NPI registry status
Active
2026 NPPES data Registered Nurse First Assistant NPI 1568901874 FNP-C
Verify on CMS → James Thomas, FNP-C
Registered Nurse First Assistant in Alexandria, Louisiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,649 in Registered Nurse First Assistant, 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
1K
Medicare Part D claims · 389 beneficiaries · Registered Nurse First Assistant avg: 419
Generic prescribing
>99%
generic claims · <1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.6/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$111.47
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Thomas, FNP-C reported a CMS MIPS final score of 96.6/100 - above the 83.1 national average - and filed 1,415 Medicare Part D claims in 2023.
- 96.6/100
- MIPS score · +14 vs avg
- 1K
- Part D claims, 2023
- >99%
- generic prescribing
- $111.47
- industry payments (Sunshine Act)
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 Thomas, FNP-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 17% higher than 83% of 477,587 scored providers
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
Where James Thomas, FNP-C sits
This provider among registered nurse first assistant peers
Across the 77 registered nurse first assistant providers who report both Medicare Part D prescribing and a MIPS quality score, James Thomas, FNP-C writes more Part D claims than 92% of them and scores higher on MIPS quality than 62% - placing this provider in the high-volume, high-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 registered nurse first assistant peer from a representative sample of 60; the gold marker is James Thomas, FNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about James Thomas, FNP-C?
High performer (top quartile)Primary specialty
Registered Nurse First Assistant
Medicare Part D claims
1,415 238% vs specialty avg
MIPS final score
96.6/100 13.5 pts vs avg
Specialty distribution in Louisiana
How Registered Nurse First Assistant compares to other specialties among Louisiana providers
Medicare quality performance, MIPS
James Thomas, FNP-C's 2023 MIPS final score plotted against the Registered Nurse First Assistant national average
- MIPS Final Score
- 96.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Registered Nurse First Assistant) - 96.6/100 vs national avg 83.1
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 Thomas, FNP-C appears in the CMS NPPES registry as a Registered Nurse First Assistant provider holding FNP-C credentials at 3444 MASONIC DRIVE, Alexandria, LA, 71301, with a listed phone of (318) 473-9556. NPI 1568901874 was issued on 02/20/2017.
Medicare Part D records for calendar year 2023 show 1,415 prescription claims written by this provider, covering 389 Medicare beneficiaries and totaling roughly $21K in drug spend, split <1% brand-name and >99% generic by claim count, with an opioid prescribing rate of 34.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.6/100 for the 2023 performance year, compared with the national average of 83.1.
Registered Nurse First Assistant is a narrow specialty nationwide, with 2,649 enrolled providers across 50 states and an average of 419 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 | 1568901874 |
|---|---|
| Specialty | Registered Nurse First Assistant |
| Credentials | FNP-C |
| Gender | Male |
| NPI Issued | 02/20/2017 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
96.6
Final Score
Avg: 83.1
96
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Thomas, FNP-C 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.
Mid State Orthopaedic And Sports Medicine Center LLC
Alexandria, 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).
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 Thomas, FNP-C. Source: openpaymentsdata.cms.gov.
Total received
$111
Largest payer
Stryker Corporation
Most common payment type
Food and Beverage
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 · Generic-heavy
James Thomas, FNP-C - brand share 1.0%
Registered Nurse First Assistant average
<1% brand-name claims vs >99% generic, on 1,415 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.
1,415
Total Claims
$21K
Total Drug Cost
389
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,568
- Total Day Supply
- 29,224
- Brand vs Generic
- <1% brand / >99% generic
- Brand Drug Cost
- $3K
- Generic Drug Cost
- $18K
- Opioid Claims
- 490 (34.6% rate)
- Antibiotic Claims
- 62
Patient Demographics
- Average Patient Age
- 69.8 years
- Avg HCC Risk Score
- 1.09
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 78, 65-74: 206, 75-84: 93, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Thomas, FNP-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
384 claims
- Celecoxib
Celecoxib
275 claims
- Meloxicam
Meloxicam
237 claims
- Diclofenac Sodium 138
Diclofenac Sodium
138 claims
- Oxycodone-Acetamin… 66
Oxycodone-Acetaminophen
66 claims
- Prednisone 54
Prednisone
54 claims
- Ondansetron Hcl 45
Ondansetron Hcl
45 claims
- Ondansetron Odt 34
Ondansetron Odt
34 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 384 |
| Celecoxib | 275 |
| Meloxicam | 237 |
| Diclofenac Sodium | 138 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 66 |
| Prednisone | 54 |
| Ondansetron Hcl | 45 |
| Ondansetron Odt Ondansetron | 34 |
| Oxycodone Hcl | 27 |
| Ibuprofen | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Registered Nurse First Assistant Overview
How James Thomas, FNP-C fits within the Registered Nurse First Assistant landscape nationally.
2,649
Registered Nurse First Assistant Providers in US
50
States with Registered Nurse First Assistant
419
Avg Claims per Provider
James Thomas, FNP-C's 1,415 claims are above the specialty average of 419.
Nearby Registered Nurse First Assistant Providers in Louisiana
Other clinicians with the same primary specialty enrolled in Louisiana, drawn from the same CMS NPPES roster as Thomas.
Dr. Adriana Acevedo
RNFA
Lafayette, LA
Dr. Amelia Adams
RNFA
Monroe, LA
Dr. Lisa Anderson
RNFA
Baton Rouge, LA
Dr. Lydia Arriaga
NP
Baton Rouge, LA
Dr. Angela Barker
RN
Gonzales, LA
Compare Registered Nurse First Assistant 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 Louisiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Registered Nurse First Assistant 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.
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Frequently Asked Questions
What is James Thomas, FNP-C's specialty? ▼
James Thomas, FNP-C specializes in Registered Nurse First Assistant and practices in Alexandria, Louisiana. Credentials: FNP-C.
How much does James Thomas, FNP-C prescribe under Medicare Part D? ▼
In 2023, James Thomas, FNP-C wrote 1,415 Medicare Part D claims totaling $21K in drug costs for 389 beneficiaries.
What is James Thomas, FNP-C's Medicare quality score? ▼
James Thomas, FNP-C has a CMS MIPS Final Score of 96.6/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Thomas, FNP-C located? ▼
James Thomas, FNP-C is located at 3444 MASONIC DRIVE, Alexandria, LA, 71301. Phone: (318) 473-9556.
What is James Thomas, FNP-C's NPI number? ▼
James Thomas, FNP-C's National Provider Identifier (NPI) is 1568901874, issued on 02/20/2017.
Does James Thomas, FNP-C prescribe more brand-name or generic drugs? ▼
James Thomas, FNP-C's prescribing is <1% brand-name and >99% generic drugs by claim count, with $3K in brand drug costs.
Does James Thomas, FNP-C prescribe opioids? ▼
Yes, James Thomas, FNP-C had 490 opioid claims in 2023 with an opioid prescribing rate of 34.6%.
How many Registered Nurse First Assistant providers are there in the US? ▼
There are 2,649 Registered Nurse First Assistant providers across 50 states in the US. The average Registered Nurse First Assistant provider writes 419 Medicare Part D claims per year.
What drugs does James Thomas, FNP-C prescribe most often? ▼
Based on 2023 Medicare Part D data, James Thomas, FNP-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Celecoxib, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Thomas, FNP-C accept Medicare? ▼
James Thomas, FNP-C appears in CMS Medicare data with 1,415 Part D claims and 389 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Thomas, FNP-C's credentials? ▼
James Thomas, FNP-C's NPI is 1568901874 with credentials FNP-C. 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
Compiled from official public sources by the PlainDoctor editorial team.