2026 NPPES data Family Medicine Physician NPI 1366698961 M.D.
Verify on CMS →

JAMES SYLVESTER, M.D.

Family Medicine Physician in DENHAM SPRINGS, Louisiana. 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
136
Medicare Part D claims · 94 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
55.4408/100
▼ 28 pts below national avg 83.1 · [object Object]

What the federal data shows

JAMES SYLVESTER, M.D. reported a CMS MIPS final score of 55.4408/100 — below the 83.1 national average — and filed 136 Medicare Part D claims in 2023.

55.4408/100
MIPS score · -28 vs avg
136
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 SYLVESTER, 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

55 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 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 SYLVESTER, M.D. 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 SYLVESTER, M.D.?

Below national average

NPI registry status

Active

Issued 08/14/2008

NPI 1366698961

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

136 96% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

55.4408/100 27.65919999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Louisiana

How Family Medicine Physician compares to other specialties among Louisiana providers

Louisiana providers

Family Medicine Physician share within Louisiana

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

Medicare quality performance — MIPS

JAMES SYLVESTER, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
55.4408/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 55.4408/100 vs national avg 83.1

0%100%National avg83%55.4%
MIPS final score (Family Medicine Physician) — 55.4408/100 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 SYLVESTER, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 8352 LAFAYETTE ST, DENHAM SPRINGS, LA, 70726, with a listed phone of (225) 937-5294. NPI 1366698961 was issued on 08/14/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SYLVESTER 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 136 prescription claims written by this provider, covering 94 Medicare beneficiaries and totaling roughly $1K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 55.4408/100 for the 2023 performance year (Quality 49.55, Cost 43.961), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

8352 LAFAYETTE ST
DENHAM SPRINGS, LA 70726

Provider Details

NPI 1366698961
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/14/2008

CMS Quality Score (MIPS)

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

55.4408
Final Score
Avg: 83.1
49.55
Quality
43.961
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES SYLVESTER, 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.

RAPID URGENT CARE INC
MANDEVILLE, LA

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

Medicare Part D Prescribing Data

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

136
Total Claims
$1K
Total Drug Cost
94
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
136
Total Day Supply
1,287
Generic Drug Cost
$1K
Antibiotic Claims
63

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
1.30
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

What JAMES SYLVESTER, M.D. 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
Methylprednisolone
24
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
19
Doxycycline Monohydrate
17

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

Family Medicine Physician Overview

How JAMES SYLVESTER, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

JAMES SYLVESTER, M.D.'s 136 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Louisiana

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

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

Frequently Asked Questions

What is JAMES SYLVESTER, M.D.'s specialty?
JAMES SYLVESTER, M.D. specializes in Family Medicine Physician and practices in DENHAM SPRINGS, Louisiana. Credentials: M.D..
How much does JAMES SYLVESTER, M.D. prescribe under Medicare Part D?
In 2023, JAMES SYLVESTER, M.D. wrote 136 Medicare Part D claims totaling $1K in drug costs for 94 beneficiaries.
What is JAMES SYLVESTER, M.D.'s Medicare quality score?
JAMES SYLVESTER, M.D. has a CMS MIPS Final Score of 55.4408/100 (Quality: 49.55, Cost: 43.961). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES SYLVESTER, M.D. located?
JAMES SYLVESTER, M.D. is located at 8352 LAFAYETTE ST, DENHAM SPRINGS, LA, 70726. Phone: (225) 937-5294.
What is JAMES SYLVESTER, M.D.'s NPI number?
JAMES SYLVESTER, M.D.'s National Provider Identifier (NPI) is 1366698961, issued on 08/14/2008.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does JAMES SYLVESTER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES SYLVESTER, M.D.'s most frequently prescribed drugs include Methylprednisolone, Amoxicillin-Clavulanate Potass, Doxycycline Monohydrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES SYLVESTER, M.D. accept Medicare?
JAMES SYLVESTER, M.D. appears in CMS Medicare data with 136 Part D claims and 94 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES SYLVESTER, M.D.'s credentials?
JAMES SYLVESTER, M.D.'s NPI is 1366698961 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.
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