NPI registry status
Active
2026 NPPES data Acute Care Nurse Practitioner NPI 1093274607 AGACNP
Verify on CMS → Joseph James, AGACNP
Acute Care Nurse Practitioner in Tacoma, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,697 in Acute Care Nurse Practitioner, 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
122
Medicare Part D claims · 63 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.3/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$29.13
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Joseph James, AGACNP reported a CMS MIPS final score of 75.3/100 - below the 83.1 national average - and filed 122 Medicare Part D claims in 2023.
- 75.3/100
- MIPS score · -8 vs avg
- 122
- Part D claims, 2023
- 90%
- generic prescribing
- $29.13
- industry payments (Sunshine Act)
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.
Joseph James, AGACNP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% 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 Joseph James, AGACNP sits
This provider among acute care nurse practitioner peers
Across the 3,864 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph James, AGACNP writes more Part D claims than 41% of them and scores higher on MIPS quality than 12% - placing this provider in the lower-volume, lower-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 acute care nurse practitioner peer from a representative sample of 60; the gold marker is Joseph James, AGACNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Joseph James, AGACNP?
Below national averagePrimary specialty
Acute Care Nurse Practitioner
Medicare Part D claims
122 79% vs specialty avg
MIPS final score
75.3/100 7.8 pts vs avg
Specialty distribution in Washington
How Acute Care Nurse Practitioner compares to other specialties among Washington providers
Medicare quality performance, MIPS
Joseph James, AGACNP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average
- MIPS Final Score
- 75.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Acute Care Nurse Practitioner) - 75.3/100 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).
Joseph James, AGACNP appears in the CMS NPPES registry as an Acute Care Nurse Practitioner provider holding AGACNP credentials at 1901 S UNION AVE, Tacoma, WA, 98405, with a listed phone of (253) 459-6670. NPI 1093274607 was issued on 03/14/2019.
Medicare Part D records for calendar year 2023 show 122 prescription claims written by this provider, covering 63 Medicare beneficiaries and totaling roughly $6K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 16.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.3/100 for the 2023 performance year (Quality 68.1, Cost 49.5), compared with the national average of 83.1.
Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,697 enrolled providers across 53 states and an average of 576 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 | 1093274607 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Credentials | AGACNP |
| Gender | Male |
| NPI Issued | 03/14/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.2752
Final Score
Avg: 83.1
68.0792
Quality
49.5048
Cost
100
Promoting Interoperability
Reporting: Group practice
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 Joseph James, AGACNP. Source: openpaymentsdata.cms.gov.
Total received
$29
Largest payer
HEARTFLOW, INC.
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.
License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Joseph James, AGACNP. To verify Joseph James, AGACNP's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Joseph James, AGACNP - brand share 10.0%
Acute Care Nurse Practitioner average
10% brand-name claims vs 90% generic, on 122 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.
122
Total Claims
$6K
Total Drug Cost
63
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 122
- Total Day Supply
- 1,873
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $5K
- Generic Drug Cost
- $1K
- Opioid Claims
- 20 (16.4% rate)
- Antibiotic Claims
- 24
Patient Demographics
- Average Patient Age
- 70.0 years
- Avg HCC Risk Score
- 2.81
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 16, 65-74: 27, 75-84: N/A, 85+: N/A
Acute Care Nurse Practitioner Overview
How Joseph James, AGACNP fits within the Acute Care Nurse Practitioner landscape nationally.
24,697
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider
Joseph James, AGACNP's 122 claims are below the specialty average of 576.
Nearby Acute Care Nurse Practitioner Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as James.
Dr. Stephen Achuff
ARNP
Tukwila, WA
Dr. James Adams
NP
Spokane, WA
Dr. Chad Allen
ARNP
Richland, WA
Mandie Allen
Seattle, WA
Dr. Braden Andersen
DNP, MBA, ARNP
Lynnwood, WA
Compare Acute Care Nurse Practitioner 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 Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Acute Care Nurse Practitioner 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.
Healthcare Guides
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Medical Specialties Explained
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Frequently Asked Questions
What is Joseph James, AGACNP's specialty? ▼
Joseph James, AGACNP specializes in Acute Care Nurse Practitioner and practices in Tacoma, Washington. Credentials: AGACNP.
How much does Joseph James, AGACNP prescribe under Medicare Part D? ▼
In 2023, Joseph James, AGACNP wrote 122 Medicare Part D claims totaling $6K in drug costs for 63 beneficiaries.
What is Joseph James, AGACNP's Medicare quality score? ▼
Joseph James, AGACNP has a CMS MIPS Final Score of 75.3/100 (Quality: 68.1, Cost: 49.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joseph James, AGACNP located? ▼
Joseph James, AGACNP is located at 1901 S UNION AVE, Tacoma, WA, 98405. Phone: (253) 459-6670.
What is Joseph James, AGACNP's NPI number? ▼
Joseph James, AGACNP's National Provider Identifier (NPI) is 1093274607, issued on 03/14/2019.
Does Joseph James, AGACNP prescribe more brand-name or generic drugs? ▼
Joseph James, AGACNP's prescribing is 10% brand-name and 90% generic drugs by claim count, with $5K in brand drug costs.
Does Joseph James, AGACNP prescribe opioids? ▼
Yes, Joseph James, AGACNP had 20 opioid claims in 2023 with an opioid prescribing rate of 16.4%.
How many Acute Care Nurse Practitioner providers are there in the US? ▼
There are 24,697 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
Does Joseph James, AGACNP accept Medicare? ▼
Joseph James, AGACNP appears in CMS Medicare data with 122 Part D claims and 63 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph James, AGACNP's credentials? ▼
Joseph James, AGACNP's NPI is 1093274607 with credentials AGACNP. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.