2026 NPPES data Pulmonary Disease Physician NPI 1679893036 DO
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James Perry, DO

Pulmonary Disease Physician in South Charleston, West Virginia. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary 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
3K
Medicare Part D claims · 584 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$1.3K
54 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Perry, DO reported a CMS MIPS final score of 90.1/100 - above the 83.1 national average - and filed 3,267 Medicare Part D claims in 2023.

90.1/100
MIPS score · +7 vs avg
3K
Part D claims, 2023
0%
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 Perry, DO's MIPS score vs every scored U.S. clinician

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

90 Top 40% higher than 60% 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+: 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

Where James Perry, DO sits

This provider among pulmonary disease physician peers

Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Perry, DO writes more Part D claims than 86% of them and scores higher on MIPS quality than 62% - 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 quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 40James Perry, DO-Part D claim volume, percentile in specialty: 86 · MIPS quality, percentile: 62
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic, not verified)

James Perry, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Perry, DO?

High performer (top quartile)

NPI registry status

Active

Issued 06/09/2010

NPI 1679893036

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

3,267 124% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

90.1/100 7 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Pulmonary Disease Physician compares to other specialties among West Virginia providers

West Virginia providers

Largest specialties in West Virginia (% of in-state providers)

Personal Care Attendant - 38.4%Personal Care Attendant38.4%Home Health Aide - 8.2%Home Health Aide8.2%Community Health Worker - 5.2%Community Health Worker5.2%Homemaker - 3.1%Homemaker3.1%Pharmacist - 3%Pharmacist3%Student in an Organized Health Care Education/Training Program - 2.9%Student in an Organized Health Care Education/Training Program2.9%Pulmonary Disease Physician - 0.1%Pulmonary Disease Physician0.1%
Largest specialties in West Virginia (% of in-state providers)

Medicare quality performance, MIPS

James Perry, DO's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
90.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) - 90.1/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Pulmonary Disease Physician) - 90.1/100 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 Perry, DO appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding DO credentials at 4619 KANAWHA AVE SW, South Charleston, WV, 25309, with a listed phone of (304) 400-4545. NPI 1679893036 was issued on 06/09/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Perry 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 3,267 prescription claims written by this provider, covering 584 Medicare beneficiaries and totaling roughly $3.0 million in drug spend, split 55% brand-name and 0% generic by claim count, with an opioid prescribing rate of 0.7%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.1/100 for the 2023 performance year (Quality 67), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

4619 KANAWHA AVE SW
South Charleston, WV 25309

Provider Details

NPI 1679893036
Specialty Pulmonary Disease Physician
Credentials DO
Gender Male
NPI Issued 06/09/2010

CMS Quality Score (MIPS)

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

90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where James Perry, 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.

According to CMS billing records, James Perry, DO is affiliated with 3 Medicare-billing facilities.

Hospital Development CO.
Spencer, WV
Princeton Community Hospital Assn. Inc.
Princeton, WV
Ths Physician Partners Inc
Charleston, WV

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

Total received

$1.3K

Largest payer

GlaxoSmithKline, LLC.

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 · Brand-heavy

James Perry, DO - brand share 55.0%
Pulmonary Disease Physician average

55% brand-name claims vs 0% generic, on 3,267 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.

3,267
Total Claims
$3.0M
Total Drug Cost
584
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,404
Total Day Supply
120,458
Brand vs Generic
55% brand / 0% generic
Brand Drug Cost
$3.0M
Opioid Claims
24 (0.7% rate)
Antibiotic Claims
239

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.98
Gender Split
63% female / 37% male
Age Distribution
<65: 127, 65-74: 254, 75-84: 161, 85+: 42

Top Prescribed Drugs (Medicare Part D)

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

What James Perry, 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
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
422
Albuterol Sulfate Hfa
Albuterol Sulfate
312
Prednisone
259
Symbicort
Budesonide/Formoterol Fumarate
201
Montelukast Sodium
178
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
125
Spiriva Respimat
Tiotropium Bromide
97
Incruse Ellipta
Umeclidinium Bromide
92
Ventolin Hfa
Albuterol Sulfate
77
Roflumilast
72

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

Pulmonary Disease Physician Overview

How James Perry, DO fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

James Perry, DO's 3,267 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Perry.

Compare Pulmonary 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 West Virginia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pulmonary 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 Perry, DO's specialty?
James Perry, DO specializes in Pulmonary Disease Physician and practices in South Charleston, West Virginia. Credentials: DO.
How much does James Perry, DO prescribe under Medicare Part D?
In 2023, James Perry, DO wrote 3,267 Medicare Part D claims totaling $3.0M in drug costs for 584 beneficiaries.
What is James Perry, DO's Medicare quality score?
James Perry, DO has a CMS MIPS Final Score of 90.1/100 (Quality: 67). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Perry, DO located?
James Perry, DO is located at 4619 KANAWHA AVE SW, South Charleston, WV, 25309. Phone: (304) 400-4545.
What is James Perry, DO's NPI number?
James Perry, DO's National Provider Identifier (NPI) is 1679893036, issued on 06/09/2010.
Does James Perry, DO prescribe more brand-name or generic drugs?
James Perry, DO's prescribing is 55% brand-name and 0% generic drugs by claim count, with $3.0M in brand drug costs.
Does James Perry, DO prescribe opioids?
Yes, James Perry, DO had 24 opioid claims in 2023 with an opioid prescribing rate of 0.7%.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does James Perry, DO prescribe most often?
Based on 2023 Medicare Part D data, James Perry, DO's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Perry, DO accept Medicare?
James Perry, DO appears in CMS Medicare data with 3,267 Part D claims and 584 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Perry, DO's credentials?
James Perry, DO's NPI is 1679893036 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.
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.