2026 NPPES data Cardiovascular Disease Physician NPI 1770578031 MD
Verify on CMS →

James O'Brien, MD

Cardiovascular Disease Physician in Albany, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 24,795 in Cardiovascular Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
11K
Medicare Part D claims · 1K beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.6/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$324.98
37 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James O'Brien, MD reported a CMS MIPS final score of 86.6/100 — above the 83.1 national average — and filed 10,814 Medicare Part D claims in 2023.

86.6/100
MIPS score · +3 vs avg
11K
Part D claims, 2023
81%
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 O'Brien, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

87 Top 48% higher than 52% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Where James O'Brien, MD sits

This provider among cardiovascular disease physician peers

Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, James O'Brien, MD writes more Part D claims than 96% of them and scores higher on MIPS quality than 54% — placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 30James O'Brien, MD — Part D claim volume — percentile in specialty: 96 · MIPS quality — percentile: 54
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is James O'Brien, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

James O'Brien, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 O'Brien, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/13/2005

NPI 1770578031

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

10,814 257% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

86.6/100 3.5 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Cardiovascular Disease Physician compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program — 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse — 5.2%Registered Nurse5.2%Clinical Social Worker — 4.9%Clinical Social Worker4.9%Social Worker — 4.5%Social Worker4.5%Speech-Language Pathologist — 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse — 4.3%Licensed Practical Nurse4.3%Cardiovascular Disease Physician — 0.4%Cardiovascular Disease Physician0.4%
Largest specialties in New York (% of in-state providers)

Medicare quality performance — MIPS

James O'Brien, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
86.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 86.6/100 vs national avg 83.1

0%100%National avg83%86.6%
MIPS final score (Cardiovascular Disease Physician) — 86.6/100 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 O'Brien, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at CAPITAL CARDIOLOGY ASSOCIATES PC, Albany, NY, 12211, with a listed phone of (518) 292-6000. NPI 1770578031 was issued on 09/13/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what O'Brien 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 10,814 prescription claims written by this provider, covering 1,118 Medicare beneficiaries and totaling roughly $3.0 million in drug spend, split 19% brand-name and 81% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.6/100 for the 2023 performance year (Quality 88.6, Cost 57.9), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

CAPITAL CARDIOLOGY ASSOCIATES PC
Albany, NY 12211

Provider Details

NPI 1770578031
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 09/13/2005

CMS Quality Score (MIPS)

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

86.5557
Final Score
Avg: 83.1
88.5893
Quality
57.885
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where James O'Brien, MD 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.

Capital Cardiology Associates PLLC
Albany, NY

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 O'Brien, MD. Source: openpaymentsdata.cms.gov.

Total received

$325

Largest payer

Novartis Pharmaceuticals Corporation

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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to James O'Brien, MD. To verify James O'Brien, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

James O'Brien, MD — brand share 19.0%
Cardiovascular Disease Physician average

19% brand-name claims vs 81% generic, on 10,814 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.

10,814
Total Claims
$3.0M
Total Drug Cost
1,118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
28,629
Total Day Supply
854,181
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$2.6M
Generic Drug Cost
$336K
Antibiotic Claims
77

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.44
Gender Split
47% female / 53% male
Age Distribution
<65: 82, 65-74: 463, 75-84: 427, 85+: 146

Top Prescribed Drugs (Medicare Part D)

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

What James O'Brien, MD 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
Atorvastatin Calcium
1,207
Eliquis
Apixaban
970
Metoprolol Succinate
750
Amlodipine Besylate
603
Ezetimibe
493
Lisinopril
439
Rosuvastatin Calcium
429
Irbesartan
328
Potassium Chloride
312
Furosemide
308

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

Cardiovascular Disease Physician Overview

How James O'Brien, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

James O'Brien, MD's 10,814 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as O'Brien.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New York medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Cardiovascular Disease Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is James O'Brien, MD's specialty?
James O'Brien, MD specializes in Cardiovascular Disease Physician and practices in Albany, New York. Credentials: MD.
How much does James O'Brien, MD prescribe under Medicare Part D?
In 2023, James O'Brien, MD wrote 10,814 Medicare Part D claims totaling $3.0M in drug costs for 1,118 beneficiaries.
What is James O'Brien, MD's Medicare quality score?
James O'Brien, MD has a CMS MIPS Final Score of 86.6/100 (Quality: 88.6, Cost: 57.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James O'Brien, MD located?
James O'Brien, MD is located at CAPITAL CARDIOLOGY ASSOCIATES PC, Albany, NY, 12211. Phone: (518) 292-6000.
What is James O'Brien, MD's NPI number?
James O'Brien, MD's National Provider Identifier (NPI) is 1770578031, issued on 09/13/2005.
Does James O'Brien, MD prescribe more brand-name or generic drugs?
James O'Brien, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $2.6M in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does James O'Brien, MD prescribe most often?
Based on 2023 Medicare Part D data, James O'Brien, MD's most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James O'Brien, MD accept Medicare?
James O'Brien, MD appears in CMS Medicare data with 10,814 Part D claims and 1,118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James O'Brien, MD's credentials?
James O'Brien, MD's NPI is 1770578031 with credentials MD. 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

Compiled from official public sources by the PlainDoctor editorial team.