2026 NPPES data Gastroenterology Physician NPI 1609819200 M.D.
Verify on CMS →

James Rawles, M.D.

Gastroenterology Physician in Virginia Beach, 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 16,567 in Gastroenterology 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.
Industry payments
$422.65
4 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Rawles, M.D. is a Gastroenterology Physician in Virginia Beach, Virginia, listed in the federal CMS National Provider Identifier registry.

$422.65
industry payments (Sunshine Act)

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.

Board-eligible specialty (heuristic — not verified)

James Rawles, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about James Rawles, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/13/2006

NPI 1609819200

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Specialty distribution in Virginia

How Gastroenterology Physician compares to other specialties among Virginia providers

Virginia providers

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

Behavior Technician — 5.2%Behavior Technician5.2%Clinical Social Worker — 5.1%Clinical Social Worker5.1%Student in an Organized Health Care Education/Training Program — 4.7%Student in an Organized Health Care Education/Training Program4.7%Physical Therapist — 4.6%Physical Therapist4.6%Pharmacist — 4.5%Pharmacist4.5%Professional Counselor — 4%Professional Counselor4%Gastroenterology Physician — 0.3%Gastroenterology Physician0.3%
Largest specialties in Virginia (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

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 Rawles, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 1101 FIRST COLONIAL RD, Virginia Beach, VA, 23454, with a listed phone of (757) 481-2127. NPI 1609819200 was issued on 06/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rawles 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Gastroenterology Physician providers operate outside Part D entirely.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1101 FIRST COLONIAL RD
Virginia Beach, VA 23454

Provider Details

NPI 1609819200
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 06/13/2006

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

Total received

$423

Largest payer

Bard Peripheral Vascular, 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.

Gastroenterology Physician Overview

How James Rawles, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Nearby Gastroenterology Physician Providers in Virginia

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

Compare Gastroenterology 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 Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology 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 Rawles, M.D.'s specialty?
James Rawles, M.D. specializes in Gastroenterology Physician and practices in Virginia Beach, Virginia. Credentials: M.D..
Where is James Rawles, M.D. located?
James Rawles, M.D. is located at 1101 FIRST COLONIAL RD, Virginia Beach, VA, 23454. Phone: (757) 481-2127.
What is James Rawles, M.D.'s NPI number?
James Rawles, M.D.'s National Provider Identifier (NPI) is 1609819200, issued on 06/13/2006.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
Does James Rawles, M.D. accept Medicare?
James Rawles, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Rawles, M.D.'s credentials?
James Rawles, M.D.'s NPI is 1609819200 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.
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.