What is James Smith's specialty?

James Smith (NPI 1053395129) is a Medicare-billing provider whose primary specialty is Internal Medicine in Newnan, GA.

Where does James Smith practice?

James Smith practices in Newnan, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1053395129.

How much does Medicare pay James Smith?

James Smith (NPI 1053395129) received approximately $116K in total Medicare Part B payments, serving 443 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1053395129

James SmithM.D.

Internal MedicineNewnan, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,620

Unique beneficiaries

—

Total services

3,539

Distinct HCPCS

Medicare payment

$111K

Peer benchmark

Total Medicare services vs. 2,751 Internal Medicine providers in GA — top quintile (cohort median 670).

PRESCRIBING · PART D · 2024

Total Rx claims

15,467

Beneficiaries

—

Total drug cost

$1.6M

Distinct drugs

142

Brand share

17.1%

Top prescribed drugs

Amlodipine Besylate1,034 claims

Atorvastatin Calcium902 claims

Omeprazole677 claims

Rosuvastatin Calcium559 claims

Metformin Hcl531 claims

QUALITY · MIPS · 2024

Final MIPS score

91.6

Quality

83.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.70%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Food and Beverage$1K

Top paying entities

Food and Beverage$1K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

Home health agency

Home health agency

Home health agency

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where James Smith's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 41 inbound referrers · 97 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PIEDMONT NEWNAN HOSPITAL, INC.	240	908
David Bodne Diagnostic Radiology · Brooks, GA	45	97
Brannan Hatfield Diagnostic Radiology · Newnan, GA	40	132
George Vellanikaran Cardiology · Sharpsburg, GA	40	125
Bob Mann Urology · Newnan, GA	38	266
George Stone Diagnostic Radiology · Newnan, GA	38	90
Fawzi Mohammad Diagnostic Radiology · Augusta, GA	31	76
Michael Pont Diagnostic Radiology · Carrollton, GA	31	81
Thippeswamy Murthy Cardiology · Fayetteville, GA	29	146
Courtney Gomez Anesthesiology · Seattle, WA	28	60
Vijay Patel Critical Care (Intensivists) · Newnan, GA	27	169
MCNAIR, JOHN	26	48

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
PIEDMONT HOSPITAL, INC	484	3,054
PIEDMONT NEWNAN HOSPITAL, INC.	297	1,411
David Bodne Diagnostic Radiology · Brooks, GA	57	138
LIGHTNER, JOEL	57	178
Bob Mann Urology · Newnan, GA	55	362
Eric Mitchell Cardiology · Newnan, GA	52	471
Linda Huff Diagnostic Radiology · Newnan, GA	44	141
Pamela Clanton Internal Medicine · Atlanta, GA	41	173
George Stone Diagnostic Radiology · Newnan, GA	40	109
Brannan Hatfield Diagnostic Radiology · Newnan, GA	39	141
Central Emergency Medical Services Llc Ambulance Service Provider · Roswell, GA	37	82
BAKER, TIM	37	118

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events