2026 NPPES data Procedural Dermatology Physician NPI 1407845779 MD
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JAMES POULTON, MD

Procedural Dermatology Physician in BALTIMORE, Maryland. 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
3K
Medicare Part D claims · 890 beneficiaries · Procedural Dermatology Physician avg: 664
MIPS score
91.4933/100
▲ 8 pts above national avg 83.1 · [object Object]
What the federal data reveals: JAMES POULTON, MD is a Procedural Dermatology Physician ([object Object]) practicing in BALTIMORE, Maryland with a Medicare Part D prescribing footprint of 3K claims across 890 beneficiaries . Their CMS MIPS Final Score of 91.4933/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JAMES POULTON, MD reported a CMS MIPS final score of 91.4933 out of 100, above the 83.1 national average, and filed 3,114 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES POULTON, 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).

JAMES POULTON, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/19/2005

NPI 1407845779

Primary specialty

Procedural Dermatology Physician

Niche

679 US NPIs in this specialty

Medicare Part D claims

3,114 369% vs specialty avg

2023 prescription claims

Specialty avg: 664

MIPS final score

91.4933/100 8.39330000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maryland

How Procedural Dermatology Physician compares to other specialties among Maryland providers

Maryland providers

Procedural Dermatology Physician share within Maryland

1. Procedural Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Procedural Dermatology Physician share within Maryland

Medicare quality performance — MIPS

JAMES POULTON, MD's 2023 MIPS final score plotted against the Procedural Dermatology Physician national average

High performer (top quartile)
MIPS Final Score
91.4933/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Procedural Dermatology Physician) — 91.4933/100 vs national avg 83.1

0%100%National avg83%91.5%
MIPS final score (Procedural Dermatology Physician) — 91.4933/100 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 POULTON, MD is a Procedural Dermatology Physician provider practicing in BALTIMORE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1407845779. 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 POULTON, MD appears in the CMS NPPES registry as a Procedural Dermatology Physician provider holding MD credentials at 5233 KING AVE, BALTIMORE, MD, 21237, with a listed phone of (410) 574-3100. NPI 1407845779 was issued on 10/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what POULTON 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 3,114 prescription claims written by this provider, covering 890 Medicare beneficiaries and totaling roughly $962K in drug spend. 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 91.4933/100 for the 2023 performance year (Quality 84.5333), compared with the national average of 83.1.

Procedural Dermatology Physician is a narrow specialty nationwide, with 679 enrolled providers across 48 states and an average of 664 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

5233 KING AVE
BALTIMORE, MD 21237

Provider Details

NPI 1407845779
Specialty Procedural Dermatology Physician
Credentials MD
Gender Male
NPI Issued 10/19/2005

CMS Quality Score (MIPS)

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

91.4933
Final Score
Avg: 83.1
84.5333
Quality
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where JAMES POULTON, 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.

DRS POULTON AND SMITH LLC
BALTIMORE, 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.

3,114
Total Claims
$962K
Total Drug Cost
890
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,724
Total Day Supply
100,269
Generic Drug Cost
$123K
Antibiotic Claims
241

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.23
Gender Split
53% female / 47% male
Age Distribution
<65: 61, 65-74: 382, 75-84: 331, 85+: 116

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Triamcinolone Acetonide
635
Hydrocortisone
381
Ketoconazole
248
Clobetasol Propionate
203
Fluocinonide
201
Doxycycline Hyclate
194
Tacrolimus
129
Metronidazole
118
Betamethasone Diprop Augmented
Betamethasone/Propylene Glyc
114
Fluticasone Propionate
86

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

Procedural Dermatology Physician Overview

How JAMES POULTON, MD fits within the Procedural Dermatology Physician landscape nationally.

679
Procedural Dermatology Physician Providers in US
48
States with Procedural Dermatology Physician
664
Avg Claims per Provider

JAMES POULTON, MD's 3,114 claims are above the specialty average of 664.

Nearby Procedural Dermatology Physician Providers in Maryland

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

Compare Procedural Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES POULTON, MD's specialty?
JAMES POULTON, MD specializes in Procedural Dermatology Physician and practices in BALTIMORE, Maryland. Credentials: MD.
How much does JAMES POULTON, MD prescribe under Medicare Part D?
In 2023, JAMES POULTON, MD wrote 3,114 Medicare Part D claims totaling $962K in drug costs for 890 beneficiaries.
What is JAMES POULTON, MD's Medicare quality score?
JAMES POULTON, MD has a CMS MIPS Final Score of 91.4933/100 (Quality: 84.5333). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES POULTON, MD located?
JAMES POULTON, MD is located at 5233 KING AVE, BALTIMORE, MD, 21237. Phone: (410) 574-3100.
What is JAMES POULTON, MD's NPI number?
JAMES POULTON, MD's National Provider Identifier (NPI) is 1407845779, issued on 10/19/2005.
How many Procedural Dermatology Physician providers are there in the US?
There are 679 Procedural Dermatology Physician providers across 48 states in the US. The average Procedural Dermatology Physician provider writes 664 Medicare Part D claims per year.
What drugs does JAMES POULTON, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES POULTON, MD's most frequently prescribed drugs include Triamcinolone Acetonide, Hydrocortisone, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES POULTON, MD accept Medicare?
JAMES POULTON, MD appears in CMS Medicare data with 3,114 Part D claims and 890 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES POULTON, MD's credentials?
JAMES POULTON, MD's NPI is 1407845779 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