NPPES file of Aug 9, 2026

James P. Restrepo, M.D.

Otolaryngology Physician · Wyomissing, PA

James P. Restrepo, M.D. is an otolaryngology physician with a practice address in Wyomissing, Pennsylvania, and NPI 1972502573, issued on Jul 18, 2005. Check the license (Pennsylvania MD030575E, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1972502573
Name
James P. Restrepo
Credential
M.D.
Primary taxonomy
Otolaryngology Physician 207Y00000X
License number
MD030575E PA
Self-reported in NPPES; status is on the state search
Practice location
985 Berkshire Blvd, Wyomissing, PA 19610
Phone
(610) 374-5599
Enumerated
Jul 18, 2005
Record last updated
Mar 14, 2023
Fax
(610) 288-8075
Medicaid ID
0010787880003 PA
Medicare enrollment
Enrolled (PECOS I20100714000528); accepts Medicare assignment
Medical or professional school
Perelman School Of Med At The University Of Pennsylvania, 1982
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 985 Berkshire Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Melanie Appler, AU.D., FAAAAudiologist1356340889
  2. Matthew Bonsall, AUD.Audiologist1851717482
  3. Jeffrey Driben, M.D.Otolaryngology Physician1285633875
  4. Michael Hasker, DMDGeneral Practice Dentistry1770592644
  5. Charles Lutz, M.D.Otolaryngology Physician1306845995
  6. Rosemarie Montgomery, FNP-CFamily Nurse Practitioner1881695682

Verify James P. Restrepo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD030575E
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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7% more Medicare Part D claims than the average otolaryngology physician in 2024

577 Medicare Part D claims for 203 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims. 19 claims were for opioids.

  1. James Restrepo577
  2. Specialty average541

Most prescribed

  1. Azelastine Hcl96 claims
  2. Ipratropium Bromide60 claims
  3. Levothyroxine Sodium45 claims
  4. Mupirocin31 claims
  5. Methylprednisolone30 claims
  6. Fluticasone Propionate27 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 88.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%63.1
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Ent Head And Neck Specialists, PCWyomissing, PA
  2. Phoenix Rehabilitation And Health Services IncCranberry Twp, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James P. Restrepo among 531 otolaryngology physician records in Pennsylvania

James P. Restrepo, M.D. is one of 531 otolaryngology physician records with a practice address in Pennsylvania. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 90% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1982 · median 2002 among the 355 with a school on file
  • Record last updated2023 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in Pennsylvania

There are 531 otolaryngology physician records in Pennsylvania.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Scott Cronin, M.D.Wyomissing, PA 196101306165105
  2. Jeffrey Driben, M.D.Wyomissing, PA 196101285633875
  3. Winifred Kao-Seda, M.D.Wyomissing, PA 196101821018623
  4. Charles Lutz, M.D.Wyomissing, PA 196101306845995
  5. Darryl Mueller, M.D.Wyomissing, PA 196101912098039
  6. Hector Seda, M.D.Wyomissing, PA 196101902829575
  7. Adam Vasconcellos, M.D.Wyomissing, PA 196101386939023
  8. Joseph Watson, D.O.Wyomissing, PA 196101013930692

Common questions

What is James P. Restrepo, M.D.'s NPI number?

James P. Restrepo, M.D.'s National Provider Identifier (NPI) is 1972502573, issued on Jul 18, 2005. An NPI identifies a provider in billing; it is not a license.

Where is James P. Restrepo, M.D. located?

The NPPES record lists a practice address at 985 Berkshire Blvd, Wyomissing, PA, 19610. Phone: (610) 374-5599. Providers update this record themselves, so call before visiting.

How can I verify James P. Restrepo, M.D.'s license?

NPPES lists Pennsylvania license number MD030575E, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James P. Restrepo, M.D. prescribe under Medicare Part D?

In 2024, James P. Restrepo, M.D. had 577 Medicare Part D claims for 203 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is James P. Restrepo, M.D.'s MIPS final score?

The 2023 MIPS final score is 88.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.