2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1184155228
Verify on CMS →

JAMES PENDLETON

Pain Medicine (Physical Medicine & Rehabilitation) Physician in WASHINGTON, District of Columbia. 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
126
Medicare Part D claims · 69 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
80.1797/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

JAMES PENDLETON reported a CMS MIPS final score of 80.1797/100 — below the 83.1 national average — and filed 126 Medicare Part D claims in 2023.

80.1797/100
MIPS score · -3 vs avg
126
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 PENDLETON's MIPS score vs every scored U.S. clinician

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

80 33rd percentile higher than 33% 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

Board certification likely (heuristic — not verified)

JAMES PENDLETON practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 PENDLETON?

Near national average

NPI registry status

Active

Issued 03/21/2017

NPI 1184155228

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

126 91% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

80.1797/100 2.9202999999999975% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among District of Columbia providers

District of Columbia providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within District of Columbia

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within District of Columbia

Medicare quality performance — MIPS

JAMES PENDLETON's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Near national average
MIPS Final Score
80.1797/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 80.1797/100 vs national avg 83.1

0%100%National avg83%80.2%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 80.1797/100 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 PENDLETON is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in WASHINGTON, District of Columbia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1184155228. 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 PENDLETON appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider at 102 IRVING ST NW, WASHINGTON, DC, 20010, with a listed phone of (404) 441-5681. NPI 1184155228 was issued on 03/21/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PENDLETON 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 126 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 11.1%. 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 80.1797/100 for the 2023 performance year (Quality 76.6904, Cost 53.4937), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

102 IRVING ST NW
WASHINGTON, DC 20010

Provider Details

NPI 1184155228
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Gender Male
NPI Issued 03/21/2017

CMS Quality Score (MIPS)

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

80.1797
Final Score
Avg: 83.1
76.6904
Quality
53.4937
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES PENDLETON 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.

MEDSTAR MEDICAL GROUP II LLC
WASHINGTON, DC
SUBURBAN/NRH MEDICAL REHABILITATION INC
BETHESDA, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

126
Total Claims
$3K
Total Drug Cost
69
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
145
Total Day Supply
3,564
Generic Drug Cost
$2K
Opioid Claims
14 (11.1% rate)

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.56
Gender Split
64% female / 36% 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
Meloxicam
22
Gabapentin
14
Methylprednisolone
14
Celecoxib
12

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How JAMES PENDLETON fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

JAMES PENDLETON's 126 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as PENDLETON.

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

Frequently Asked Questions

What is JAMES PENDLETON's specialty?
JAMES PENDLETON specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in WASHINGTON, District of Columbia.
How much does JAMES PENDLETON prescribe under Medicare Part D?
In 2023, JAMES PENDLETON wrote 126 Medicare Part D claims totaling $3K in drug costs for 69 beneficiaries.
What is JAMES PENDLETON's Medicare quality score?
JAMES PENDLETON has a CMS MIPS Final Score of 80.1797/100 (Quality: 76.6904, Cost: 53.4937). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES PENDLETON located?
JAMES PENDLETON is located at 102 IRVING ST NW, WASHINGTON, DC, 20010. Phone: (404) 441-5681.
What is JAMES PENDLETON's NPI number?
JAMES PENDLETON's National Provider Identifier (NPI) is 1184155228, issued on 03/21/2017.
Does JAMES PENDLETON prescribe opioids?
Yes, JAMES PENDLETON had 14 opioid claims in 2023 with an opioid prescribing rate of 11.1%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does JAMES PENDLETON prescribe most often?
Based on 2023 Medicare Part D data, JAMES PENDLETON's most frequently prescribed drugs include Meloxicam, Gabapentin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES PENDLETON accept Medicare?
JAMES PENDLETON appears in CMS Medicare data with 126 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES PENDLETON's credentials?
JAMES PENDLETON's NPI is 1184155228. 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