2026 NPPES data Pediatric Sleep Medicine Physician NPI 1437156239 MD
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JAMES STEVENS, MD

Pediatric Sleep Medicine Physician in FORT WAYNE, Indiana. 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
3K
Medicare Part D claims · 465 beneficiaries · Pediatric Sleep Medicine Physician avg: 357
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
60.8782/100
▼ 22 pts below national avg 83.1 · [object Object]
Industry payments
$689.94
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES STEVENS, MD reported a CMS MIPS final score of 60.8782/100 — below the 83.1 national average — and filed 3,042 Medicare Part D claims in 2023.

60.8782/100
MIPS score · -22 vs avg
3K
Part D claims, 2023
89%
generic prescribing
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 STEVENS, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

61 6th percentile higher than 6% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

JAMES STEVENS, 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 STEVENS, MD?

Below national average

NPI registry status

Active

Issued 07/07/2005

NPI 1437156239

Primary specialty

Pediatric Sleep Medicine Physician

Rare

99 US NPIs in this specialty

Medicare Part D claims

3,042 752% vs specialty avg

2023 prescription claims

Specialty avg: 357

MIPS final score

60.8782/100 22.221799999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Indiana

How Pediatric Sleep Medicine Physician compares to other specialties among Indiana providers

Indiana providers

Pediatric Sleep Medicine Physician share within Indiana

1. Pediatric Sleep Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Sleep Medicine Physician share within Indiana

Medicare quality performance — MIPS

JAMES STEVENS, MD's 2023 MIPS final score plotted against the Pediatric Sleep Medicine Physician national average

Below national average
MIPS Final Score
60.8782/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Sleep Medicine Physician) — 60.8782/100 vs national avg 83.1

0%100%National avg83%60.9%
MIPS final score (Pediatric Sleep Medicine Physician) — 60.8782/100 vs national avg 83.1

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 STEVENS, MD appears in the CMS NPPES registry as a Pediatric Sleep Medicine Physician provider holding MD credentials at 7956 W JEFFERSON BLVD, FORT WAYNE, IN, 46804, with a listed phone of (260) 436-2416. NPI 1437156239 was issued on 07/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STEVENS 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 3,042 prescription claims written by this provider, covering 465 Medicare beneficiaries and totaling roughly $1.9 million in drug spend, split 11% brand-name and 89% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 60.8782/100 for the 2023 performance year (Quality 63.233), compared with the national average of 83.1.

Pediatric Sleep Medicine Physician is a narrow specialty nationwide, with 99 enrolled providers across 30 states and an average of 357 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

7956 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Provider Details

NPI 1437156239
Specialty Pediatric Sleep Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/07/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

60.8782
Final Score
Avg: 83.1
63.233
Quality
37
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where JAMES STEVENS, 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.

IU HEALTH MEDICAL GROUP LLC
INDIANAPOLIS, IN

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 STEVENS, MD. Source: openpaymentsdata.cms.gov.

Total received

$690

Largest payer

Avadel CNS Pharmaceuticals, LLC

Most common payment type

Consulting Fee

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.

Brand vs generic prescribing mix · Typical

JAMES STEVENS, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 3,042 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

3,042
Total Claims
$1.9M
Total Drug Cost
465
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,962
Total Day Supply
176,160
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$1.6M
Generic Drug Cost
$312K

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.39
Gender Split
56% female / 44% male
Age Distribution
<65: 55, 65-74: 188, 75-84: 171, 85+: 51

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JAMES STEVENS, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Carbidopa-Levodopa
Carbidopa/Levodopa
389
Donepezil Hcl
288
Memantine Hcl
141
Gabapentin
136
Prednisone
126
Selegiline Hcl
93
Primidone
85
Quetiapine Fumarate
83
Baclofen
82
Clonazepam
74

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Sleep Medicine Physician Overview

How JAMES STEVENS, MD fits within the Pediatric Sleep Medicine Physician landscape nationally.

99
Pediatric Sleep Medicine Physician Providers in US
30
States with Pediatric Sleep Medicine Physician
357
Avg Claims per Provider

JAMES STEVENS, MD's 3,042 claims are above the specialty average of 357.

Nearby Pediatric Sleep Medicine Physician Providers in Indiana

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

Compare Pediatric Sleep Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES STEVENS, MD's specialty?
JAMES STEVENS, MD specializes in Pediatric Sleep Medicine Physician and practices in FORT WAYNE, Indiana. Credentials: MD.
How much does JAMES STEVENS, MD prescribe under Medicare Part D?
In 2023, JAMES STEVENS, MD wrote 3,042 Medicare Part D claims totaling $1.9M in drug costs for 465 beneficiaries.
What is JAMES STEVENS, MD's Medicare quality score?
JAMES STEVENS, MD has a CMS MIPS Final Score of 60.8782/100 (Quality: 63.233). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES STEVENS, MD located?
JAMES STEVENS, MD is located at 7956 W JEFFERSON BLVD, FORT WAYNE, IN, 46804. Phone: (260) 436-2416.
What is JAMES STEVENS, MD's NPI number?
JAMES STEVENS, MD's National Provider Identifier (NPI) is 1437156239, issued on 07/07/2005.
Does JAMES STEVENS, MD prescribe more brand-name or generic drugs?
JAMES STEVENS, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $1.6M in brand drug costs.
How many Pediatric Sleep Medicine Physician providers are there in the US?
There are 99 Pediatric Sleep Medicine Physician providers across 30 states in the US. The average Pediatric Sleep Medicine Physician provider writes 357 Medicare Part D claims per year.
What drugs does JAMES STEVENS, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES STEVENS, MD's most frequently prescribed drugs include Carbidopa-Levodopa, Donepezil Hcl, Memantine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES STEVENS, MD accept Medicare?
JAMES STEVENS, MD appears in CMS Medicare data with 3,042 Part D claims and 465 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES STEVENS, MD's credentials?
JAMES STEVENS, MD's NPI is 1437156239 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

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