NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1801281555
Verify on CMS → James Summers
Emergency Medicine Physician in Cincinnati, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency 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
135
Medicare Part D claims · 89 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
78.8/100
▼ 5 pts below national avg 83.5 · Above neutral
What the federal data shows
James Summers reported a CMS MIPS final score of 78.8/100 - below the 83.5 national average - and filed 135 Medicare Part D claims in 2023.
- 78.8/100
- MIPS score · -5 vs avg
- 135
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥23rd
- 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.
James Summers'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.
79 ≥ 23rd percentile 23% 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 Summers sits
This provider among emergency medicine physician peers
Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Summers writes more Part D claims than 45% of them and scores higher on MIPS quality than 17% - placing this provider in the lower-volume, lower-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 emergency medicine physician peer from a representative sample of 60; the gold marker is James Summers. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Summers 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 Summers?
Near national averagePrimary specialty
Emergency Medicine Physician
Medicare Part D claims
135 62% vs specialty avg
MIPS final score
78.8/100 4.7 pts vs avg
Specialty distribution in Ohio
How Emergency Medicine Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
James Summers's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 78.8/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 78.8/100 vs national avg 83.5
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 Summers appears in the CMS NPPES registry as an Emergency Medicine Physician provider at 234 GOODMAN ST, Cincinnati, OH, 45219, with a listed phone of (513) 558-8114. NPI 1801281555 was issued on 03/31/2015.
Medicare Part D records for calendar year 2023 show 135 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 11.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.8/100 for the 2023 performance year (Quality 70.4, Cost 58.9), compared with the 83.5 average among clinicians with a measured score.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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 | 1801281555 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Gender | Male |
| NPI Issued | 03/31/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.7894
Final Score
Measured-score avg: 83.5
70.4288
Quality
58.8691
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Summers 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.
University OF Cincinnati Physicians Company LLC
Cincinnati, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to James Summers. To verify James Summers's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
135
Total Claims
$3K
Total Drug Cost
89
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 137
- Total Day Supply
- 1,256
- Generic Drug Cost
- $2K
- Opioid Claims
- 16 (11.9% rate)
- Antibiotic Claims
- 49
Patient Demographics
- Average Patient Age
- 70.0 years
- Avg HCC Risk Score
- 2.00
- Gender Split
- 48% female / 52% male
- Age Distribution
- <65: 16, 65-74: 39, 75-84: 23, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Cephalexin | 17 |
| Oxycodone Hcl | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How James Summers fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
James Summers's 135 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Summers.
Dr. Alexandra Abangan
MD
Springfield, OH
Dr. Brian Abbott
MD
Columbus, OH
Dr. Abdalla Abdalla
MD
Lima, OH
Dr. Ali Abdallah
DO
Canton, OH
Dr. Anthony Abdullah
M.D.
Hamilton, OH
Compare Emergency Medicine 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
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Explore Ohio
Frequently Asked Questions
What is James Summers's specialty? ▼
James Summers specializes in Emergency Medicine Physician and practices in Cincinnati, Ohio.
How much does James Summers prescribe under Medicare Part D? ▼
In 2023, James Summers wrote 135 Medicare Part D claims totaling $3K in drug costs for 89 beneficiaries.
What is James Summers's Medicare quality score? ▼
James Summers has a CMS MIPS Final Score of 78.8/100 (Quality: 70.4, Cost: 58.9). 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 Summers located? ▼
James Summers is located at 234 GOODMAN ST, Cincinnati, OH, 45219. Phone: (513) 558-8114.
What is James Summers's NPI number? ▼
James Summers's National Provider Identifier (NPI) is 1801281555, issued on 03/31/2015.
Does James Summers prescribe opioids? ▼
Yes, James Summers had 16 opioid claims in 2023 with an opioid prescribing rate of 11.9%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does James Summers prescribe most often? ▼
Based on 2023 Medicare Part D data, James Summers's most frequently prescribed drugs include Cephalexin, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Summers accept Medicare? ▼
James Summers appears in CMS Medicare data with 135 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Summers's credentials? ▼
James Summers's NPI is 1801281555. 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
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.