Arthritis, RheumatoidDecision MakingDecision Support Techniques
Dr. James Douglas Birmingham, MD
NPI1891811543PAC ID1759367097
- Medicare services, 2024
- 466
- Medicare patients, 2024
- 140
- Part D claims, 2024
- 2,022
- Publications
- 5
- Clinical trials
- 1
- Practice address
- 5900 Byron Center SW Ave, Wyoming, MI 49519
- Practice phone
- Call (616) 252-7200
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
UM Health-West Hospital
Wyoming, Michigan
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Dr. James Douglas Birmingham is a rheumatologist in Wyoming, Michigan
Dr. Birmingham practices at UM Health-West Hospital in Wyoming, Michigan.
Dr. Birmingham's NPI, 1891811543, was assigned on March 22, 2007. Dr. Birmingham graduated from Ohio State University College of Medicine in 1998. Dr. Birmingham holds Michigan license 4301072323.
NPI and contact details
- NPI
- 1891811543NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1759367097
- NPI enumeration date
- March 22, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (616) 252-7200
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 54
- Medical school graduation
- 1998
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. James Douglas Birmingham practices at UM Health-West Hospital in Wyoming, Michigan
Dr. Birmingham's primary practice is UM Health-West Hospital, at 5900 Byron Center SW Ave, Wyoming, MI 49519 in Kent County. The practice phone is (616) 252-7200.
- UM Health-West Hospital5900 Byron Center SW Ave, Wyoming, MI 49519 · Kent CountyPhone(616) 252-7200
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. James Douglas Birmingham is affiliated with 4 sites of care and 1 medical group
Dr. Birmingham's primary practice is UM Health-West Hospital in Wyoming, Michigan. Dr. Birmingham is also affiliated with University of Michigan Health-West Hospital. The medical group on file is AARA - The American Arthritis And Rheumatology Associates. Dmand AI also links Dr. Birmingham to 1 more hospital and 1 group practice or clinic, each named with a free account.
UM Health-West HospitalPrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. James Douglas Birmingham's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Birmingham practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| UM Health-West Hospital | 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. James Douglas Birmingham is one of 203 rheumatologists in Michigan
Rheumatology is Dr. Birmingham's primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Dr. Birmingham is licensed in Michigan.
Specialties and state licenses
- Rheumatology, MichiganPrimary
Rheumatologists near Dr. Birmingham
Counts of rheumatologists with a Dmand AI profile, by place and practice. Each opens the list.
203rheumatologists in Michigan
2rheumatologists in Wyoming
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. James Douglas Birmingham billed Medicare for 466 services in 2024
CMS data shows 466 Medicare services from Dr. Birmingham across 5 procedure codes in 2024, for 140 Medicare patients. Medicare paid $40,757 for them. Every service was in an office.
Medicare services, 2024466
Medicare patients140
Paid by Medicare$40,757
Procedure codes5
Dr. Birmingham's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1802024: 28558%
- Tests and treatments
- 2023: 912024: 12335%
- Other services
- 2023: 202024: 58190%
Dr. Birmingham compared with the Michigan median for rheumatologists, 2024
- Dr. Birmingham
- Michigan median
- Medicare services
- 466vs 40017% above
- Medicare patients
- 140vs 16214% below
- Part D claims
- 1,912vs 1,19959% above
Medians across 198 rheumatologists in Michigan with Dmand AI profiles that report each measure.
Dr. Birmingham's 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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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. James Douglas Birmingham treated 140 Medicare patients in 2024, average age 66
CMS counts 140 Medicare patients who saw Dr. Birmingham in 2024. The largest group is 65 to 74, with 66 patients. 75% of them have arthritis, and 51% have high blood pressure. 19% are also on Medicaid. Their average risk score is 1.35, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Birmingham's median patient age at 48, with 77% women.
