James Cagney Bigham, P.A.
NPI 1962837245ActiveIndividual· Physician Assistant· Mesa, AZ
Opted out of Medicare from October 2026 to October 2028. Physician Assistant (P.A.) in Mesa, Arizona, licensed in AZ, with an NPI issued in September 2013. Their prescriptions cost Medicare Part D more than their services did: $407,385 for 4,980 claims, against $73,162 paid for services in 2024. Boston Scientific Corporation was the largest of 12 companies reporting payments in 2025, $2,016 in all, mostly food and beverage.
Overview
| NPI | 1962837245 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | Yes |
| NPI issued | Sep 5, 2013 |
| Last updated in NPPES | Aug 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5441 | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 1, 2026 – Oct 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 242 |
|---|---|
| Services billed | 3,773 across 21 procedure codes |
| Paid by Medicare | $73,162 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,980 · 5,808 30-day fills |
|---|---|
| Patients | 454 |
| Total drug cost | $407,385 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
- 2025$2,016 · 122 payments from 12 companies
- 2024$2,120 · 138 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $442.24 | 23 |
| Collegium Pharmaceutical, Inc. | $316.87 | 39 |
| Pfizer Inc. | $310.92 | 8 |
| Axsome Therapeutics, Inc. | $290.89 | 5 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $204.47 | 31 |
What the 2025 payments were for
- Food and Beverage$2,016 · 122 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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