James Michael Francis, M.D.
NPI 1508878349ActiveIndividual· Internal Medicine, Nephrology· Lexington, KY
Internal Medicine, Nephrology (M.D.) in Lexington, Kentucky, trained at University of Louisville School of Medicine (class of 2002). Their prescriptions cost Medicare Part D more than their services did: $493,769 for 1,394 claims, against $158,946 paid for services in 2024. Fresenius USA Marketing, Inc. was the largest of 15 companies reporting payments in 2025, $1,026 in all, mostly food and beverage.
Overview
| NPI | 1508878349 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 12, 2006 |
| Last updated in NPPES | Apr 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 39402 | KY |
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 - Neurology (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 524 |
|---|---|
| Services billed | 1,842 across 24 procedure codes |
| Paid by Medicare | $158,946 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,394 · 2,622 30-day fills |
|---|---|
| Patients | 308 |
| Total drug cost | $493,769 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University of Louisville School of Medicine |
|---|---|
| Graduation year | 2002 |
| Medicare specialty | Neurology |
Medical group
- Nephrology Associates of Lexington PSCLexington, KY · 7 clinicians
Hospital affiliations
- Baptist Health CorbinCorbin, KY
- Baptist Health LexingtonLexington, KY
- Baptist Health RichmondRichmond, KY
- Saint Joseph EastLexington, KY
- Saint Joseph HospitalLexington, KY
Other facilities
- Fmc - JacksonDialysis facility · Jackson, KY
- Fmc- Lexington South DialysisDialysis facility · Lexington, KY
Industry payments (Open Payments)
- 2025$1,026 · 53 payments from 15 companies
- 2024$748.82 · 41 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Fresenius USA Marketing, Inc. | $190.62 | 13 |
| Novartis Pharmaceuticals Corporation | $167.95 | 10 |
| Travere Therapeutics, Inc. | $154.92 | 5 |
| Astrazeneca Pharmaceuticals LP | $97.79 | 4 |
| Calliditas Therapeutics US Inc. | $72.63 | 4 |
What the 2025 payments were for
- Food and Beverage$971.04 · 50 payments
- Education$54.98 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 nephrologists in Lexington · All nephrologists in Kentucky