Dr. Kenneth A. James, MD
- Medicare services, 2024
- 232
- Medicare patients, 2024
- 164
- Part D claims, 2024
- 428
- MIPS score, 2024
- 88
- Hospital affiliations
- 3
- Practice address
- 510 Superior Ave, Newport Beach, CA 92663
- Practice phone
- Call (949) 764-5700
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Hoag Clinic - Newport Beach
Urgent Care Center · Newport Beach, California
Find Dr. James' professional email, personal email and mobile number
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Dr. Kenneth A. James is an OB-GYN in Newport Beach, California
Dr. James practices at Hoag Clinic - Newport Beach in Newport Beach, California.
Dr. James' NPI, 1497782213, was assigned on June 27, 2006. Dr. James graduated from Chicago Medical School at Rosalind Franklin University of Medicine and Science in 1994. Dr. James holds California license C52576.
- NPI
- 1497782213NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3971601170
- NPI enumeration date
- June 27, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (949) 764-5700
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 58
- Medical school graduation
- 1994
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Kenneth A. James practices at Hoag Clinic - Newport Beach in Newport Beach, California
Dr. James' primary practice is Hoag Clinic - Newport Beach, at 510 Superior Ave, Newport Beach, CA 92663. The practice phone is (949) 764-5700.
- Hoag Clinic - Newport Beach510 Superior Ave, Newport Beach, CA 92663Phone(949) 764-5700
Source: Dmand AI Affiliation Data
Dr. Kenneth A. James is affiliated with 4 sites of care and 1 medical group
Dr. James' primary practice is Hoag Clinic - Newport Beach in Newport Beach, California. Dr. James is also affiliated with Hoag Hospital Newport Beach. The medical group on file is Hoag Clinic. Dmand AI also links Dr. James to 2 more hospitals, each named with a free account. Dr. James' employer is on file too: an urgent care center.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Kenneth A. James' practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. James practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Hoag Clinic - Newport Beach | Available with a free account |
| +3 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Kenneth A. James is one of 4,642 OB-GYNs in California
Obstetrics and gynecology is Dr. James' primary specialty in the NPI Registry, under taxonomy code 207V00000X. Dr. James is board certified in obstetrics & gynecology by the American Board of Obstetrics and Gynecology. Dmand AI has Dr. James' licenses on file in 2 states: California and New York.
Specialties and state licenses
- Obstetrics and gynecology, CaliforniaPrimary
- New York license
Clinical focus
Dmand AI lists menopause, pelvic prolapse, UTI and vaginal infection among the conditions Dr. James treats.
OB-GYNs near Dr. James
Counts of OB-GYNs with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Kenneth A. James billed Medicare for 232 services in 2024
CMS data shows 232 Medicare services from Dr. James across 7 procedure codes in 2024, for 164 Medicare patients. Medicare paid $14,493 for them. Every service was in an office.
Dr. James' Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1342024: 11216%
- Other services
- 2023: 572024: 617%
- Imaging
- 2023: 382024: 4621%
- Lab and pathology
- 2023: 142024: 137%
Dr. James compared with the California median for OB-GYNs, 2024
- Dr. James
- California median
- Medicare services
- 232vs 584.0 times
- Medicare patients
- 164vs 523.2 times
- Part D claims
- 288vs 358.2 times
Medians across 3,823 OB-GYNs in California with Dmand AI profiles that report each measure.
Dr. James' most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. James and other OB-GYNs in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Kenneth A. James treated 164 Medicare patients in 2024, average age 74
CMS counts 164 Medicare patients who saw Dr. James in 2024. The largest group is 65 to 74, with 97 patients. 68% of them have high cholesterol, and 54% have high blood pressure. Their average risk score is 0.81, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. James' median patient age at 37, with 83% women.
Dr. James' Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Chronic conditions among Dr. James' Medicare patients, 2024
- High cholesterol68%
- High blood pressure54%
- Arthritis49%
- Osteoporosis24%
- Anxiety21%
- Cancer19%
- Mood disorders18%
- Depression16%
Share of Medicare patients with each condition. A patient can have several.
Dr. James' patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 37
Patient panel by sex, all payers
- Women83%
- Men16%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Kenneth A. James wrote 428 Medicare Part D claims in 2024
In 2024, Dr. James wrote 428 Medicare Part D claims for 104 patients. 79% of them were for generic drugs. CMS names the drug for 288 of them, across 12 drugs with 11 or more claims each, at $16,168 in total drug cost. In 2023, CMS named 291 claims across 14 drugs.