Medicare patients, 2024140
Average age66
Average risk score1.35
Also on Medicaid19%
Dr. Birmingham's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Birmingham's Medicare patients by sex, 2024
- Women12287%
- Men1813%
Chronic conditions among Dr. Birmingham's Medicare patients, 2024
- Arthritis75%
- High blood pressure51%
- High cholesterol46%
- Anxiety39%
- Mood disorders35%
- Depression29%
- Diabetes22%
- Osteoporosis20%
Share of Medicare patients with each condition. A patient can have several.
Dr. Birmingham's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 48
Patient panel by sex, all payers
- Women77%
- Men23%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. James Douglas Birmingham wrote 2,022 Medicare Part D claims in 2024
In 2024, Dr. Birmingham wrote 2,022 Medicare Part D claims for 263 patients. 68% of them were for generic drugs. CMS names the drug for 1,912 of them, across 26 drugs with 11 or more claims each, at $3,462,844 in total drug cost. In 2023, CMS named 1,602 claims across 22 drugs.
Part D claims, 20242,022
Drugs named by CMS26
Total drug cost$3.5M
Part D patients263
Dr. Birmingham's Part D claims by kind of drug, 2024
- Generic1,383 claims68%
- Brand-name611 claims30%
- Other28 claims1%
Dr. Birmingham's 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.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1,6022024: 1,91219%
Drugs named by CMS: 26 in 2024, 22 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. James Douglas Birmingham offers telehealth to Medicare patients
Dr. Birmingham accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Birmingham as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. James Douglas Birmingham has 5 publications on record
Dmand AI links 5 papers to Dr. Birmingham, published from 2013 to 2019. The most frequent topics are Antirheumatic Agents, Arthritis, Rheumatoid and Decision Making. Dr. Birmingham's most frequent co-authors are Aaron T. Eggebeen, MD, Andrew J. Head, MD and Khalid Mohammed Abulaban, MD.
Papers5
Years published2013 to 2019
Dr. Birmingham's papers by year, 2013 to 2019
Topics Dr. Birmingham writes about most
- Antirheumatic Agents
- Arthritis, Rheumatoid
- Decision Making
- Interleukin 1 Receptor Antagonist Protein
- Macrophage Activation Syndrome
Dr. Birmingham's most frequent co-authors
- Aaron T. Eggebeen, MD2 shared papers
- Andrew J. Head, MD2 shared papers
- Khalid Mohammed Abulaban, MD1 shared paper
Recent publications by Dr. Birmingham
Pediatr Rheumatol Online J
Antibodies, MonoclonalAntirheumatic AgentsDrug Monitoring
BMC Med Inform Decis Mak
Antirheumatic AgentsArthritis, RheumatoidDecision Making
Anti-Inflammatory AgentsAntirheumatic AgentsC-Reactive Protein
See who Dr. Birmingham researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Birmingham works with, so you can find a warm path to the right rheumatologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. James Douglas Birmingham has worked on 1 clinical trial
Dmand AI links Dr. Birmingham to 1 clinical trial. 1 is still active or recruiting. Conditions studied include Negative rheumatoid factor polyarthritis and Arthritis, Juvenile.
Conditions in Dr. Birmingham's trials
- Negative rheumatoid factor polyarthritis
- Arthritis, Juvenile
Investigators on the most trials with Dr. Birmingham
- Khalid Mohammed Abulaban, MD1 shared trial
- Cassyanne L. Aguiar Lapsia, MD1 shared trial
- Eric Jon Allenspach, MD, PhD1 shared trial
Recent clinical trials with Dr. Birmingham
Observational Study of Pediatric Rheumatic Diseases: The CARRA Registry (opens in a new tab)
Recruiting
Negative rheumatoid factor polyarthritisArthritis, Juvenile
Sources: Dmand AI Research Linkage; and ClinicalTrials.gov (National Library of Medicine)
Dr. James Douglas Birmingham received $19,102 in industry payments from 2016 to 2025
CMS Open Payments shows 706 general payments to Dr. Birmingham from 34 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 61% of the total. Abbvie Inc. paid the most, $10,311.
