Dr. James R. Cain III, MD

  • Sumter, SC
  • Nephrologist
NPI1174615868PAC ID5092991976
Medicare services, 2024
2,399
Medicare patients, 2024
253
Part D claims, 2024
2,739
MIPS score, 2024
23
Hospital affiliations
3
Practice address
635 W Wesmark Blvd, Sumter, SC 29150
Practice phone
Call (803) 469-7500
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Sumter Medical Specialists PA

Sumter, South Carolina

See all 10 affiliations

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Dr. James R. Cain III is a nephrologist in Sumter, South Carolina

Dr. Cain practices at Sumter Medical Specialists PA in Sumter, South Carolina.

Dr. Cain's NPI, 1174615868, was assigned on September 29, 2006. Dr. Cain graduated from Medical University of South Carolina College of Medicine in 1976. Dr. Cain holds South Carolina license 08460.

NPI and contact details
Medicare PAC ID
5092991976
NPI enumeration date
September 29, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(803) 469-7500
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
76
Medical school graduation
1976

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. James R. Cain III practices at Sumter Medical Specialists PA in Sumter, South Carolina

Dr. Cain's primary practice is Sumter Medical Specialists PA, at 635 W Wesmark Blvd, Sumter, SC 29150 in Sumter County. The practice phone is (803) 469-7500.

  • Sumter Medical Specialists PA
    635 W Wesmark Blvd, Sumter, SC 29150 · Sumter CountyPhone(803) 469-7500

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. James R. Cain III is affiliated with 8 sites of care and 2 medical groups

Dr. Cain's primary practice is Sumter Medical Specialists PA in Sumter, South Carolina. Dr. Cain is also affiliated with Prisma Health Tuomey Hospital. The medical group on file is MUSC Community Physicians. Dmand AI also links Dr. Cain to 2 more hospitals, 2 dialysis centers, 2 group practices and clinics and 1 medical group, each named with a free account.

See all 10 affiliations for Dr. Cain

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. James R. Cain III's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Cain practices, 7 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Sumter Medical Specialists PAAvailable with a free account
+7 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. James R. Cain III is one of 156 nephrologists in South Carolina

Nephrology is Dr. Cain's primary specialty in the NPI Registry, under taxonomy code 207RN0300X. Dr. Cain is board certified in internal medicine by the American Board of Internal Medicine. Dr. Cain is licensed in South Carolina.

Specialties and state licenses

  • Nephrology, South CarolinaPrimaryLicense 08460 · taxonomy 207RN0300X

Nephrologists near Dr. Cain

Counts of nephrologists with a Dmand AI profile, by place and practice. Each opens the list.

156nephrologists in South Carolina
8nephrologists in Sumter

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. James R. Cain III billed Medicare for 2,399 services in 2024

CMS data shows 2,399 Medicare services from Dr. Cain across 32 procedure codes in 2024, for 253 Medicare patients. Medicare paid $114,733 for them.

Medicare services, 20242,399
Medicare patients253
Paid by Medicare$114,733
Procedure codes32

Dr. Cain's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Lab and pathology
2023: 1,8572024: 1,16837%
Office and hospital visits
2023: 8472024: 57832%
Tests and treatments
2023: 3632024: 3387%
Surgery
2023: 3472024: 27920%
Other services
2023: 5322024: 3693%

Where Dr. Cain's Medicare services took place, 2024

  • In an office1,96382%
  • In a facility43618%

Dr. Cain compared with the South Carolina median for nephrologists, 2024

  • Dr. Cain
  • South Carolina median
Medicare services
2,399vs 1,63946% above
Medicare patients
253vs 41339% below
Part D claims
2,357vs 7203.3 times

Medians across 155 nephrologists in South Carolina with Dmand AI profiles that report each measure.

Dr. Cain'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.

See all procedures by Dr. Cain

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Cain and other nephrologists in South Carolina.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. James R. Cain III treated 253 Medicare patients in 2024, average age 72

CMS counts 253 Medicare patients who saw Dr. Cain in 2024. The largest group is 65 to 74, with 85 patients. 75% of them have chronic kidney disease, and 75% have high blood pressure. 28% are also on Medicaid. Their average risk score is 5.48, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Cain's median patient age at 70, with 53% women.

Medicare patients, 2024253
Average age72
Average risk score5.48
Also on Medicaid28%

Dr. Cain's Medicare patients by age, 2024

Dr. Cain's Medicare patients by sex, 2024

  • Women13051%
  • Men12349%

Chronic conditions among Dr. Cain's Medicare patients, 2024

  1. Chronic kidney disease75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Diabetes73%
  5. Heart failure56%
  6. Arthritis54%
  7. Ischemic heart disease42%
  8. Mood disorders29%

Share of Medicare patients with each condition. A patient can have several.

