NPI registry status
Active
2026 NPPES data Medical Oncology Physician NPI 1588619142 M.D.
Verify on CMS → James Splichal, M.D.
Medical Oncology Physician in Athens, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,815 in Medical Oncology 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
4K
Medicare Part D claims · 476 beneficiaries · Medical Oncology Physician avg: 689
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$3.7K
149 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Splichal, M.D. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 3,523 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 4K
- Part D claims, 2023
- 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 Splichal, 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
100 Top 7% higher than 93% of 477,587 scored providers
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 Splichal, M.D. sits
This provider among medical oncology physician peers
Across the 1,527 medical oncology physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Splichal, M.D. writes more Part D claims than 99% of them and scores higher on MIPS quality than 93% - placing this provider in the high-volume, high-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
Each dot is one medical oncology physician peer from a representative sample of 60; the gold marker is James Splichal, 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 Splichal, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Splichal, M.D.?
High performer (top quartile)Primary specialty
Medical Oncology Physician
Medicare Part D claims
3,523 5× vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in Georgia
How Medical Oncology Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
James Splichal, M.D.'s 2023 MIPS final score plotted against the Medical Oncology Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Medical Oncology Physician) - 100/100 vs national avg 83.1
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).
James Splichal, M.D. appears in the CMS NPPES registry as a Medical Oncology Physician provider holding M.D. credentials at 3320 OLD JEFFERSON RD BLDG 700, Athens, GA, 30607, with a listed phone of (706) 353-2990. NPI 1588619142 was issued on 05/23/2006.
Medicare Part D records for calendar year 2023 show 3,523 prescription claims written by this provider, covering 476 Medicare beneficiaries and totaling roughly $7.3 million in drug spend, with an opioid prescribing rate of 6.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.
Medical Oncology Physician is a narrow specialty nationwide, with 3,815 enrolled providers across 53 states and an average of 689 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
Provider Details
| NPI | 1588619142 |
|---|---|
| Specialty | Medical Oncology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/23/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
95
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where James Splichal, 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.
Georgialina Physical Therapy Associates LLC
Augusta, GA
University Cancer And Blood Center LLC
Athens, GA
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 Splichal, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$3.7K
Largest payer
Novartis Pharmaceuticals Corporation
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 2023.
3,523
Total Claims
$7.3M
Total Drug Cost
476
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,771
- Total Day Supply
- 130,869
- Generic Drug Cost
- $169K
- Opioid Claims
- 241 (6.8% rate)
- Antibiotic Claims
- 158
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 2.25
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 50, 65-74: 192, 75-84: 185, 85+: 49
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Splichal, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Anastrozole
Anastrozole
378 claims
- Acyclovir
Acyclovir
208 claims
- Procrit
Procrit
206 claims
- Eliquis
Eliquis
196 claims
- Ondansetron Hcl 111
Ondansetron Hcl
111 claims
- Xarelto 111
Xarelto
111 claims
- Dexamethasone 99
Dexamethasone
99 claims
- Hydrocodone-Acetam… 97
Hydrocodone-Acetaminophen
97 claims
| Drug | Claims |
|---|---|
| Anastrozole | 378 |
| Acyclovir | 208 |
| Procrit Epoetin Alfa | 206 |
| Eliquis Apixaban | 196 |
| Ondansetron Hcl | 111 |
| Xarelto Rivaroxaban | 111 |
| Dexamethasone | 99 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 97 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 89 |
| Gabapentin | 87 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Medical Oncology Physician Overview
How James Splichal, M.D. fits within the Medical Oncology Physician landscape nationally.
3,815
Medical Oncology Physician Providers in US
53
States with Medical Oncology Physician
689
Avg Claims per Provider
James Splichal, M.D.'s 3,523 claims are above the specialty average of 689.
Nearby Medical Oncology Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Splichal.
Dr. Zeba Aziz
M.D.
Decatur, GA
Dr. Tonjeh Bah
MD
Savannah, GA
Dr. Wilbur Bassett
MD
Columbus, GA
Dr. Jacob Berchuck
MD
Atlanta, GA
Dr. Haven Caldwell-Sachar
D.O.
Savannah, GA
Compare Medical Oncology 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 Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Medical Oncology 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.
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Frequently Asked Questions
What is James Splichal, M.D.'s specialty? ▼
James Splichal, M.D. specializes in Medical Oncology Physician and practices in Athens, Georgia. Credentials: M.D..
How much does James Splichal, M.D. prescribe under Medicare Part D? ▼
In 2023, James Splichal, M.D. wrote 3,523 Medicare Part D claims totaling $7.3M in drug costs for 476 beneficiaries.
What is James Splichal, M.D.'s Medicare quality score? ▼
James Splichal, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Splichal, M.D. located? ▼
James Splichal, M.D. is located at 3320 OLD JEFFERSON RD BLDG 700, Athens, GA, 30607. Phone: (706) 353-2990.
What is James Splichal, M.D.'s NPI number? ▼
James Splichal, M.D.'s National Provider Identifier (NPI) is 1588619142, issued on 05/23/2006.
Does James Splichal, M.D. prescribe opioids? ▼
Yes, James Splichal, M.D. had 241 opioid claims in 2023 with an opioid prescribing rate of 6.8%.
How many Medical Oncology Physician providers are there in the US? ▼
There are 3,815 Medical Oncology Physician providers across 53 states in the US. The average Medical Oncology Physician provider writes 689 Medicare Part D claims per year.
What drugs does James Splichal, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, James Splichal, M.D.'s most frequently prescribed drugs include Anastrozole, Acyclovir, Procrit. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Splichal, M.D. accept Medicare? ▼
James Splichal, M.D. appears in CMS Medicare data with 3,523 Part D claims and 476 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Splichal, M.D.'s credentials? ▼
James Splichal, M.D.'s NPI is 1588619142 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
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 (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.
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 May 2026.