General payments to Dr. Birmingham by program year, 2016 to 2025
General payments to Dr. Birmingham by kind, 2016 to 2025
$19.1Kin total
- Food and beverage$11,68561%
- Speaker and faculty fees$4,67524%
- Consulting fees$2,55013%
- Education$1921%
Companies that paid Dr. Birmingham 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. James Douglas Birmingham graduated from Ohio State University College of Medicine
Dr. Birmingham graduated from Ohio State University College of Medicine in 1998.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. James Douglas Birmingham'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 | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand 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) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Clinical trials and co-investigators | Dmand AI Research LinkageClinicalTrials.gov (National Library of Medicine) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile 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. James Douglas Birmingham
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. James Douglas Birmingham's NPI number?
Dr. James Douglas Birmingham's NPI number is 1891811543. It was assigned on March 22, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. James Douglas Birmingham?
Dr. James Douglas Birmingham is a rheumatologist in Wyoming, Michigan. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).
Where does Dr. James Douglas Birmingham practice?
Dr. Birmingham practices at 5900 Byron Center SW Ave, Wyoming, MI 49519. Dr. Birmingham's primary practice is UM Health-West Hospital in Wyoming, Michigan. Dmand AI also links Dr. Birmingham to 1 hospital and 1 group practice or clinic.
What is Dr. James Douglas Birmingham's office phone number?
The practice phone on file for Dr. Birmingham is (616) 252-7200.
What is Dr. James Douglas Birmingham's medical license number?
Dr. Birmingham holds Michigan license 4301072323.
Which hospitals is Dr. James Douglas Birmingham affiliated with?
Dr. Birmingham is affiliated with University of Michigan Health-West Hospital. Dmand AI links Dr. Birmingham to 1 more hospital.
What medical group is Dr. James Douglas Birmingham part of?
Dr. Birmingham is linked to AARA - The American Arthritis And Rheumatology Associates.
Does Dr. James Douglas Birmingham accept Medicare?
Yes. CMS data shows Dr. Birmingham billed Medicare for 466 services in 2024, and Dr. Birmingham accepts Medicare assignment.
Does Dr. James Douglas Birmingham offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Birmingham as offering telehealth services.
How many Medicare patients does Dr. James Douglas Birmingham see?
CMS counts 140 Medicare patients who saw Dr. Birmingham in 2024, with an average age of 66.
Show 7 more questionsShow fewer questions
What services does Dr. James Douglas Birmingham bill to Medicare?
In 2024, Dr. Birmingham's most billed Medicare services were office visit, established patient (99215), infusion or chemotherapy administration (96413) and office visit, established patient (99214).
Where did Dr. James Douglas Birmingham go to medical school?
Dr. Birmingham graduated from Ohio State University College of Medicine in 1998.
What drugs does Dr. James Douglas Birmingham prescribe most?
In 2024 Medicare Part D data, Dr. Birmingham's most prescribed drugs by claims were Hydroxychloroquine Sulfate, Methotrexate and Prednisone.
Has Dr. James Douglas Birmingham received payments from drug or device companies?
CMS Open Payments shows $19,102 in general payments to Dr. Birmingham from 34 companies from 2016 to 2025. The largest total came from Abbvie Inc.
How long has Dr. James Douglas Birmingham been practicing?
Dr. Birmingham graduated from medical school in 1998, 28 years ago.
Does Dr. James Douglas Birmingham do research?
Dmand AI links 5 publications to Dr. Birmingham, published from 2013 to 2019. Dr. Birmingham has worked on 1 clinical trial.
Who does Dr. James Douglas Birmingham publish with?
Dr. Birmingham's most frequent co-authors are Aaron T. Eggebeen, MD (2 shared papers), Andrew J. Head, MD (2 shared papers) and Khalid Mohammed Abulaban, MD (1 shared paper).
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