James Kevin Royal, DR.
NPI 1790872174ActiveIndividual· Internal Medicine· Opelika, AL
Internal Medicine (DR.) in Opelika, Alabama, trained at University of Alabama School of Medicine (class of 1994). Their prescriptions cost Medicare Part D more than their services did: $1,800,404 for 20,686 claims, against $151,019 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 9 companies reporting payments in 2025, $622.46 in all, mostly food and beverage.
Overview
| NPI | 1790872174 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DR. |
| Sole proprietor | No |
| NPI issued | Oct 6, 2006 |
| Last updated in NPPES | Jun 24, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 21764 | AL |
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 - Internal Medicine (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 466 |
|---|---|
| Services billed | 4,977 across 63 procedure codes |
| Paid by Medicare | $151,019 |
Part D prescriptions in 2024
| Prescriptions (claims) | 20,686 · 45,886 30-day fills |
|---|---|
| Patients | 1,292 |
| Total drug cost | $1,800,404 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of Alabama School of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Internal Medicine Associates P.C.Opelika, AL · 39 clinicians
Hospital affiliation
- The East Alabama Healthcare AuthorityOpelika, AL
Other facilities
- Amedisys Home Health of OpelikaHome health agency · Opelika, AL
- Enhabit Home HealthHome health agency · Troy, AL
- Homecare of East Alabama Medical CenterHome health agency · Auburn, AL
- Prohealth Home HealthHome health agency · Auburn, AL
Industry payments (Open Payments)
- 2025$622.46 · 37 payments from 9 companies
- 2024$949.63 · 56 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $180.87 | 15 |
| Abbott Laboratories | $103.26 | 5 |
| Novo Nordisk Inc | $103.07 | 5 |
| Pfizer Inc. | $91.38 | 4 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $44.07 | 3 |
What the 2025 payments were for
- Food and Beverage$622.46 · 37 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 internal medicine physicians in Opelika · All internal medicine physicians in Alabama