Physician

Milton James, M.D.

According to 2025 Medicare claims, Milton James, M.D. (NPI: 1912909227) practices ophthalmology in the Durham-Chapel Hill, NC market, with the plurality of this provider's patient population coming from Durham, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27704-2122. James is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

James' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 538 traditional Medicare patients, billed 5,652 HCPCS/CPT codes, and received $646,779 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 634 prescription claims across 175 beneficiaries totaling $26,392 in drug costs, led by Lumigan (Bimatoprost). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have fallen sharply in recent years, from $51,695 to $26,392. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	582	2,263	$388,268
2016	586	2,356	$452,876
2017	645	3,401	$544,287
2018	834	3,713	$517,797
2019	494	2,969	$540,654
2020	478	3,223	$567,134
2021	528	2,958	$450,035
2022	509	2,940	$418,342
2023	490	3,946	$511,790
2024	538	5,652	$646,779

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	173	591	$51,695
2016	171	664	$58,124
2017	185	734	$60,099
2018	193	900	$66,186
2019	193	824	$68,472
2020	175	754	$64,599
2021	185	739	$53,643
2022	163	701	$40,997
2023	165	673	$33,998
2024	175	634	$26,392

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
92014	Established patient complete exam of visual system	137	137	$85
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	257	$81
67028	Injection of drug into eye	97	438	$76
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	148	243	$61
92134	Imaging of retina	324	769	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lumigan	Bimatoprost	29	821	$7,194
Prednisolone Acetate	Prednisolone Acetate	87	2,713	$2,773
Latanoprost	Latanoprost	230	9,037	$1,828
Brimonidine Tartrate-Timolol	Brimonidine Tartrate/Timolol	13	495	$1,454
Tobramycin-Dexamethasone	Tobramycin/Dexamethasone	29	614	$1,363

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Milton James, M.D.?

Tedicare shows public-source Medicare data for Milton James, M.D. (NPI 1912909227), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Milton James, M.D. have ACO affiliation data?

Milton James, M.D. is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419).

What billing organization is linked to Milton James, M.D.?

Milton James, M.D. is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Milton James, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.