What is Richard James's specialty?

Richard James (NPI 1528052032) is a Medicare-billing provider whose primary specialty is Optometry in East Stroudsburg, PA.

Where does Richard James practice?

Richard James practices in East Stroudsburg, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1528052032.

How much does Medicare pay Richard James?

Richard James (NPI 1528052032) received approximately $139K in total Medicare Part B payments, serving 694 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1528052032

Richard JamesO.D.

OptometryEast Stroudsburg, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,093

Unique beneficiaries

—

Total services

1,489

Distinct HCPCS

Medicare payment

$139K

Peer benchmark

Total Medicare services vs. 1,495 Optometry providers in PA — top quintile (cohort median 322).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$27K

Distinct drugs

Brand share

49.4%

Top prescribed drugs

Cyclosporine41 claims

Latanoprost22 claims

Cyclosporine20 claims

QUALITY · MIPS · 2024

Final MIPS score

72.3

Quality

86.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

-0.33%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Richard James'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). 48 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
WILKES BARRE HOSPITAL COMPANY LLC	185	454
GEISINGER WYOMING VALLEY MEDICAL CENTER	70	143
NORTHEASTERN LABORATORY MEDICINE, INC.	59	158
Gregory Bentzinger Podiatry · Bethlehem, PA	56	73
Lori Proctor Podiatry · Whitehall, PA	40	44
ECUMENICAL ENTERPRISES INC	38	68
Albert Janerich Physical Medicine and Rehabilitation · West Pittston, PA	35	109
Trans-Med Ambulance Inc. Ambulance Service Provider · Luzerne, PA	32	54
Lackawanna Mobile X-Ray Inc Portable X-Ray Supplier · Dunmore, PA	32	38
Steven Sopkie Podiatry · Hazleton, PA	31	46
Brooke Kunsman Nurse Practitioner · Allentown, PA	31	68
Leon Sidorek Podiatry · Tunkhannock, PA	31	38

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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