Doctor profile · Federal record
Dr. James Upshaw, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Macon, GA
- NPI 1740252170
- Accepts Medicare
- MIPS 85.0 / 100 · 2023
- 33 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
330 Hospital Dr, Bldg C, Ste 200
Macon, GA 312173899
(478) 745-1191
fax (478) 752-3869
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- December 15, 2009
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Georgia #041985
- Medicaid
- GA #00749669A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740252170. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
19,202
Distinct HCPCS
10
Medicare allowed
$636,696
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99457 |
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 1,718 | 206 | $45 | |
99454 |
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1,356 | 181 | $43 | |
36415 |
Insertion of needle into vein for collection of blood sample | 1,179 | 541 | $8 | |
99458 |
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 1,129 | 143 | $37 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 828 | 353 | $84 | |
83036 |
Hemoglobin a1c level | 785 | 497 | $9 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 710 | 504 | $8 | |
80048 |
Blood test, basic group of blood chemicals (calcium, total) | 642 | 281 | $8 | |
84550 |
Uric acid level, blood | 625 | 510 | $4 | |
80053 |
Blood test, comprehensive group of blood chemicals | 623 | 510 | $10 |
In context: peer comparison
Among 47 peers in Macon Internal Medicine Physician, average services per provider: 232. This provider delivers 83× the peer median.Open Payments
Industry payments received
All-time total
$425
Transactions
21
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 6 | $104.99 | |
| Pfizer INC. | 2 | $90.10 | |
| Amgen INC. | 4 | $59.48 | |
| McKesson Medical-Surgical, INC. | 1 | $40.09 | |
| GlaxoSmithKline, LLC. | 2 | $29.98 | |
| Edwards Lifesciences Corporation | 1 | $24.08 | |
| Abbvie INC. | 1 | $16.94 | |
| Abbott Laboratories | 1 | $15.91 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $15.40 | |
| Novartis Pharmaceuticals Corporation | 1 | $15.09 | |
| Dexcom, INC. | 1 | $13.28 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,858
Patients
1,320
Total drug cost
$278,430
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 701 | 183 | $8,138 |
| Amlodipine Besylate | Generic | 657 | 185 | $5,164 |
| Levothyroxine Sodium | Generic | 442 | 109 | $7,041 |
| Metoprolol Succinate | Generic | 390 | 101 | $7,041 |
| Rosuvastatin Calcium | Generic | 386 | 110 | $7,886 |
| Pantoprazole Sodium | Generic | 313 | 90 | $5,220 |
| Losartan Potassium | Generic | 295 | 83 | $4,436 |
| Omeprazole | Generic | 268 | 70 | $3,547 |
| Lisinopril | Generic | 235 | 61 | $1,717 |
| Escitalopram Oxalate | Generic | 205 | 59 | $3,084 |
Frequently asked questions
What is Dr. James Upshaw's medical specialty?
Dr. James Upshaw practices Internal Medicine Physician in Macon, GA.
Where does Dr. James Upshaw practice?
Dr. James Upshaw practices at 330 Hospital Dr, Macon, GA 312173899. Office phone: 4787451191.
What is Dr. James Upshaw's NPI?
Dr. James Upshaw's National Provider Identifier (NPI) is 1740252170, issued by NPPES.
Does Dr. James Upshaw accept Medicare assignment?
Yes. Dr. James Upshaw accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Upshaw commonly perform?
Top Medicare-reported procedures in 2023: Management using the results of remote vital sign monitoring per calendar month (HCPCS 99457); Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS 99454); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.