James Douglas Birmingham, MD
NPI 1891811543ActiveIndividual· Internal Medicine, Rheumatology· Ada, MI
Internal Medicine, Rheumatology (MD) in Ada, Michigan, trained at Ohio State University College of Medicine (class of 1998). Their prescriptions cost Medicare Part D more than their services did: $3,910,785 for 2,022 claims, against $377,254 paid for services in 2024. Abbvie Inc. was the largest of 19 companies reporting payments in 2025, $5,994 in all, mostly food and beverage.
Overview
| NPI | 1891811543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | 4301072323 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Rheumatology (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 140 |
|---|---|
| Services billed | 47,899 across 32 procedure codes |
| Paid by Medicare | $377,254 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,022 · 3,332 30-day fills |
|---|---|
| Patients | 263 |
| Total drug cost | $3,910,785 |
| Generic share | 68% of claims |
Education and affiliations
| Medical school | Ohio State University College of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Rheumatology |
| Secondary specialties | Pediatric Medicine |
| Telehealth | Offers telehealth |
Medical group
- American Arthritis and Rheumatology Associates -Mi PLLCPort Huron, MI · 12 clinicians
Hospital affiliations
- Spectrum HealthGrand Rapids, MI
- University of Michigan Health - WestWyoming, MI
Industry payments (Open Payments)
- 2025$5,994 · 184 payments from 19 companies
- 2024$7,587 · 187 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $3,552 | 72 |
| Amgen Inc. | $535.94 | 36 |
| Ucb, Inc. | $396.13 | 11 |
| Genzyme Corporation | $378.42 | 5 |
| Novartis Pharmaceuticals Corporation | $375.45 | 19 |
What the 2025 payments were for
- Food and Beverage$3,444 · 182 payments
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$2,550 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine, Rheumatology providers in Ada
- 1578806113