2026 NPPES data Clinical Biochemical Genetics Physician NPI 1982674123 MD
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Philip James, MD

Clinical Biochemical Genetics Physician in Madison, Wisconsin. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 82 in Clinical Biochemical Genetics 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.
Industry payments
$25.6
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Philip James, MD is a Clinical Biochemical Genetics Physician in Madison, Wisconsin, listed in the federal CMS National Provider Identifier registry.

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.

Board certification likely (heuristic, not verified)

Philip 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 Philip James, MD?

Quality data not reported

NPI registry status

Active

Issued 01/23/2006

NPI 1982674123

Primary specialty

Clinical Biochemical Genetics Physician

Rare

82 US NPIs in this specialty

Specialty distribution in Wisconsin

How Clinical Biochemical Genetics Physician compares to other specialties among Wisconsin providers

Wisconsin providers
Physical Therapist - 5.6%Physical Therapist5.6%Pharmacist - 4.8%Pharmacist4.8%Registered Nurse - 4.5%Registered Nurse4.5%Professional Counselor - 3.3%Professional Counselor3.3%Student in an Organized Health Care Education/Training Program - 3.3%Student in an Organized Health Care Education/Training Program3.3%Family Medicine Physician - 3.2%Family Medicine Physician3.2%Clinical Biochemical Genetics Physician - 0%Clinical Biochemical Genetics Physician0%
Largest specialties in Wisconsin (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Clinical Biochemical Genetics Physician. Verify directly:

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).

Philip James, MD appears in the CMS NPPES registry as a Clinical Biochemical Genetics Physician provider holding MD credentials at 1500 HIGHLAND AVE, Madison, WI, 53705, with a listed phone of (608) 263-3301. NPI 1982674123 was issued on 01/23/2006. 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal, many Clinical Biochemical Genetics Physician providers operate outside Part D entirely.

Clinical Biochemical Genetics Physician is a narrow specialty nationwide, with 82 enrolled providers across 28 states and an average of 46 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

1500 HIGHLAND AVE
Madison, WI 53705

Provider Details

NPI 1982674123
Specialty Clinical Biochemical Genetics Physician
Credentials MD
Gender Male
NPI Issued 01/23/2006

Hospital and facility affiliations

Facilities where Philip 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.

University OF Wisconsin Medical Foundation Inc
Madison, WI

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 Philip James, MD. Source: openpaymentsdata.cms.gov.

Total received

$26

Largest payer

UCB, 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.

Clinical Biochemical Genetics Physician Overview

How Philip James, MD fits within the Clinical Biochemical Genetics Physician landscape nationally.

82
Clinical Biochemical Genetics Physician Providers in US
28
States with Clinical Biochemical Genetics Physician
46
Avg Claims per Provider

Nearby Clinical Biochemical Genetics Physician Providers in Wisconsin

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

Compare Clinical Biochemical Genetics Physician 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Clinical Biochemical Genetics Physician 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.

Frequently Asked Questions

What is Philip James, MD's specialty?
Philip James, MD specializes in Clinical Biochemical Genetics Physician and practices in Madison, Wisconsin. Credentials: MD.
Where is Philip James, MD located?
Philip James, MD is located at 1500 HIGHLAND AVE, Madison, WI, 53705. Phone: (608) 263-3301.
What is Philip James, MD's NPI number?
Philip James, MD's National Provider Identifier (NPI) is 1982674123, issued on 01/23/2006.
How many Clinical Biochemical Genetics Physician providers are there in the US?
There are 82 Clinical Biochemical Genetics Physician providers across 28 states in the US. The average Clinical Biochemical Genetics Physician provider writes 46 Medicare Part D claims per year.
Does Philip James, MD accept Medicare?
Philip James, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Philip James, MD's credentials?
Philip James, MD's NPI is 1982674123 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.
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.