Dr. James' Part D claims by kind of drug, 2024
- Generic336 claims79%
- Brand-name92 claims21%
Dr. James' most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. James' Part D claims, 2024
- Antibiotics6%26 of 428 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 2912024: 2881%
Drugs named by CMS: 12 in 2024, 14 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Kenneth A. James scored 88 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 88 out of 100 for Dr. James for performance year 2024, reported as part of a group. Dr. James accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. James' MIPS scores, performance year 2024
- 88of 100Final score
- 84.1of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 74of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Kenneth A. James received $4,013 in industry payments from 2016 to 2025
CMS Open Payments shows 201 general payments to Dr. James from 31 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Duchesnay USA Incorporated paid the most, $577.
General payments to Dr. James by program year, 2016 to 2025
General payments to Dr. James by kind, 2016 to 2025
- Food and beverage$3,98099%
- Education$321%
Companies that paid Dr. James the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Kenneth A. James has 2 awards and honors on record
Dmand AI lists 2 awards for Dr. James, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. James
- 2013
- CMS Stage 1 EHR
- Undated
- ACOG Fellow
Source: Dmand AI Professional Profile Data
Dr. Kenneth A. James graduated from Chicago Medical School at Rosalind Franklin University of Medicine and Science
Dr. James graduated from Chicago Medical School at Rosalind Franklin University of Medicine and Science in 1994. Dr. James is a member of American College of Obstetricians and Gynecologists.
- Medical school
- Board certified in obstetrics & gynecology
Source: Dmand AI Professional Profile Data
Dr. Kenneth A. James accepts plans from 8 insurance carriers
Dr. James is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 7. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Regence Health Plans
- Blue Cross and Blue Shield of Kansas City
- CMS Medicare
Plan types Dr. James accepts, by number of carriers
- Medicare7
- PPO6
- HMO3
- POS3
- EPO2
Source: Dmand AI Insurance Network Data
Sources for Dr. Kenneth A. James's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Kenneth A. James
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Kenneth A. James' NPI number?
Dr. Kenneth A. James' NPI number is 1497782213. It was assigned on June 27, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Kenneth A. James?
Dr. Kenneth A. James is an OB-GYN in Newport Beach, California. The primary specialty in the NPI Registry is Obstetrics & Gynecology Physician (taxonomy code 207V00000X).
Where does Dr. Kenneth A. James practice?
Dr. James practices at 510 Superior Ave, Newport Beach, CA 92663. Dr. James' primary practice is Hoag Clinic - Newport Beach in Newport Beach, California. Dmand AI also links Dr. James to 2 hospitals.
What is Dr. Kenneth A. James' office phone number?
The practice phone on file for Dr. James is (949) 764-5700.
What is Dr. Kenneth A. James' medical license number?
Dr. James holds California license C52576, one of the licenses on file in 2 states.
Which states has Dr. Kenneth A. James been licensed in?
Dmand AI has state licenses on file for Dr. James in California (2006 to 2026) and New York (1996 to 2008).
Which hospitals is Dr. Kenneth A. James affiliated with?
Dr. James is affiliated with Hoag Hospital Newport Beach. Dmand AI links Dr. James to 2 more hospitals.
What medical group is Dr. Kenneth A. James part of?
Dr. James is linked to Hoag Clinic.
Does Dr. Kenneth A. James accept Medicare?
Yes. CMS data shows Dr. James billed Medicare for 232 services in 2024, and Dr. James accepts Medicare assignment.
What is Dr. Kenneth A. James' MIPS score?
Dr. James' MIPS final score for performance year 2024 is 88 out of 100, reported as part of a group.
Show 8 more questionsShow fewer questions
How many Medicare patients does Dr. Kenneth A. James see?
CMS counts 164 Medicare patients who saw Dr. James in 2024, with an average age of 74.
Is Dr. Kenneth A. James board certified?
Yes. Dr. James is board certified in obstetrics & gynecology by the American Board of Obstetrics and Gynecology.
What services does Dr. Kenneth A. James bill to Medicare?
In 2024, Dr. James' most billed Medicare services were office visit, established patient (99213), medicare service (G0101) and office visit, established patient (99214).
Where did Dr. Kenneth A. James go to medical school?
Dr. James graduated from Chicago Medical School at Rosalind Franklin University of Medicine and Science in 1994.
What drugs does Dr. Kenneth A. James prescribe most?
In 2024 Medicare Part D data, Dr. James' most prescribed drugs by claims were Estradiol, Progesterone and Clobetasol Propionate.
Has Dr. Kenneth A. James received payments from drug or device companies?
CMS Open Payments shows $4,013 in general payments to Dr. James from 31 companies from 2016 to 2025. The largest total came from Duchesnay USA Incorporated.
How long has Dr. Kenneth A. James been practicing?
Dr. James graduated from medical school in 1994, 32 years ago.
What insurance does Dr. Kenneth A. James accept?
Dr. James is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 7. Check the plan with the practice before a visit.
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