NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1477714889 MD
Verify on CMS → James Spain, MD
Family Medicine Physician in Daphne, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,125 in Family Medicine 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
346
Medicare Part D claims · 220 beneficiaries · Family Medicine Physician avg: 4K
MIPS score
71.9/100
▼ 12 pts below national avg 83.5 · Mid-tier
Industry payments
$183.55
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
James Spain, MD reported a CMS MIPS final score of 71.9/100 - below the 83.5 national average - and filed 346 Medicare Part D claims in 2024.
- 71.9/100
- MIPS score · -12 vs avg
- 346
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥9th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about James Spain, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1477714889), first enumerated 06/18/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 346 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 71.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$183.55 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1477714889 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1477714889
- ENUM-MID 2008
- TAX-MEGA 150K Family Medicine
- MIPS-LOW 71.9/100
- RX-LIGHT 346
- BOOK-LIGHT 1,888 in Alabama
- PHOTO-FINISH Raffaella Betza · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Spain · this pro…
Spain · this provider
71.9 MIPS pts
- Brooke Davis · h…
Brooke Davis
71.9 MIPS pts
- Raffaella Betza …
Raffaella Betza
71.9 MIPS pts
- Jennifer Byrne ·…
Jennifer Byrne
71.9 MIPS pts
- Kirsten Caine · …
Kirsten Caine
71.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
James Spain, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
72 ≥ 9th percentile 9% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where James Spain, MD sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Spain, MD writes more Part D claims than 19% of them and scores higher on MIPS quality than 13% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is James Spain, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Spain, 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).
What does the federal data show about James Spain, MD?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
346 90% vs specialty avg
MIPS final score
71.9/100 11.6 pts vs avg
Specialty distribution in Alabama
How Family Medicine Physician compares to other specialties among Alabama providers
Medicare quality performance, MIPS
James Spain, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 71.9/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1477714889 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/18/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
71.9106
Final Score
Measured-score avg: 83.5
79.8814
Quality
58.9874
Cost
61
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Spain, 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.
Baldwin Bone And Joint P C
Daphne, AL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Spain, MD. Source: openpaymentsdata.cms.gov.
Total received
$184
Largest payer
Pacira Pharmaceuticals Incorporated
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
346
Total Claims
$3K
Total Drug Cost
220
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 348
- Total Day Supply
- 6,956
- Brand Drug Cost
- $0
- Generic Drug Cost
- $3K
- Opioid Claims
- 41 (11.8% rate)
Patient Demographics
- Average Patient Age
- 72.0 years
- Avg HCC Risk Score
- 0.87
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 14, 65-74: 130, 75-84: 65, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What James Spain, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Celecoxib
Celecoxib
106 claims
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
61 claims
- Gabapentin 42
Gabapentin
42 claims
- Methylprednisolone 29
Methylprednisolone
29 claims
- Tramadol Hcl 23
Tramadol Hcl
23 claims
- Meloxicam 17
Meloxicam
17 claims
- Hydrocodone-Acetam… 16
Hydrocodone-Acetaminophen
16 claims
- Nitroglycerin Patch 12
Nitroglycerin Patch
12 claims
| Drug | Claims |
|---|---|
| Celecoxib | 106 |
| Cyclobenzaprine Hcl | 61 |
| Gabapentin | 42 |
| Methylprednisolone | 29 |
| Tramadol Hcl | 23 |
| Meloxicam | 17 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 16 |
| Nitroglycerin Patch Nitroglycerin | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How James Spain, MD fits within the Family Medicine Physician landscape nationally.
150,125
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,519
Avg Claims per Provider
James Spain, MD's 346 claims are below the specialty average of 3,519.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Spain, both outside Alabama so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (71.9 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Alabama
Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Spain.
One of 1,888 Family Medicine Physician providers enrolled in Alabama, 5 are shown here.
Dr. Anbreen Abbas
MD
Gadsden, AL
Dr. Bahaa Abdelqader
DO
Mobile, AL
Dr. Sumayah Abed
MD
Hoover, AL
Dr. Charles Abney
M.D.
Tuscaloosa, AL
Dr. Jennifer Abt
DO
Montgomery, AL
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is James Spain, MD's specialty? ▼
James Spain, MD specializes in Family Medicine Physician and practices in Daphne, Alabama. Credentials: MD.
How much does James Spain, MD prescribe under Medicare Part D? ▼
In 2024, James Spain, MD wrote 346 Medicare Part D claims totaling $3K in drug costs for 220 beneficiaries.
What is James Spain, MD's Medicare quality score? ▼
James Spain, MD has a CMS MIPS Final Score of 71.9/100 (Quality: 79.9, Cost: 59). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Spain, MD located? ▼
James Spain, MD is located at 1505 DAPHNE AVE, Daphne, AL, 36526. Phone: (251) 625-2663.
What is James Spain, MD's NPI number? ▼
James Spain, MD's National Provider Identifier (NPI) is 1477714889, issued on 06/18/2008.
Does James Spain, MD prescribe opioids? ▼
Yes, James Spain, MD had 41 opioid claims in 2024 with an opioid prescribing rate of 11.8%.
How many Family Medicine Physician providers are there in the US? ▼
There are 150,125 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,519 Medicare Part D claims per year.
What drugs does James Spain, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, James Spain, MD's most frequently prescribed drugs include Celecoxib, Cyclobenzaprine Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Spain, MD accept Medicare? ▼
James Spain, MD appears in CMS Medicare data with 346 Part D claims and 220 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Spain, MD's credentials? ▼
James Spain, MD's NPI is 1477714889 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.