Doctor profile · Federal record
Dr. James Birmingham, MD
Rheumatology Physician (CMS: Rheumatology) · Ada, MI
- NPI 1891811543
- Accepts Medicare
- MIPS 62.9 / 100 · 2023
- 28 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6741 Fulton St E
Ada, MI 493019502
(616) 320-5330
fax (616) 320-5331
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- February 24, 2026
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 207RR0500X — NUCC code
- State license (1)
- Michigan #4301072323
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891811543. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
291
Distinct HCPCS
5
Medicare allowed
$40,243
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 106 | 70 | $169 | |
96413 |
Administration of chemotherapy into vein, 1 hour or less | 91 | 14 | $115 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 39 | 32 | $121 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 35 | 35 | $187 | |
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 20 | 19 | $31 |
In context: peer comparison
Among 1 peers in Ada Rheumatology Physician, average services per provider: 58. This provider delivers 5.0× the peer median.Open Payments
Industry payments received
All-time total
$7,505
Transactions
172
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 54 | $5,346.06 | |
| Amgen INC. | 28 | $490.70 | |
| Novartis Pharmaceuticals Corporation | 19 | $346.10 | |
| AstraZeneca Pharmaceuticals Lp | 8 | $303.65 | |
| Ucb, INC. | 6 | $212.56 | |
| Sandoz INC. | 36 | $180.19 | |
| Arcutis Biotherapeutics, INC. | 1 | $122.56 | |
| Fresenius Kabi USA, LLC | 4 | $117.59 | |
| Genzyme Corporation | 1 | $104.63 | |
| Organon LLC | 7 | $84.41 | |
| Lilly USA, LLC | 2 | $54.93 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 2 | $48.34 | |
| Janssen Biotech, INC. | 2 | $40.82 | |
| Mallinckrodt Hospital Products INC. | 1 | $29.72 | |
| Pfizer INC. | 1 | $23.16 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,498
Patients
293
Total drug cost
$2,784,019
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydroxychloroquine Sulfate | Generic | 313 | 82 | $20,814 |
| Prednisone | Generic | 296 | 65 | $2,890 |
| Methotrexate (Methotrexate Sodium) | Brand | 268 | 65 | $10,929 |
| Humira(Cf) Pen (Adalimumab) | Brand | 161 | 20 | $1,262,155 |
| Enbrel Sureclick (Etanercept) | Brand | 83 | 0 | $783,588 |
| Meloxicam | Generic | 67 | 15 | $438 |
| Folic Acid | Generic | 56 | 20 | $329 |
| Celecoxib | Generic | 50 | 15 | $3,168 |
| Diclofenac Sodium | Generic | 46 | 11 | $1,125 |
| Rinvoq (Upadacitinib) | Brand | 43 | 0 | $256,096 |
Hospital affiliations
Frequently asked questions
What is Dr. James Birmingham's medical specialty?
Dr. James Birmingham practices Rheumatology Physician in Ada, MI.
Where does Dr. James Birmingham practice?
Dr. James Birmingham practices at 6741 Fulton St E, Ada, MI 493019502. Office phone: 6163205330.
What is Dr. James Birmingham's NPI?
Dr. James Birmingham's National Provider Identifier (NPI) is 1891811543, issued by NPPES.
Does Dr. James Birmingham accept Medicare assignment?
Yes. Dr. James Birmingham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Birmingham commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Administration of chemotherapy into vein (HCPCS 96413); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.