2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1144227067 DO
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JAMES NUNLEY, DO

Pain Medicine (Anesthesiology) Physician in MANCHESTER, Tennessee. 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
1K
Medicare Part D claims · 154 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$342.11
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES NUNLEY, DO filed 1,027 Medicare Part D claims in 2023 as a Pain Medicine (Anesthesiology) Physician in MANCHESTER, Tennessee, prescribing 95% generic.

1K
Part D claims, 2023
95%
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 NUNLEY, DO's Medicare Part D volume vs every U.S. prescriber

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

1,027 Top 24% higher than 76% 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%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 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 NUNLEY, DO 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 NUNLEY, DO?

Quality data not reported

NPI registry status

Active

Issued 07/07/2005

NPI 1144227067

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

1,027 38% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

Specialty distribution in Tennessee

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Tennessee providers

Tennessee providers

Pain Medicine (Anesthesiology) Physician share within Tennessee

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

Specialty board-certification context

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

Quality data not reported
Est. board-certified rate
78%
Pain Medicine (Anesthesiology) Physician ABMS/AOA estimate

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

0%100%78%
Est. board-certified rate (Pain Medicine (Anesthesiology) 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 NUNLEY, DO appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding DO credentials at 2345 MURFREESBORO HWY, MANCHESTER, TN, 37355, with a listed phone of (931) 728-5607. NPI 1144227067 was issued on 07/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NUNLEY 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 1,027 prescription claims written by this provider, covering 154 Medicare beneficiaries and totaling roughly $69K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 46.8%. 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.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

2345 MURFREESBORO HWY
MANCHESTER, TN 37355

Provider Details

NPI 1144227067
Specialty Pain Medicine (Anesthesiology) Physician
Credentials DO
Gender Male
NPI Issued 07/07/2005

Hospital and facility affiliations

Facilities where JAMES NUNLEY, DO 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.

JAMES R. NUNLEY D.O.,P.C.
MANCHESTER, TN

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 NUNLEY, DO. Source: openpaymentsdata.cms.gov.

Total received

$342

Largest payer

Collegium Pharmaceutical, Inc.

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.

Brand vs generic prescribing mix · Generic-heavy

JAMES NUNLEY, DO — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 1,027 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.

1,027
Total Claims
$69K
Total Drug Cost
154
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,210
Total Day Supply
34,179
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$33K
Generic Drug Cost
$36K
Opioid Claims
481 (46.8% rate)
Antibiotic Claims
29

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.47
Gender Split
58% female / 42% male
Age Distribution
<65: 34, 65-74: 58, 75-84: 50, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What JAMES NUNLEY, DO 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
150
Gabapentin
124
Oxycodone Hcl
105
Tizanidine Hcl
54
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
52
Tramadol Hcl
39
Cyclobenzaprine Hcl
38
Baclofen
31
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
28
Fentanyl
26

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

Pain Medicine (Anesthesiology) Physician Overview

How JAMES NUNLEY, DO fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

JAMES NUNLEY, DO's 1,027 claims are below the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Tennessee

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

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES NUNLEY, DO's specialty?
JAMES NUNLEY, DO specializes in Pain Medicine (Anesthesiology) Physician and practices in MANCHESTER, Tennessee. Credentials: DO.
How much does JAMES NUNLEY, DO prescribe under Medicare Part D?
In 2023, JAMES NUNLEY, DO wrote 1,027 Medicare Part D claims totaling $69K in drug costs for 154 beneficiaries.
Where is JAMES NUNLEY, DO located?
JAMES NUNLEY, DO is located at 2345 MURFREESBORO HWY, MANCHESTER, TN, 37355. Phone: (931) 728-5607.
What is JAMES NUNLEY, DO's NPI number?
JAMES NUNLEY, DO's National Provider Identifier (NPI) is 1144227067, issued on 07/07/2005.
Does JAMES NUNLEY, DO prescribe more brand-name or generic drugs?
JAMES NUNLEY, DO's prescribing is 5% brand-name and 95% generic drugs by claim count, with $33K in brand drug costs.
Does JAMES NUNLEY, DO prescribe opioids?
Yes, JAMES NUNLEY, DO had 481 opioid claims in 2023 with an opioid prescribing rate of 46.8%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does JAMES NUNLEY, DO prescribe most often?
Based on 2023 Medicare Part D data, JAMES NUNLEY, DO's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES NUNLEY, DO accept Medicare?
JAMES NUNLEY, DO appears in CMS Medicare data with 1,027 Part D claims and 154 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES NUNLEY, DO's credentials?
JAMES NUNLEY, DO's NPI is 1144227067 with credentials DO. 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