2026 NPPES data Undersea and Hyperbaric Medicine (Preventive Medicine) Physician NPI 1073757472 M.D.
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JAMES STEPHENS, M.D.

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in CUMMING, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
100
Medicare Part D claims · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician avg: 522

What the federal data shows

JAMES STEPHENS, M.D. filed 100 Medicare Part D claims in 2023 as a Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in CUMMING, Georgia.

100
Part D claims, 2023

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 STEPHENS, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

100 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

JAMES STEPHENS, 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 STEPHENS, M.D.?

Quality data not reported

NPI registry status

Active

Issued 04/29/2009

NPI 1073757472

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician

Rare

237 US NPIs in this specialty

Medicare Part D claims

100 81% vs specialty avg

2023 prescription claims

Specialty avg: 522

Specialty distribution in Georgia

How Undersea and Hyperbaric Medicine (Preventive Medicine) Physician compares to other specialties among Georgia providers

Georgia providers

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician share within Georgia

1. Undersea and Hyperbaric Medicine (Preventive Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Undersea and Hyperbaric Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Undersea and Hyperbaric Medicine (Preventive Medicine) 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 STEPHENS, M.D. appears in the CMS NPPES registry as a Undersea and Hyperbaric Medicine (Preventive Medicine) Physician provider holding M.D. credentials at 1505 NORTHSIDE BLVD, CUMMING, GA, 30041, with a listed phone of (404) 686-2288. NPI 1073757472 was issued on 04/29/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STEPHENS 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 100 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $6K in drug spend. 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.

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 237 enrolled providers across 41 states and an average of 522 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

1505 NORTHSIDE BLVD
CUMMING, GA 30041

Provider Details

NPI 1073757472
Specialty Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 04/29/2009

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

100
Total Claims
$6K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
199
Total Day Supply
5,459
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
78.0 years
Avg HCC Risk Score
0.78

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Overview

How JAMES STEPHENS, M.D. fits within the Undersea and Hyperbaric Medicine (Preventive Medicine) Physician landscape nationally.

237
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Providers in US
41
States with Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
522
Avg Claims per Provider

JAMES STEPHENS, M.D.'s 100 claims are below the specialty average of 522.

Nearby Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Providers in Georgia

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

Compare Undersea and Hyperbaric Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES STEPHENS, M.D.'s specialty?
JAMES STEPHENS, M.D. specializes in Undersea and Hyperbaric Medicine (Preventive Medicine) Physician and practices in CUMMING, Georgia. Credentials: M.D..
How much does JAMES STEPHENS, M.D. prescribe under Medicare Part D?
In 2023, JAMES STEPHENS, M.D. wrote 100 Medicare Part D claims totaling $6K in drug costs for N/A beneficiaries.
Where is JAMES STEPHENS, M.D. located?
JAMES STEPHENS, M.D. is located at 1505 NORTHSIDE BLVD, CUMMING, GA, 30041. Phone: (404) 686-2288.
What is JAMES STEPHENS, M.D.'s NPI number?
JAMES STEPHENS, M.D.'s National Provider Identifier (NPI) is 1073757472, issued on 04/29/2009.
How many Undersea and Hyperbaric Medicine (Preventive Medicine) Physician providers are there in the US?
There are 237 Undersea and Hyperbaric Medicine (Preventive Medicine) Physician providers across 41 states in the US. The average Undersea and Hyperbaric Medicine (Preventive Medicine) Physician provider writes 522 Medicare Part D claims per year.
Does JAMES STEPHENS, M.D. accept Medicare?
JAMES STEPHENS, M.D. appears in CMS Medicare data with 100 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES STEPHENS, M.D.'s credentials?
JAMES STEPHENS, M.D.'s NPI is 1073757472 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.
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