Michael James, M.D.
NPI 1538161609 · Internal Medicine Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael James, M.D. is a Internal Medicine Physician provider in Raleigh, NC (NPI 1538161609).
Provider details
- NPI number
- 1538161609
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9500623 (NC)
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
21 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
1,991 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 1,022 | $70 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 307 | $120 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 297 | $170 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 246 | $84 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 61 | $121 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians and |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 288 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,173 | 263 |
| Amlodipine Besylate | 1,150 | 235 |
| Apixabanbrand: Eliquis | 1,079 | 160 |
| Gabapentin | 1,064 | 171 |
| Levothyroxine Sodium | 975 | 188 |
| Furosemide | 796 | 170 |
| Trazodone Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$379 across 21 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
- 2005-06-02
- Last updated
- 2008-01-08
Frequently asked questions
- What is Michael James's NPI number?
- Michael James's National Provider Identifier (NPI) is 1538161609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael James's specialty?
- Michael James is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael James located?
- Michael James's practice location on file with NPPES is 3850 Ed Drive, Raleigh, NC 27612-8037.
- What is Michael James's phone number?
- The practice phone number listed in the NPPES registry for Michael James is (919) 788-9588.
- Does Michael James accept Medicare?
- Michael James is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael James's NPI active?
- Yes — Michael James's NPI (1538161609) is active in the NPPES registry as of the last update on 2008-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.