Doctor profile · Federal record
Dr. James Anthony, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · Critical Care Medicine (Internal Medicine) Physician · Critical Care Medicine (Internal Medicine) Physician · Pulmonary Disease Physician · Valparaiso, IN
- NPI 1639356025
- Accepts Medicare
- MIPS 87.0 / 100 · 2023
- 28 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1101 Glendale Blvd, Suite 103
Valparaiso, IN 463833767
(219) 464-9054
fax (219) 465-1749
Credentials & registration
- NPI registered
- January 2008 — 18 yrs on file
- Profile last updated
- September 10, 2020
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State licenses (2)
- Indiana #01071016A · Illinois #036.125048
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639356025. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,450
Distinct HCPCS
10
Medicare allowed
$230,247
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,022 | 254 | $75 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 509 | 180 | $112 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 225 | 184 | $85 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 180 | 165 | $163 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 178 | 134 | $119 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 47 | 46 | $10 | |
94726 |
Test to determine lung volumes using sensors | 47 | 46 | $11 | |
94729 |
Test to examine how well the lungs exchange gases | 47 | 46 | $8 | |
99291 |
Critical care, first 30-74 minutes | 41 | 37 | $198 | |
99239 |
Hospital discharge day management, more than 30 minutes | 36 | 35 | $109 |
In context: peer comparison
Among 1 peers in Valparaiso Pulmonary Disease Physician, average services per provider: 153. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$781
Transactions
27
Manufacturers
14
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $146.43 | |
| Regeneron Healthcare Solutions, INC. | 3 | $110.61 | |
| Inspire Medical Systems, INC. | 2 | $76.85 | |
| Abbvie INC. | 3 | $73.64 | |
| Genzyme Corporation | 3 | $67.42 | |
| Mallinckrodt Hospital Products INC. | 2 | $56.79 | |
| GlaxoSmithKline, LLC. | 3 | $53.63 | |
| AstraZeneca Pharmaceuticals Lp | 2 | $39.95 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 2 | $36.04 | |
| Mylan Specialty L.P. | 2 | $28.99 | |
| Amgen INC. | 1 | $28.75 | |
| Baxter Healthcare | 1 | $24.35 | |
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $22.59 | |
| Electromed, INC. | 1 | $14.99 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,187
Patients
670
Total drug cost
$748,073
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 407 | 125 | $14,312 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 375 | 102 | $380,234 |
| Prednisone | Generic | 266 | 77 | $1,263 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 190 | 47 | $113,912 |
| Montelukast Sodium | Generic | 145 | 55 | $2,884 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 126 | 29 | $58,030 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 99 | 22 | $74,326 |
| Doxycycline Hyclate | Generic | 91 | 58 | $1,244 |
| Azithromycin | Generic | 88 | 35 | $1,362 |
| Wixela Inhub (Fluticasone Propion/Salmeterol) | Brand | 82 | 23 | $23,491 |
Hospital affiliations
Frequently asked questions
What is Dr. James Anthony's medical specialty?
Dr. James Anthony practices Pulmonary Disease Physician in Valparaiso, IN.
Where does Dr. James Anthony practice?
Dr. James Anthony practices at 1101 Glendale Blvd, Valparaiso, IN 463833767. Office phone: 2194649054.
What is Dr. James Anthony's NPI?
Dr. James Anthony's National Provider Identifier (NPI) is 1639356025, issued by NPPES.
Does Dr. James Anthony accept Medicare assignment?
Yes. Dr. James Anthony accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Anthony commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.