James Cain, MD
NPI 1174615868 · Nephrology Physician · Sumter, SC
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Cain, MD is a Nephrology Physician provider in Sumter, SC (NPI 1174615868).
Provider details
- NPI number
- 1174615868
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 08460 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,399 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 279 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 218 | $120 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 206 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 177 | $10 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 162 | $111 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carvedilol | 189 | 56 |
| Dapagliflozin Propanediolbrand: Farxiga | 169 | 41 |
| Losartan Potassium | 158 | 55 |
| Allopurinol | 151 | 49 |
| Amlodipine Besylate | 120 | 45 |
| Atorvastatin Calcium | 91 | 32 |
| Torsemide | 84 | 27 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,114 across 53 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2012-06-05
Frequently asked questions
- What is James Cain's NPI number?
- James Cain's National Provider Identifier (NPI) is 1174615868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Cain's specialty?
- James Cain is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is James Cain located?
- James Cain's practice location on file with NPPES is 635 W Wesmark Blvd, Sumter, SC 29150-1900.
- What is James Cain's phone number?
- The practice phone number listed in the NPPES registry for James Cain is (803) 469-7500.
- Does James Cain accept Medicare?
- James Cain is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Cain's NPI active?
- Yes — James Cain's NPI (1174615868) is active in the NPPES registry as of the last update on 2012-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.