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2026 NPPES data Family Medicine Physician NPI 1356751929 DO
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James Sword, DO

Family Medicine Physician in Pikeville, Kentucky.

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
332
Medicare Part D claims · 197 beneficiaries · Family Medicine Physician avg: 4K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.9/100
▼ 3 pts below national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

James Sword, DO reported a CMS MIPS final score of 80.9/100 - below the 83.5 national average - and filed 332 Medicare Part D claims in 2024.

80.9/100
MIPS score · -3 vs avg
332
Part D claims, 2024
95%
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.

Federal trust snapshot

What official records show about James Sword, DO

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 1356751929), first enumerated 05/05/2014.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 332 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 80.9/100 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • 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.

Compare Sword with other Family Medicine Physician providers

Same primary specialty, same federal CMS NPPES roster.

All 36 Family Medicine Physician providers in Pikeville, KY →

Also enrolled in Kentucky

Other specialties in Pikeville: Family Nurse Practitioner (97) · Behavior Technician (84) · Pharmacist (65) · Certified Registered Nurse Anesthetist (47)

CMS NPPES provider registry desk

NPI 1356751929 · Family Medicine Physician

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1356751929
  • ENUM-MID 2014
  • TAX-MEGA 150K Family Medicine
  • MIPS-INLINE 80.9/100
  • RX-LIGHT 332
  • BOOK-LIGHT 1,883 in Kentucky
  • PHOTO-FINISH Albert Weisbrot, MD · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

James Sword, DO'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.

81 ≥ 30th percentile 30% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Sword, DO 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 Sword, DO writes more Part D claims than 18% of them and scores higher on MIPS quality than 30% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 37James Sword, DO, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 30
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is James Sword, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

James Sword, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Sword, DO?

Near national average

NPI registry status

Active

Issued 05/05/2014

NPI 1356751929

Primary specialty

Family Medicine Physician

High-volume

150,125 US NPIs in this specialty

Medicare Part D claims

332 91% vs specialty avg

2024 prescription claims

Specialty avg: 3,519

MIPS final score

80.9/100 2.6 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Kentucky

How Family Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers
Family Nurse Practitioner5.8%Student in an Organized Heal…5.2%Pharmacist4.8%Mental Health Counselor4.6%Clinical Social Worker4.2%Physical Therapist3.6%Family Medicine Physician2.2%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance, MIPS

James Sword, DO's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
80.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%80.9%
MIPS final score (Family Medicine Physician) - 80.9/100 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).

Practice Address

911 BYPASS ROAD
Pikeville, KY 41501
(606) 218-3985

Provider Details

NPI 1356751929
Specialty Family Medicine Physician
Credentials DO
Gender Male
NPI Issued 05/05/2014

CMS Quality Score (MIPS)

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

80.8913
Final Score
Measured-score avg: 83.5
62.297
Quality
74.0075
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Sword, DO 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.

According to CMS billing records, James Sword, DO is affiliated with 3 Medicare-billing facilities.

Georgetown Urgent Care PLLC
Georgetown, KY
Lexington Urgent Care PLLC
Lexington, KY
Man O War Urgent Care LLC
Lexington, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

James Sword, DO - brand share 5.0%
Family Medicine Physician average

5% brand-name claims vs 95% generic, on 332 2024 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 2024.

332
Total Claims
$3K
Total Drug Cost
197
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
342.533
Total Day Supply
3,296
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$702
Generic Drug Cost
$2K
Antibiotic Claims
121

Patient Demographics

Average Patient Age
66.5 years
Avg HCC Risk Score
1.70
Gender Split
61% female / 39% male
Age Distribution
<65: 62, 65-74: 84, 75-84: 38, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What James Sword, DO prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Prednisone
 51
Cefdinir
 24
Baclofen
 23
Ondansetron Odt
Ondansetron
23
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
17
Ketorolac Tromethamine
 16
Azithromycin
 15
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
13
Cephalexin
 13
Dicyclomine Hcl
 12

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

More Family Medicine Physician in KY → All providers in Kentucky → Compare specialties →

Family Medicine Physician Overview

How James Sword, DO 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 Sword, DO's 332 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 Sword, both outside Kentucky so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (80.9 here).

Richard Barnes 80.9 TN Omada Omosebi 80.9 TX Albert Weisbrot 80.9 OH Alexander Kaye 80.9 FL

Same NPPES enumeration year (2014)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Elyssa Ackerman Albuquerque, NM Emily Jewell Dodgeville, WI Leah Hernandez Pflugerville, TX David Auh Upper Marlboro, MD

Nearby Family Medicine Physician Providers in Kentucky

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

One of 1,883 Family Medicine Physician providers enrolled in Kentucky, 11 are shown on this page.

Dr. Hassan Abul-Khoudoud
MD
Ashland, KY
Adrian Acosta
Edgewood, KY
Dr. Ashley Adams
D.O.
Prestonsburg, KY
Dr. Brenton Adams
M.D.
Louisville, KY
Dr. Donna Adams
MD
Ashland, KY

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is James Sword, DO's specialty? ▼
James Sword, DO specializes in Family Medicine Physician and practices in Pikeville, Kentucky. Credentials: DO.
How much does James Sword, DO prescribe under Medicare Part D? ▼
In 2024, James Sword, DO wrote 332 Medicare Part D claims totaling $3K in drug costs for 197 beneficiaries.
What is James Sword, DO's Medicare quality score? ▼
James Sword, DO has a CMS MIPS Final Score of 80.9/100 (Quality: 62.3, Cost: 74). 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 Sword, DO located? ▼
James Sword, DO is located at 911 BYPASS ROAD, Pikeville, KY, 41501. Phone: (606) 218-3985.
What is James Sword, DO's NPI number? ▼
James Sword, DO's National Provider Identifier (NPI) is 1356751929, issued on 05/05/2014.
Does James Sword, DO prescribe more brand-name or generic drugs? ▼
James Sword, DO's prescribing is 5% brand-name and 95% generic drugs by claim count, with $702 in brand drug costs.
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 Sword, DO prescribe most often? ▼
Based on 2024 Medicare Part D data, James Sword, DO's most frequently prescribed drugs include Prednisone, Cefdinir, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Sword, DO accept Medicare? ▼
James Sword, DO appears in CMS Medicare data with 332 Part D claims and 197 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Sword, DO's credentials? ▼
James Sword, DO's NPI is 1356751929 with credentials DO. 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

Compiled from official public sources by the editorial process.

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.