James Sincebaugh
NPI 1235661711 · Pulmonary Disease Physician · Charleston, SC
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Sincebaugh is a Pulmonary Disease Physician provider in Charleston, SC (NPI 1235661711).
Provider details
- NPI number
- 1235661711
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 64250 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 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
791 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 101 | $134 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 90 | $73 |
| Critical Care, First 30-74 Minutes99291 | 81 | $200 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 74 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 69 | $120 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 65 | 33 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 47 | 17 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 42 | 25 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 31 | 12 |
| Dupilumabbrand: Dupixent Pen | 30 | — |
| Tiotropium Bromidebrand: Spiriva Respimat | 30 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$37 across 1 record (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
- 2017-04-03
- Last updated
- 2023-09-04
- Certified
- 2023-09-04
Frequently asked questions
- What is James Sincebaugh's NPI number?
- James Sincebaugh's National Provider Identifier (NPI) is 1235661711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Sincebaugh's specialty?
- James Sincebaugh is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is James Sincebaugh located?
- James Sincebaugh's practice location on file with NPPES is 96 Jonathan Lucas Street, Charleston, SC 29425-8900.
- What is James Sincebaugh's phone number?
- The practice phone number listed in the NPPES registry for James Sincebaugh is (843) 792-2300.
- Does James Sincebaugh accept Medicare?
- James Sincebaugh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Sincebaugh's NPI active?
- Yes — James Sincebaugh's NPI (1235661711) is active in the NPPES registry as of the last update on 2023-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.