2026 NPPES data Pediatric Sleep Medicine Physician NPI 1013413814 MD
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JAMES TOMKINSON, MD

Pediatric Sleep Medicine Physician in LEESBURG, Virginia. 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.
MIPS score
92.6141/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$666.57
17 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES TOMKINSON, MD reported a CMS MIPS final score of 92.6141/100 — above the 83.1 national average.

92.6141/100
MIPS score · +10 vs avg
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 TOMKINSON, MD's MIPS score vs every scored U.S. clinician

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

93 Top 32% higher than 68% 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%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 TOMKINSON, 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 TOMKINSON, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/02/2018

NPI 1013413814

Primary specialty

Pediatric Sleep Medicine Physician

Rare

99 US NPIs in this specialty

MIPS final score

92.6141/100 9.5141% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

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

Virginia providers

Pediatric Sleep Medicine Physician share within Virginia

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
92.6141/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Sleep Medicine Physician) — 92.6141/100 vs national avg 83.1

0%100%National avg83%92.6%
MIPS final score (Pediatric Sleep Medicine Physician) — 92.6141/100 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 TOMKINSON, MD appears in the CMS NPPES registry as a Pediatric Sleep Medicine Physician provider holding MD credentials at 19441 GOLF VISTA PLZ STE 310, LEESBURG, VA, 20176, with a listed phone of (703) 729-3420. NPI 1013413814 was issued on 04/02/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOMKINSON 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Sleep Medicine Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.6141/100 for the 2023 performance year (Quality 85.2283), 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

19441 GOLF VISTA PLZ STE 310
LEESBURG, VA 20176

Provider Details

NPI 1013413814
Specialty Pediatric Sleep Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/02/2018

CMS Quality Score (MIPS)

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

92.6141
Final Score
Avg: 83.1
85.2283
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JAMES TOMKINSON, 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.

COMPREHENSIVE SLEEP CARE CENTER INC
LEESBURG, VA

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

Total received

$667

Largest payer

HARMONY BIOSCIENCES LLC

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.

Pediatric Sleep Medicine Physician Overview

How JAMES TOMKINSON, 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

Nearby Pediatric Sleep Medicine Physician Providers in Virginia

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

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

Frequently Asked Questions

What is JAMES TOMKINSON, MD's specialty?
JAMES TOMKINSON, MD specializes in Pediatric Sleep Medicine Physician and practices in LEESBURG, Virginia. Credentials: MD.
What is JAMES TOMKINSON, MD's Medicare quality score?
JAMES TOMKINSON, MD has a CMS MIPS Final Score of 92.6141/100 (Quality: 85.2283). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES TOMKINSON, MD located?
JAMES TOMKINSON, MD is located at 19441 GOLF VISTA PLZ STE 310, LEESBURG, VA, 20176. Phone: (703) 729-3420.
What is JAMES TOMKINSON, MD's NPI number?
JAMES TOMKINSON, MD's National Provider Identifier (NPI) is 1013413814, issued on 04/02/2018.
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.
Does JAMES TOMKINSON, MD accept Medicare?
JAMES TOMKINSON, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES TOMKINSON, MD's credentials?
JAMES TOMKINSON, MD's NPI is 1013413814 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.
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