James Robert Lepage Jr., D.O.
NPI 1083146922ActiveIndividual· Psychiatry & Neurology, Psychiatry· Mobile, AL
Psychiatry & Neurology, Psychiatry (D.O.) in Mobile, Alabama, trained at Alabama College of Osteopathic Medicine (class of 2017). Their prescriptions cost Medicare Part D more than their services did: $47,937 for 297 claims, against $7,868 paid for services in 2024. Neurocrine Biosciences, Inc. was the largest of 7 companies reporting payments in 2025, $1,870 in all, mostly food and beverage.
Overview
| NPI | 1083146922 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Mar 30, 2017 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | DO.1938 | AL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 201 across 7 procedure codes |
| Paid by Medicare | $7,868 |
Part D prescriptions in 2024
| Prescriptions (claims) | 297 · 317 30-day fills |
|---|---|
| Patients | 68 |
| Total drug cost | $47,937 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Alabama College of Osteopathic Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Psychiatry |
Medical group
- Altapointe Health Systems IncMobile, AL · 101 clinicians
Industry payments (Open Payments)
- 2025$1,870 · 88 payments from 7 companies
- 2024$846.30 · 41 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $600.12 | 21 |
| E.R. Squibb & Sons, L.L.C. | $371.28 | 23 |
| Teva Pharmaceuticals USA, Inc. | $283.91 | 14 |
| Otsuka America Pharmaceutical, Inc. | $254.12 | 14 |
| Alkermes, Inc. | $247.47 | 11 |
What the 2025 payments were for
- Food and Beverage$1,866 · 87 payments
- Education$3.79 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 92 psychiatrists in Mobile · All psychiatrists in Alabama