Dr. Cain's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women53%
  • Men47%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. James R. Cain III wrote 2,739 Medicare Part D claims in 2024

In 2024, Dr. Cain wrote 2,739 Medicare Part D claims for 254 patients. 76% of them were for generic drugs. CMS names the drug for 2,357 of them, across 51 drugs with 11 or more claims each, at $554,772 in total drug cost. In 2023, CMS named 2,592 claims across 58 drugs.

Part D claims, 20242,739
Drugs named by CMS51
Total drug cost$554,772
Part D patients254

Dr. Cain's Part D claims by kind of drug, 2024

  • Generic2,072 claims76%
  • Brand-name653 claims24%
  • Other14 claims1%

Dr. Cain'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.

Drug classes CMS tracks in Dr. Cain's Part D claims, 2024

  • Antibiotics0%12 of 2,739 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: 2,5922024: 2,3579%

Drugs named by CMS: 51 in 2024, 58 in 2023.

See all prescribing by Dr. Cain

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 R. Cain III scored 23 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 23 out of 100 for Dr. Cain for performance year 2024, reported individually. Dr. Cain accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Cain's MIPS scores, performance year 2024

  • 23of 100Final score
  • 0of 100Quality
  • 0of 100Improvement Activities
  • 77of 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. James R. Cain III received $5,527 in industry payments from 2016 to 2025

CMS Open Payments shows 283 general payments to Dr. Cain from 43 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Amgen Inc. paid the most, $759.

General payments to Dr. Cain by program year, 2016 to 2025

General payments to Dr. Cain by kind, 2016 to 2025

$5.5Kin total
  • Food and beverage$5,46699%
  • Education$601%

Companies that paid Dr. Cain the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Cain

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. James R. Cain III graduated from Medical University of South Carolina College of Medicine

Dr. Cain graduated from Medical University of South Carolina College of Medicine in 1976.

  1. Medical schoolMedical University of South Carolina College of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine
  3. Board certified in nephrologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. James R. Cain III's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare 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 percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. James R. Cain III

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 R. Cain III's NPI number?

Dr. James R. Cain III's NPI number is 1174615868. It was assigned on September 29, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. James R. Cain III?

Dr. James R. Cain III is a nephrologist in Sumter, South Carolina. The primary specialty in the NPI Registry is Nephrology Physician (taxonomy code 207RN0300X).

Where does Dr. James R. Cain III practice?

Dr. Cain practices at 635 W Wesmark Blvd, Sumter, SC 29150. Dr. Cain's primary practice is Sumter Medical Specialists PA in Sumter, South Carolina. Dmand AI also links Dr. Cain to 2 hospitals, 2 dialysis centers, 2 group practices and clinics and 1 medical group.

What is Dr. James R. Cain III's office phone number?

The practice phone on file for Dr. Cain is (803) 469-7500.

What is Dr. James R. Cain III's medical license number?

Dr. Cain holds South Carolina license 08460.

Which hospitals is Dr. James R. Cain III affiliated with?

Dr. Cain is affiliated with Prisma Health Tuomey Hospital. Dmand AI links Dr. Cain to 2 more hospitals.

What medical group is Dr. James R. Cain III part of?

Dr. Cain is linked to MUSC Community Physicians. Dmand AI links Dr. Cain to 1 more medical group.

Does Dr. James R. Cain III accept Medicare?

Yes. CMS data shows Dr. Cain billed Medicare for 2,399 services in 2024, and Dr. Cain accepts Medicare assignment.

What is Dr. James R. Cain III's MIPS score?

Dr. Cain's MIPS final score for performance year 2024 is 23 out of 100, reported individually.

How many Medicare patients does Dr. James R. Cain III see?

CMS counts 253 Medicare patients who saw Dr. Cain in 2024, with an average age of 72.

Show 6 more questionsShow fewer questions

Is Dr. James R. Cain III board certified?

Yes. Dr. Cain is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. James R. Cain III bill to Medicare?

In 2024, Dr. Cain's most billed Medicare services were surgery: heart and blood vessels (36415), office visit, established patient (99214) and lab and pathology test (85025).

Where did Dr. James R. Cain III go to medical school?

Dr. Cain graduated from Medical University of South Carolina College of Medicine in 1976.

What drugs does Dr. James R. Cain III prescribe most?

In 2024 Medicare Part D data, Dr. Cain's most prescribed drugs by claims were Carvedilol, Farxiga and Losartan Potassium.

Has Dr. James R. Cain III received payments from drug or device companies?

CMS Open Payments shows $5,527 in general payments to Dr. Cain from 43 companies from 2016 to 2025. The largest total came from Amgen Inc.

How long has Dr. James R. Cain III been practicing?

Dr. Cain graduated from medical school in 1976, 50 years ago.

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