2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1164783619 M.D.
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JAMES NEWMAN, M.D.

Sports Medicine (Physical Medicine & Rehabilitation) Physician in SPRINGFIELD, Illinois. 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
288
Medicare Part D claims · 184 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 579
Industry payments
$40.26
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES NEWMAN, M.D. filed 288 Medicare Part D claims in 2023 as a Sports Medicine (Physical Medicine & Rehabilitation) Physician in SPRINGFIELD, Illinois.

288
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 NEWMAN, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

288 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 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 certification likely (heuristic — not verified)

JAMES NEWMAN, 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 NEWMAN, M.D.?

Quality data not reported

NPI registry status

Active

Issued 05/31/2012

NPI 1164783619

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,267 US NPIs in this specialty

Medicare Part D claims

288 50% vs specialty avg

2023 prescription claims

Specialty avg: 579

Specialty distribution in Illinois

How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Illinois providers

Illinois providers

Sports Medicine (Physical Medicine & Rehabilitation) Physician share within Illinois

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

Specialty board-certification context

Estimated specialty board-certified rate — Sports Medicine (Physical Medicine & Rehabilitation) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sports Medicine (Physical Medicine & Rehabilitation) Physician ABMS/AOA estimate

Est. board-certified rate (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sports Medicine (Physical Medicine & Rehabilitation) 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 NEWMAN, M.D. is a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in SPRINGFIELD, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1164783619. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES NEWMAN, M.D. appears in the CMS NPPES registry as a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 800 N 1ST ST, SPRINGFIELD, IL, 62702, with a listed phone of (217) 528-7541. NPI 1164783619 was issued on 05/31/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NEWMAN 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 288 prescription claims written by this provider, covering 184 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 16.7%. 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.

Sports Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,267 enrolled providers across 52 states and an average of 579 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

800 N 1ST ST
SPRINGFIELD, IL 62702

Provider Details

NPI 1164783619
Specialty Sports Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Male
NPI Issued 05/31/2012

Hospital and facility affiliations

Facilities where JAMES NEWMAN, 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.

SPRINGFIELD CLINIC, LLP
SPRINGFIELD, IL

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

Total received

$40

Largest payer

Pacira Pharmaceuticals Incorporated

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to JAMES NEWMAN, M.D.. To verify JAMES NEWMAN, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

288
Total Claims
$4K
Total Drug Cost
184
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
294
Total Day Supply
4,353
Generic Drug Cost
$2K
Opioid Claims
48 (16.7% rate)

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.16
Gender Split
66% female / 34% male
Age Distribution
<65: 22, 65-74: 79, 75-84: 67, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
98
Gabapentin
59
Tramadol Hcl
38
Diclofenac Sodium
35

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

Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview

How JAMES NEWMAN, M.D. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,267
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
579
Avg Claims per Provider

JAMES NEWMAN, M.D.'s 288 claims are below the specialty average of 579.

Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in Illinois

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

Compare Sports Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES NEWMAN, M.D.'s specialty?
JAMES NEWMAN, M.D. specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in SPRINGFIELD, Illinois. Credentials: M.D..
How much does JAMES NEWMAN, M.D. prescribe under Medicare Part D?
In 2023, JAMES NEWMAN, M.D. wrote 288 Medicare Part D claims totaling $4K in drug costs for 184 beneficiaries.
Where is JAMES NEWMAN, M.D. located?
JAMES NEWMAN, M.D. is located at 800 N 1ST ST, SPRINGFIELD, IL, 62702. Phone: (217) 528-7541.
What is JAMES NEWMAN, M.D.'s NPI number?
JAMES NEWMAN, M.D.'s National Provider Identifier (NPI) is 1164783619, issued on 05/31/2012.
Does JAMES NEWMAN, M.D. prescribe opioids?
Yes, JAMES NEWMAN, M.D. had 48 opioid claims in 2023 with an opioid prescribing rate of 16.7%.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,267 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 579 Medicare Part D claims per year.
What drugs does JAMES NEWMAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES NEWMAN, M.D.'s most frequently prescribed drugs include Prednisone, Gabapentin, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES NEWMAN, M.D. accept Medicare?
JAMES NEWMAN, M.D. appears in CMS Medicare data with 288 Part D claims and 184 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES NEWMAN, M.D.'s credentials?
JAMES NEWMAN, M.D.'s NPI is 1164783619 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