2026 NPPES data Pulmonary Disease Physician NPI 1902870009 MD
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JAMES WASHBURN, MD

Pulmonary Disease Physician in DURANGO, Colorado. 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
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
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

JAMES WASHBURN, MD reported a CMS MIPS final score of 97.5814/100 — above the 83.1 national average — and filed 766 Medicare Part D claims in 2023.

97.5814/100
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

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 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)

NPI registry status

Active

Issued 02/15/2006

NPI 1902870009

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

766 47% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Pulmonary Disease Physician compares to other specialties among Colorado providers

Colorado providers

Pulmonary Disease Physician share within Colorado

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Colorado

Medicare quality performance — MIPS

JAMES WASHBURN, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Pulmonary Disease Physician) — 97.5814/100 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 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WASHBURN 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 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. 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 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 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

1010 THREE SPRINGS BLVD
DURANGO, CO 81301

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

9,271
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.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

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 97.5814/100 (Quality: 86.5348). 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 9,271 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

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