2026 NPPES data Ophthalmology Physician NPI 1326062381 M.D.
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JAMES PRIDDY, M.D.

Ophthalmology Physician in BILLINGS, Montana. 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 · 438 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
What the federal data reveals: JAMES PRIDDY, M.D. is a Ophthalmology Physician ([object Object]) practicing in BILLINGS, Montana with a Medicare Part D prescribing footprint of 3K claims across 438 beneficiaries — 36% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JAMES PRIDDY, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 2,724 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 PRIDDY, M.D. 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 PRIDDY, M.D. at a glance

Below national average

NPI registry status

Active

Issued 07/26/2006

NPI 1326062381

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,724 92% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Ophthalmology Physician compares to other specialties among Montana providers

Montana providers

Ophthalmology Physician share within Montana

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Montana

Medicare quality performance — MIPS

JAMES PRIDDY, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Ophthalmology Physician) — 75/100 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 PRIDDY, M.D. is a Ophthalmology Physician provider practicing in BILLINGS, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1326062381. 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 PRIDDY, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 4033 AVENUE B, BILLINGS, MT, 59106, with a listed phone of (406) 256-6000. NPI 1326062381 was issued on 07/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PRIDDY 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 2,724 prescription claims written by this provider, covering 438 Medicare beneficiaries and totaling roughly $160K in drug spend, split 36% brand-name and 64% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

4033 AVENUE B
BILLINGS, MT 59106

Provider Details

NPI 1326062381
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 07/26/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES PRIDDY, M.D. 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.

OPHTHALMIC ASSOCIATES OF BILLINGS LLC
BILLINGS, MT

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

Brand vs generic prescribing mix · Above average

JAMES PRIDDY, M.D. — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 2,724 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.

2,724
Total Claims
$160K
Total Drug Cost
438
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,566
Total Day Supply
128,329
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$123K
Generic Drug Cost
$37K

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
1.03
Gender Split
65% female / 35% 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
Latanoprost
966
Timolol Maleate
424
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
237
Ketorolac Tromethamine
234
Prednisolone Acetate
191
Ciprofloxacin Hcl
122
Brimonidine Tartrate
116
Lumigan
Bimatoprost
104
Dorzolamide Hcl
76
Ofloxacin
54

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

Ophthalmology Physician Overview

How JAMES PRIDDY, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JAMES PRIDDY, M.D.'s 2,724 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Montana

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES PRIDDY, M.D.'s specialty?
JAMES PRIDDY, M.D. specializes in Ophthalmology Physician and practices in BILLINGS, Montana. Credentials: M.D..
How much does JAMES PRIDDY, M.D. prescribe under Medicare Part D?
In 2023, JAMES PRIDDY, M.D. wrote 2,724 Medicare Part D claims totaling $160K in drug costs for 438 beneficiaries.
What is JAMES PRIDDY, M.D.'s Medicare quality score?
JAMES PRIDDY, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES PRIDDY, M.D. located?
JAMES PRIDDY, M.D. is located at 4033 AVENUE B, BILLINGS, MT, 59106. Phone: (406) 256-6000.
What is JAMES PRIDDY, M.D.'s NPI number?
JAMES PRIDDY, M.D.'s National Provider Identifier (NPI) is 1326062381, issued on 07/26/2006.
Does JAMES PRIDDY, M.D. prescribe more brand-name or generic drugs?
JAMES PRIDDY, M.D.'s prescribing is 36% brand-name and 64% generic drugs by claim count, with $123K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JAMES PRIDDY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES PRIDDY, M.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES PRIDDY, M.D. accept Medicare?
JAMES PRIDDY, M.D. appears in CMS Medicare data with 2,724 Part D claims and 438 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES PRIDDY, M.D.'s credentials?
JAMES PRIDDY, M.D.'s NPI is 1326062381 with credentials M.D.. 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