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2026 NPPES data Pulmonary Disease Physician NPI 1821207689 M.D.
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Jamie Riha, M.D.

Pulmonary Disease Physician in Billings, Montana.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 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
424
Medicare Part D claims · 47 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.3/100
▲ 11 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Jamie Riha, M.D. reported a CMS MIPS final score of 94.3/100 - above the 83.5 national average - and filed 424 Medicare Part D claims in 2024.

94.3/100
MIPS score · +11 vs avg
424
Part D claims, 2024
34%
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.

Federal trust snapshot

What official records show about Jamie Riha, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1821207689), first enumerated 05/21/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 424 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 94.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1821207689 · Pulmonary Disease Physician

NPI-10 · ENUM-MID · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1821207689
  • ENUM-MID 2007
  • TAX-MID 10K Pulmonary Disease
  • MIPS-ELITE 94.3/100
  • RX-LIGHT 424
  • BOOK-THIN 28 in Montana
  • PHOTO-FINISH Rafael Arciniegas Fl… · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Jamie Riha, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Jamie Riha, M.D. sits

This provider among pulmonary disease physician peers

Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jamie Riha, M.D. writes more Part D claims than 30% of them and scores higher on MIPS quality than 75% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 85Jamie Riha, M.D., Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 75
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 Jamie Riha, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Jamie Riha, M.D. 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 Jamie Riha, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/21/2007

NPI 1821207689

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,647 US NPIs in this specialty

Medicare Part D claims

424 72% vs specialty avg

2024 prescription claims

Specialty avg: 1,498

MIPS final score

94.3/100 10.8 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Montana

How Pulmonary Disease Physician compares to other specialties among Montana providers

Montana providers
Clinical Social Worker6.4%Physical Therapist6.4%Mental Health Counselor5.1%Pharmacist5%Professional Counselor4.3%Addiction (Substance Use Dis…4.2%Pulmonary Disease Physician0.1%
Largest specialties in Montana (% of in-state providers)

Medicare quality performance, MIPS

Jamie Riha, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
94.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%94.3%
MIPS final score (Pulmonary Disease Physician) - 94.3/100 vs national avg 83.5
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).

Practice Address

801 N 29TH ST
Billings, MT 59101
(406) 238-2500

Provider Details

NPI 1821207689
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Female
NPI Issued 05/21/2007

CMS Quality Score (MIPS)

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

94.3056
Final Score
Measured-score avg: 83.5
85.5889
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Jamie Riha, M.D. 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.

Billings Clinic
★★★★☆ 4/5
Billings, MT
Acute Care Hospitals
CMS CCN: 270004

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

Jamie Riha, M.D. - brand share 66.0%
Pulmonary Disease Physician average

66% brand-name claims vs 34% generic, on 424 2024 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 2024.

424
Total Claims
$2.5M
Total Drug Cost
47
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
534.933
Total Day Supply
14,985
Brand vs Generic
66% brand / 34% generic
Brand Drug Cost
$2.5M
Generic Drug Cost
$3K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
67.4 years
Avg HCC Risk Score
1.76
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Jamie Riha, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Trikafta
Elexacaftor/Tezacaftor/Ivacaft
84
Advair Hfa
Fluticasone Propion/Salmeterol
32
Zenpep
Lipase/Protease/Amylase
25
Ventolin Hfa
Albuterol Sulfate
23
Escitalopram Oxalate
 22
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
22
Incruse Ellipta
Umeclidinium Bromide
22
Pantoprazole Sodium
 22
Prednisone
 17
Omeprazole
 16

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Pulmonary Disease Physician in MT → All providers in Montana → Compare specialties →

Pulmonary Disease Physician Overview

How Jamie Riha, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider

Jamie Riha, M.D.'s 424 claims are below the specialty average of 1,498.

Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Riha, both outside Montana so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (94.3 here).

Rafael Arciniegas Flores 94.3 FL Kristopher Clark 94.3 NY James Lampasso 94.3 NY Vandana Pai 94.3 NY

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Robert Wilson Tulsa, OK Soucheat Siou Anaheim, CA Vijaya Gogineni Cedar Rapids, IA Michael Darnell Denver, CO

Nearby Pulmonary Disease Physician Providers in Montana

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

One of 28 Pulmonary Disease Physician providers enrolled in Montana, 5 are shown here.

Dr. David Anderson
MD
Great Falls, MT
Dr. Merhala Balasubramaniam
M.D.
Great Falls, MT
Manfred Baumgartner
Billings, MT
Dr. Richard Blevins
MD
Great Falls, MT
Dr. Anthony Dal Nogare
MD
Kalispell, MT

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

Frequently Asked Questions

What is Jamie Riha, M.D.'s specialty? ▼
Jamie Riha, M.D. specializes in Pulmonary Disease Physician and practices in Billings, Montana. Credentials: M.D..
How much does Jamie Riha, M.D. prescribe under Medicare Part D? ▼
In 2024, Jamie Riha, M.D. wrote 424 Medicare Part D claims totaling $2.5M in drug costs for 47 beneficiaries.
What is Jamie Riha, M.D.'s Medicare quality score? ▼
Jamie Riha, M.D. has a CMS MIPS Final Score of 94.3/100 (Quality: 85.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jamie Riha, M.D. located? ▼
Jamie Riha, M.D. is located at 801 N 29TH ST, Billings, MT, 59101. Phone: (406) 238-2500.
What is Jamie Riha, M.D.'s NPI number? ▼
Jamie Riha, M.D.'s National Provider Identifier (NPI) is 1821207689, issued on 05/21/2007.
Does Jamie Riha, M.D. prescribe more brand-name or generic drugs? ▼
Jamie Riha, M.D.'s prescribing is 66% brand-name and 34% generic drugs by claim count, with $2.5M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Jamie Riha, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Jamie Riha, M.D.'s most frequently prescribed drugs include Trikafta, Advair Hfa, Zenpep. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jamie Riha, M.D. accept Medicare? ▼
Jamie Riha, M.D. appears in CMS Medicare data with 424 Part D claims and 47 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jamie Riha, M.D.'s credentials? ▼
Jamie Riha, M.D.'s NPI is 1821207689 with credentials M.D.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.