2026 NPPES data General Practice Physician NPI 1134179963 MD
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MARSHALL JAMES, MD

General Practice Physician in FRANKFORT, Illinois. 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
2K
Medicare Part D claims · 143 beneficiaries · General Practice Physician avg: 3K
Industry payments
$1.1K
23 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARSHALL JAMES, MD filed 1,806 Medicare Part D claims in 2023 as a General Practice Physician in FRANKFORT, Illinois.

2K
Part D claims, 2023
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.

MARSHALL JAMES, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,806 Top 17% higher than 83% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). This entry sits in this band. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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

Board certification likely (heuristic — not verified)

MARSHALL JAMES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 MARSHALL JAMES, MD?

Quality data not reported

NPI registry status

Active

Issued 05/11/2006

NPI 1134179963

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

1,806 37% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Illinois

How General Practice Physician compares to other specialties among Illinois providers

Illinois providers

General Practice Physician share within Illinois

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Physician ABMS/AOA estimate

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

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).

MARSHALL JAMES, MD is a General Practice Physician provider practicing in FRANKFORT, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1134179963. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARSHALL JAMES, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 20180 S LAGRANGE RD, FRANKFORT, IL, 60423, with a listed phone of (815) 464-2010. NPI 1134179963 was issued on 05/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JAMES 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 1,806 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $133K in drug spend, with an opioid prescribing rate of 5.3%. 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.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

20180 S LAGRANGE RD
FRANKFORT, IL 60423

Provider Details

NPI 1134179963
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 05/11/2006

Hospital and facility affiliations

Facilities where MARSHALL JAMES, 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.

EDGEWATER SYSTEMS FOR BALANCED LIVING INC
GRIFFITH, IN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 MARSHALL JAMES, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Neurocrine Biosciences, 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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to MARSHALL JAMES, MD. To verify MARSHALL JAMES, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,806
Total Claims
$133K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,586
Total Day Supply
72,452
Generic Drug Cost
$27K
Opioid Claims
96 (5.3% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
65.0 years
Avg HCC Risk Score
1.59
Gender Split
45% female / 55% male
Age Distribution
<65: 59, 65-74: 56, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Amlodipine Besylate
96
Atorvastatin Calcium
74
Lisinopril
65
Montelukast Sodium
61
Metoprolol Succinate
60
Metformin Hcl
55
Gabapentin
54
Albuterol Sulfate Hfa
Albuterol Sulfate
49
Hydrochlorothiazide
48
Famotidine
47

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

General Practice Physician Overview

How MARSHALL JAMES, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

MARSHALL JAMES, MD's 1,806 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Illinois

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARSHALL JAMES, MD's specialty?
MARSHALL JAMES, MD specializes in General Practice Physician and practices in FRANKFORT, Illinois. Credentials: MD.
How much does MARSHALL JAMES, MD prescribe under Medicare Part D?
In 2023, MARSHALL JAMES, MD wrote 1,806 Medicare Part D claims totaling $133K in drug costs for 143 beneficiaries.
Where is MARSHALL JAMES, MD located?
MARSHALL JAMES, MD is located at 20180 S LAGRANGE RD, FRANKFORT, IL, 60423. Phone: (815) 464-2010.
What is MARSHALL JAMES, MD's NPI number?
MARSHALL JAMES, MD's National Provider Identifier (NPI) is 1134179963, issued on 05/11/2006.
Does MARSHALL JAMES, MD prescribe opioids?
Yes, MARSHALL JAMES, MD had 96 opioid claims in 2023 with an opioid prescribing rate of 5.3%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does MARSHALL JAMES, MD prescribe most often?
Based on 2023 Medicare Part D data, MARSHALL JAMES, MD's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARSHALL JAMES, MD accept Medicare?
MARSHALL JAMES, MD appears in CMS Medicare data with 1,806 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARSHALL JAMES, MD's credentials?
MARSHALL JAMES, MD's NPI is 1134179963 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.
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