James R. Doran, MD
NPI 1942249610ActiveIndividual· Family Medicine· Higganum, CT
Family Medicine (MD) in Higganum, Connecticut, trained at State University of New York at Buffalo School of Medicine (class of 2001). Their prescriptions cost Medicare Part D more than their services did: $558,423 for 6,135 claims, against $63,295 paid for services in 2024.
Overview
| NPI | 1942249610 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 6, 2006 |
| Last updated in NPPES | Dec 12, 2025 |
| Certified by provider | Dec 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 51345 | CT |
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 - Family Practice (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 155 |
|---|---|
| Services billed | 915 across 36 procedure codes |
| Paid by Medicare | $63,295 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,135 · 13,981 30-day fills |
|---|---|
| Patients | 506 |
| Total drug cost | $558,423 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | State University of New York at Buffalo School of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Prospect CT Medical Foundation IncManchester, CT · 282 clinicians
- Prohealth Physicians PCWinsted, CT · 213 clinicians
Hospital affiliations
- Day Kimball HospitalPutnam, CT
- Manchester Memorial HospitalManchester, CT
- Middlesex HospitalMiddletown, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family medicine physicians in Higganum
- 1306884341
- 1558372805
- 1447260336
- 1366246910
- 1134139140