.D. is located at 803 N JEFFERSON ST, ALBANY, GA, 31701. Phone: (229) 312-7800.
What is JAMES NELSON, M.D.'s NPI number?
JAMES NELSON, M.D.'s National Provider Identifier (NPI) is 1518964873, issued on 07/01/2005.
Does JAMES NELSON, M.D. prescribe more brand-name or generic drugs?
JAMES NELSON, M.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $23K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does JAMES NELSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES NELSON, M.D.'s most frequently prescribed drugs include Santyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES NELSON, M.D. accept Medicare?
JAMES NELSON, M.D. appears in CMS Medicare data with 121 Part D claims and 46 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES NELSON, M.D.'s credentials?
JAMES NELSON, M.D.'s NPI is 1518964873 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