NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1902870009 MD
Verify on CMS → James Washburn, MD
Pulmonary Disease Physician in Durango, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,323 in Pulmonary Disease 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
766
Medicare Part D claims · 133 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.6/100
▲ 14 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
James Washburn, MD reported a CMS MIPS final score of 97.6/100 - above the 83.1 national average - and filed 766 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +14 vs avg
- 766
- Part D claims, 2023
- 50%
- 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.
James Washburn, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 15% higher than 85% 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 Washburn, MD sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Washburn, MD writes more Part D claims than 40% of them and scores higher on MIPS quality than 86% - placing this provider in the lower-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 pulmonary disease physician peer from a representative sample of 60; the gold marker is James Washburn, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Washburn, 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 Washburn, MD?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
766 47% vs specialty avg
MIPS final score
97.6/100 14.5 pts vs avg
Specialty distribution in Colorado
How Pulmonary Disease Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
James Washburn, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 97.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 97.6/100 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 Washburn, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 1010 THREE SPRINGS BLVD, Durango, CO, 81301, with a listed phone of (970) 764-2750. NPI 1902870009 was issued on 02/15/2006.
Medicare Part D records for calendar year 2023 show 766 prescription claims written by this provider, covering 133 Medicare beneficiaries and totaling roughly $580K in drug spend, split 50% brand-name and 50% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 86.5), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,323 enrolled providers across 53 states and an average of 1,457 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 | 1902870009 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/15/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where James Washburn, 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.
Monument Health Rapid City Hospital Inc
Rapid City, SD
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 · Brand-heavy
James Washburn, MD - brand share 50.0%
Pulmonary Disease Physician average
50% brand-name claims vs 50% generic, on 766 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.
766
Total Claims
$580K
Total Drug Cost
133
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,059
- Total Day Supply
- 30,450
- Brand vs Generic
- 50% brand / 50% generic
- Brand Drug Cost
- $533K
- Generic Drug Cost
- $47K
- Antibiotic Claims
- 49
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.61
- Gender Split
- 58% female / 42% 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 Washburn, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Montelukast Sodium
Montelukast Sodium
154 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
87 claims
- Trelegy Ellipta
Trelegy Ellipta
81 claims
- Prednisone 44
Prednisone
44 claims
- Anoro Ellipta 39
Anoro Ellipta
39 claims
- Spiriva Respimat 39
Spiriva Respimat
39 claims
- Incruse Ellipta 29
Incruse Ellipta
29 claims
- Azithromycin 26
Azithromycin
26 claims
| Drug | Claims |
|---|---|
| Montelukast Sodium | 154 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 87 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 81 |
| Prednisone | 44 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 39 |
| Spiriva Respimat Tiotropium Bromide | 39 |
| Incruse Ellipta Umeclidinium Bromide | 29 |
| Azithromycin | 26 |
| Ofev Nintedanib Esylate | 26 |
| Ventolin Hfa Albuterol Sulfate | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How James Washburn, MD fits within the Pulmonary Disease Physician landscape nationally.
9,323
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
James Washburn, MD's 766 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Washburn.
Dr. Neil Aggarwal
MD
Aurora, CO
Dr. Richard Albert
MD
Aurora, CO
William Alling
Pueblo, CO
Dr. Ahmad Alsaleem
M.D.
Greenwood Village, CO
Dr. Sam Ancheril
MD
Greenwood Village, CO
Compare Pulmonary Disease 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 Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.
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Frequently Asked Questions
What is James Washburn, MD's specialty? ▼
James Washburn, MD specializes in Pulmonary Disease Physician and practices in Durango, Colorado. Credentials: MD.
How much does James Washburn, MD prescribe under Medicare Part D? ▼
In 2023, James Washburn, MD wrote 766 Medicare Part D claims totaling $580K in drug costs for 133 beneficiaries.
What is James Washburn, MD's Medicare quality score? ▼
James Washburn, MD has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Washburn, MD located? ▼
James Washburn, MD is located at 1010 THREE SPRINGS BLVD, Durango, CO, 81301. Phone: (970) 764-2750.
What is James Washburn, MD's NPI number? ▼
James Washburn, MD's National Provider Identifier (NPI) is 1902870009, issued on 02/15/2006.
Does James Washburn, MD prescribe more brand-name or generic drugs? ▼
James Washburn, MD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $533K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,323 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does James Washburn, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, James Washburn, MD's most frequently prescribed drugs include Montelukast Sodium, Albuterol Sulfate Hfa, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Washburn, MD accept Medicare? ▼
James Washburn, MD appears in CMS Medicare data with 766 Part D claims and 133 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Washburn, MD's credentials? ▼
James Washburn, MD's NPI is 1902870009 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
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.