James P. Twesten-Otoole, MD
NPI 1174599344ActiveIndividual· Family Medicine, Addiction Medicine· Norton Shores, MI
Family Medicine, Addiction Medicine (MD) in Norton Shores, Michigan, trained at University of Michigan Medical School (class of 1998). Their prescriptions cost Medicare Part D more than their services did: $141,425 for 983 claims, against $7,330 paid for services in 2024.
Overview
| NPI | 1174599344 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 27, 2006 |
| Last updated in NPPES | Jul 11, 2023 |
| Certified by provider | Jul 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Addiction Medicine Primary | 207QA0401X | 4301072802 | MI |
| Family Medicine | 207Q00000X | 4301072802 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Addiction Medicine (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 145 across 8 procedure codes |
| Paid by Medicare | $7,330 |
Part D prescriptions in 2024
| Prescriptions (claims) | 983 · 1,675 30-day fills |
|---|---|
| Patients | 247 |
| Total drug cost | $141,425 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of Michigan Medical School |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Addiction Medicine |
| Secondary specialties | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Mercy Physician NetworkSpring Lake, MI · 112 clinicians
Hospital affiliation
- Trinity Health Muskegon HospitalMuskegon, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records