What is James Spivey's specialty?

James Spivey (NPI 1265444020) is a Medicare-billing provider whose primary specialty is Internal Medicine in Asheville, NC.

Where does James Spivey practice?

James Spivey practices in Asheville, NC, based on the location reported in the CMS Medicare provider datasets for NPI 1265444020.

How much does Medicare pay James Spivey?

James Spivey (NPI 1265444020) received approximately $173K in total Medicare Part B payments, serving 335 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1265444020

James SpiveyMD

Internal MedicineAsheville, NCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,472

Unique beneficiaries

—

Total services

5,292

Distinct HCPCS

Medicare payment

$152K

Peer benchmark

Total Medicare services vs. 2,554 Internal Medicine providers in NC — top quintile (cohort median 687).

PRESCRIBING · PART D · 2024

Total Rx claims

5,023

Beneficiaries

—

Total drug cost

$822K

Distinct drugs

102

Brand share

20.3%

Top prescribed drugs

Atorvastatin Calcium340 claims

Amlodipine Besylate278 claims

Rosuvastatin Calcium277 claims

Losartan Potassium251 claims

Levothyroxine Sodium217 claims

QUALITY · MIPS · 2024

Final MIPS score

90.4

Quality

77.7

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.65%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 340002

Hospital

REFERRAL NETWORK

Where James Spivey'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). 2 inbound referrers · 4 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	71	258
John Perry Internal Medicine · Atlanta, GA	11	28

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	128	557
PIEDMONT HOSPITAL, INC	50	190
Laboratory Corporation Of America Holdings Clinical Laboratory · Burlington, NC	29	97
EMORY UNIVERSITY	11	30

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