2026 NPPES data Specialist NPI 1487009379 MD
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JAMES OELSEN, MD

Specialist in CONCORD, North Carolina. 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
777
Medicare Part D claims · 273 beneficiaries · Specialist avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.3578/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$1.3K
51 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES OELSEN, MD reported a CMS MIPS final score of 95.3578/100 — above the 83.1 national average — and filed 777 Medicare Part D claims in 2023.

95.3578/100
MIPS score · +12 vs avg
777
Part D claims, 2023
86%
generic prescribing
$1.3K
industry payments (Sunshine Act)

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 OELSEN, MD's MIPS score vs every scored U.S. clinician

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

95 Top 21% higher than 79% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about JAMES OELSEN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/27/2016

NPI 1487009379

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

777 47% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

95.3578/100 12.257800000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Specialist compares to other specialties among North Carolina providers

North Carolina providers

Specialist share within North Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within North Carolina

Medicare quality performance — MIPS

JAMES OELSEN, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
95.3578/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 95.3578/100 vs national avg 83.1

0%100%National avg83%95.4%
MIPS final score (Specialist) — 95.3578/100 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 OELSEN, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 1085 NE GATEWAY CT NE, CONCORD, NC, 28025, with a listed phone of (704) 707-2200. NPI 1487009379 was issued on 04/27/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what OELSEN 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 777 prescription claims written by this provider, covering 273 Medicare beneficiaries and totaling roughly $95K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 12.0%. 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 95.3578/100 for the 2023 performance year (Quality 84.2235), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1085 NE GATEWAY CT NE
CONCORD, NC 28025

Provider Details

NPI 1487009379
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 04/27/2016

CMS Quality Score (MIPS)

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

95.3578
Final Score
Avg: 83.1
84.2235
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JAMES OELSEN, 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.

CAROLINA PHYSICAL THERAPY ASSOCIATES LLC
CONCORD, NC
STONE INSTITUTE OF THE CAROLINAS LLC
DAVIDSON, NC
UROLOGY SPECIALISTS OF THE CAROLINAS PLLC
CONCORD, NC

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 OELSEN, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

UROGEN PHARMA, 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 · Typical

JAMES OELSEN, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 777 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.

777
Total Claims
$95K
Total Drug Cost
273
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,126
Total Day Supply
26,527
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$76K
Generic Drug Cost
$19K
Opioid Claims
93 (12.0% rate)
Antibiotic Claims
115

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.51
Gender Split
48% female / 52% male
Age Distribution
<65: 30, 65-74: 128, 75-84: 86, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

What JAMES OELSEN, 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
Tamsulosin Hcl
160
Estradiol
105
Tramadol Hcl
85
Myrbetriq
Mirabegron
65
Oxybutynin Chloride
60
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
50
Finasteride
48
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
18
Ciprofloxacin Hcl
17
Gemtesa
Vibegron
16

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

Specialist Overview

How JAMES OELSEN, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

JAMES OELSEN, MD's 777 claims are below the specialty average of 1,474.

Nearby Specialist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as OELSEN.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES OELSEN, MD's specialty?
JAMES OELSEN, MD specializes in Specialist and practices in CONCORD, North Carolina. Credentials: MD.
How much does JAMES OELSEN, MD prescribe under Medicare Part D?
In 2023, JAMES OELSEN, MD wrote 777 Medicare Part D claims totaling $95K in drug costs for 273 beneficiaries.
What is JAMES OELSEN, MD's Medicare quality score?
JAMES OELSEN, MD has a CMS MIPS Final Score of 95.3578/100 (Quality: 84.2235). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES OELSEN, MD located?
JAMES OELSEN, MD is located at 1085 NE GATEWAY CT NE, CONCORD, NC, 28025. Phone: (704) 707-2200.
What is JAMES OELSEN, MD's NPI number?
JAMES OELSEN, MD's National Provider Identifier (NPI) is 1487009379, issued on 04/27/2016.
Does JAMES OELSEN, MD prescribe more brand-name or generic drugs?
JAMES OELSEN, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $76K in brand drug costs.
Does JAMES OELSEN, MD prescribe opioids?
Yes, JAMES OELSEN, MD had 93 opioid claims in 2023 with an opioid prescribing rate of 12.0%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does JAMES OELSEN, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES OELSEN, MD's most frequently prescribed drugs include Tamsulosin Hcl, Estradiol, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES OELSEN, MD accept Medicare?
JAMES OELSEN, MD appears in CMS Medicare data with 777 Part D claims and 273 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES OELSEN, MD's credentials?
JAMES OELSEN, MD's NPI is 1487009379 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