JAMES WHEELER, M.D.
Gynecology Physician in HOUSTON, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
JAMES WHEELER, M.D. filed 473 Medicare Part D claims in 2023 as a Gynecology Physician in HOUSTON, Texas, prescribing 90% generic.
- 473
- Part D claims, 2023
- 90%
- generic prescribing
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 WHEELER, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
473 Top 38% higher than 62% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
JAMES WHEELER, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about JAMES WHEELER, M.D.?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Texas
How Gynecology Physician compares to other specialties among Texas providers
Gynecology Physician share within Texas
Gynecology Physician is one of the more visible NUCC categories in Texas
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Gynecology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Gynecology Physician ABMS/AOA estimate
Est. board-certified rate (Gynecology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Gynecology Physician US NPIs
Specialty board-certified rate — Gynecology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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 WHEELER, M.D. appears in the CMS NPPES registry as a Gynecology Physician provider holding M.D. credentials at 4100 MILAM ST, HOUSTON, TX, 77006, with a listed phone of (713) 797-9200. NPI 1437121647 was issued on 02/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WHEELER 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 473 prescription claims written by this provider, covering 59 Medicare beneficiaries and totaling roughly $15K in drug spend, split 10% brand-name and 90% 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.
Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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 | 1437121647 |
|---|---|
| Specialty | Gynecology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 02/02/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm JAMES WHEELER, M.D.'s current license status, disciplinary history, and board certifications with the Texas Medical Board in Texas before relying on this page for a clinical or care decision.
How we sourced this profile
License & disciplinary context — Texas TMB 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to JAMES WHEELER, M.D.. To verify JAMES WHEELER, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
10% brand-name claims vs 90% generic, on 473 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.
Prescribing Breakdown
- 30-Day Fills
- 1,292
- Total Day Supply
- 38,117
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $13K
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 0.63
- Gender Split
- 100% female / 0% 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 WHEELER, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Estradiol
Estradiol
128 claims
- Levothyroxine Sodium
Levothyroxine Sodium
77 claims
- Metformin Hcl Er
Metformin Hcl Er
66 claims
- Liothyronine Sodium
Liothyronine Sodium
54 claims
- Spironolactone 28
Spironolactone
28 claims
- Zolpidem Tartrate 12
Zolpidem Tartrate
12 claims
- Fluconazole 11
Fluconazole
11 claims
| Drug | Claims |
|---|---|
| Estradiol | 128 |
| Levothyroxine Sodium | 77 |
| Metformin Hcl Er Metformin Hcl | 66 |
| Liothyronine Sodium | 54 |
| Spironolactone | 28 |
| Zolpidem Tartrate | 12 |
| Fluconazole | 11 |
| Progesterone "Progesterone | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gynecology Physician Overview
How JAMES WHEELER, M.D. fits within the Gynecology Physician landscape nationally.
JAMES WHEELER, M.D.'s 473 claims are above the specialty average of 295.
Nearby Gynecology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as WHEELER.
Compare Gynecology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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.
- 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