2026 NPPES data Dermatology Physician NPI 1265566004 M.D.
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James Ralston, M.D.

Dermatology Physician in McKinney, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 14,610 in Dermatology 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
374
Medicare Part D claims · 183 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.5/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$1.7K
60 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Ralston, M.D. reported a CMS MIPS final score of 79.5/100 - below the 83.1 national average - and filed 374 Medicare Part D claims in 2023.

79.5/100
MIPS score · -4 vs avg
374
Part D claims, 2023
93%
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 Ralston, M.D.'s MIPS score vs every scored U.S. clinician

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

80 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where James Ralston, M.D. sits

This provider among dermatology physician peers

Across the 6,594 dermatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Ralston, M.D. writes more Part D claims than 25% of them and scores higher on MIPS quality than 38% - placing this provider in the lower-volume, lower-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 quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 40James Ralston, M.D.-Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 38
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic, not verified)

James Ralston, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Ralston, M.D.?

Near national average

NPI registry status

Active

Issued 03/15/2007

NPI 1265566004

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

374 49% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

79.5/100 3.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Dermatology Physician compares to other specialties among Texas providers

Texas providers

Largest specialties in Texas (% of in-state providers)

Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Dermatology Physician - 0.2%Dermatology Physician0.2%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

James Ralston, M.D.'s 2023 MIPS final score plotted against the Dermatology Physician national average

Near national average
MIPS Final Score
79.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) - 79.5/100 vs national avg 83.1

0%100%National avg83%79.5%
MIPS final score (Dermatology Physician) - 79.5/100 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 Ralston, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 5801 VIRGINIA PKWY, McKinney, TX, 75071, with a listed phone of (972) 548-0333. NPI 1265566004 was issued on 03/15/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Ralston 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 374 prescription claims written by this provider, covering 183 Medicare beneficiaries and totaling roughly $106K in drug spend, split 7% brand-name and 93% 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 79.5/100 for the 2023 performance year (Quality 74.8), compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

5801 VIRGINIA PKWY
McKinney, TX 75071

Provider Details

NPI 1265566004
Specialty Dermatology Physician
Credentials M.D.
Gender Male
NPI Issued 03/15/2007

CMS Quality Score (MIPS)

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

79.5498
Final Score
Avg: 83.1
74.8178
Quality
78
Promoting Interoperability

Reporting: Individual

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 Ralston, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

ABBVIE 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.

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to James Ralston, M.D.. To verify James Ralston, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

James Ralston, M.D. - brand share 7.0%
Dermatology Physician average

7% brand-name claims vs 93% generic, on 374 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.

374
Total Claims
$106K
Total Drug Cost
183
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
407
Total Day Supply
9,989
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$96K
Generic Drug Cost
$10K
Antibiotic Claims
44

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.16
Gender Split
44% female / 56% male

Top Prescribed Drugs (Medicare Part D)

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

What James Ralston, M.D. 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
Triamcinolone Acetonide
59
Mupirocin
44
Clobetasol Propionate
39
Ciclopirox
Ciclopirox Olamine
33
Cephalexin
31
Doxycycline Hyclate
28
Ketoconazole
15
Metronidazole
11

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

Dermatology Physician Overview

How James Ralston, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

James Ralston, M.D.'s 374 claims are below the specialty average of 729.

Nearby Dermatology Physician Providers in Texas

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

Compare Dermatology 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Dermatology 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 Ralston, M.D.'s specialty?
James Ralston, M.D. specializes in Dermatology Physician and practices in McKinney, Texas. Credentials: M.D..
How much does James Ralston, M.D. prescribe under Medicare Part D?
In 2023, James Ralston, M.D. wrote 374 Medicare Part D claims totaling $106K in drug costs for 183 beneficiaries.
What is James Ralston, M.D.'s Medicare quality score?
James Ralston, M.D. has a CMS MIPS Final Score of 79.5/100 (Quality: 74.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Ralston, M.D. located?
James Ralston, M.D. is located at 5801 VIRGINIA PKWY, McKinney, TX, 75071. Phone: (972) 548-0333.
What is James Ralston, M.D.'s NPI number?
James Ralston, M.D.'s National Provider Identifier (NPI) is 1265566004, issued on 03/15/2007.
Does James Ralston, M.D. prescribe more brand-name or generic drugs?
James Ralston, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $96K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does James Ralston, M.D. prescribe most often?
Based on 2023 Medicare Part D data, James Ralston, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Mupirocin, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Ralston, M.D. accept Medicare?
James Ralston, M.D. appears in CMS Medicare data with 374 Part D claims and 183 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Ralston, M.D.'s credentials?
James Ralston, M.D.'s NPI is 1265566004 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

Compiled from official public sources by the PlainDoctor editorial team.