James Anthony, MD
NPI 1639356025 · Pulmonary Disease Physician · Valparaiso, IN
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Anthony, MD is a Pulmonary Disease Physician provider in Valparaiso, IN (NPI 1639356025).
Provider details
- NPI number
- 1639356025
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036.125048 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,577 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 Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 922 | $73 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 596 | $110 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 271 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 152 | $85 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 137 | $160 |
| Critical Care, First 30-74 Minutes99291 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 534 | 109 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 502 | 160 |
| Prednisone | 226 | 78 |
| Montelukast Sodium | 222 | 57 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 193 | 44 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 160 | 36 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$781 across 27 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
Additional practice locations (1)
- 3920 St Francis Way Ste 220Lafayette, IN 47905-4922Phone: (765) 428-5950Fax: (765) 428-5951
Registry dates
- Enumerated
- 2008-01-28
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Frequently asked questions
- What is James Anthony's NPI number?
- James Anthony's National Provider Identifier (NPI) is 1639356025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Anthony's specialty?
- James Anthony is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is James Anthony located?
- James Anthony's practice location on file with NPPES is 1101 Glendale Blvd, Valparaiso, IN 46383-3767.
- What is James Anthony's phone number?
- The practice phone number listed in the NPPES registry for James Anthony is (219) 464-9054.
- Does James Anthony accept Medicare?
- James Anthony is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Anthony's NPI active?
- Yes — James Anthony's NPI (1639356025) is active in the NPPES registry as of the last update on 2026-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.