# James D Birmingham, MD

Source: https://ourhealthnetwork.com/doctor/james-birmingham-md-1891811543
NPI: 1891811543
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

James D Birmingham, MD is a rheumatology based in Ada, MI practicing at American Arthritis And Rheumatology Associates -mi Pllc with NPI 1891811543 and offers telehealth visits.

## Profile

- Primary specialty: Rheumatology
- Secondary specialties: PEDIATRIC MEDICINE
- Credential: MD
- Gender: Male
- Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
- Graduation year: 1998
- Telehealth: Yes
- NPI: 1891811543 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1891811543))

## Practice and contact

- Practice name: American Arthritis And Rheumatology Associates -mi Pllc
- Address: 6741 Fulton St E, Ada, MI, 493019502
- Phone: (616) 320-5330
- Group practice size: 7 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 62.85/100
- Quality category score: 66.85/100
- Improvement Activities score: 40.00/100
- Cost category score: 20.369/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (7 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Highmark BCBS Delaware](https://ourhealthnetwork.com/insurance/highmark-bcbs-delaware) — 11 plans
- [Highmark BCBS WV](https://ourhealthnetwork.com/insurance/highmark-bcbs-wv) — 6 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 6 plans
- [BCBS Michigan](https://ourhealthnetwork.com/insurance/bcbs-michigan) — 3 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 2 plans
- [Highmark BCBS Pennsylvania](https://ourhealthnetwork.com/insurance/highmark-bcbs-pennsylvania) — 1 plan
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers James D Birmingham, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1891811543).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 171 disclosed payments from medical industry sources totaling approximately $7,476.

Largest disclosed payer: ABBVIE INC. ($5,346 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Rheumatology doctors in ADA, MI](https://ourhealthnetwork.com/rheumatology/mi/ada)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1891811543)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)