MR. JOSEPH A JAMES MD
Prescription History 1699761221
Internal Medicine in Richmond, VA
What does Dr. James prescribe?
In 2024, Dr. James wrote 954 Medicare prescriptions for 40 medications. The most prescribed was Amlodipine Besylate, with 97 prescriptions for 56 patients.
Medicare Part D only. These are prescriptions filled by people with Medicare drug coverage in 2024, from the CMS data released in 2026, the most recent year available. CMS does not publish medications with fewer than 11 prescriptions, so this is not a full list of what Dr. James prescribes.
Medications 40 medications
Prescriptions filled under Medicare Part D in 2024. Select a medication to see what it is used for and how it compares with other Virginia prescribers.
What it is used for
Amlodipine is used with or without other medications to treat high blood pressure.
Compared with Virginia prescribers
Dr. James wrote 97 prescriptions for Amlodipine Besylate, about 69% as often as the typical Virginia prescriber of it (141). Medicare paid $3.71 per fill, versus $5.81 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Virginia prescribers
Dr. James wrote 60 prescriptions for Atorvastatin Calcium, about 34% as often as the typical Virginia prescriber of it (175). Medicare paid $9.28 per fill, versus $9.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Virginia prescribers
Dr. James wrote 44 prescriptions for Diclofenac Sodium, about as often as the typical Virginia prescriber of it (43). Medicare paid $5.14 per fill, versus $28.31 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with Virginia prescribers
Dr. James wrote 43 prescriptions for Losartan Potassium, about 40% as often as the typical Virginia prescriber of it (106). Medicare paid $9.46 per fill, versus $8.85 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high blood pressure.
Compared with Virginia prescribers
Dr. James wrote 38 prescriptions for Hydrochlorothiazide, about half as often as the typical Virginia prescriber of it (75). Medicare paid $1.81 per fill, versus $3.88 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This drug is used to treat high blood pressure.
Compared with Virginia prescribers
Dr. James wrote 38 prescriptions for Losartan-Hydrochlorothiazide, about as often as the typical Virginia prescriber of it (38). Medicare paid $10.09 per fill, versus $11.08 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Rosuvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Virginia prescribers
Dr. James wrote 35 prescriptions for Rosuvastatin Calcium, about 33% as often as the typical Virginia prescriber of it (107). Medicare paid $8.45 per fill, versus $12.97 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure.
Compared with Virginia prescribers
Dr. James wrote 34 prescriptions for Metoprolol Succinate, about 36% as often as the typical Virginia prescriber of it (95). Medicare paid $8.96 per fill, versus $13.15 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Virginia prescribers
Dr. James wrote 33 prescriptions for Levothyroxine Sodium, about 25% as often as the typical Virginia prescriber of it (133). Medicare paid $11.12 per fill, versus $10.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pravastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Virginia prescribers
Dr. James wrote 32 prescriptions for Pravastatin Sodium, about 60% as often as the typical Virginia prescriber of it (53). Medicare paid $6.98 per fill, versus $11.34 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Lisinopril is used to treat high blood pressure.
Compared with Virginia prescribers
Dr. James wrote 31 prescriptions for Lisinopril, about 30% as often as the typical Virginia prescriber of it (103). Medicare paid $5.49 per fill, versus $6.16 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Virginia prescribers
Dr. James wrote 29 prescriptions for Metformin Hcl, about 34% as often as the typical Virginia prescriber of it (84). Medicare paid $5.08 per fill, versus $6.76 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing.
Compared with Virginia prescribers
Dr. James wrote 27 prescriptions for Fluticasone Propionate, about half as often as the typical Virginia prescriber of it (48). Medicare paid $6.60 per fill, versus $14.95 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with Virginia prescribers
Dr. James wrote 27 prescriptions for Tamsulosin Hcl, about 34% as often as the typical Virginia prescriber of it (80). Medicare paid $7.97 per fill, versus $13.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Azithromycin is used to treat a wide variety of bacterial infections.
Compared with Virginia prescribers
Dr. James wrote 26 prescriptions for Azithromycin, about 78% as often as the typical Virginia prescriber of it (33). Medicare paid $3.63 per fill, versus $5.74 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Virginia prescribers
Dr. James wrote 21 prescriptions for Simvastatin, about 31% as often as the typical Virginia prescriber of it (68). Medicare paid $12.38 per fill, versus $7.74 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high blood pressure.
Compared with Virginia prescribers
Dr. James wrote 19 prescriptions for Lisinopril-Hydrochlorothiazide, about half as often as the typical Virginia prescriber of it (39). Medicare paid $4.77 per fill, versus $6.85 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with Virginia prescribers
Dr. James wrote 19 prescriptions for Omeprazole, about 21% as often as the typical Virginia prescriber of it (91). Medicare paid $11.33 per fill, versus $11.75 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease).
Compared with Virginia prescribers
Dr. James wrote 18 prescriptions for Albuterol Sulfate Hfa, about 28% as often as the typical Virginia prescriber of it (65). Medicare paid $20.80 per fill, versus $26.36 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Hydroxyzine is used to treat itching caused by allergies.
Compared with Virginia prescribers
Dr. James wrote 18 prescriptions for Hydroxyzine Hcl, about half as often as the typical Virginia prescriber of it (30). Medicare paid $4.63 per fill, versus $14.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Allopurinol is used to treat gout and certain types of kidney stones.
Compared with Virginia prescribers
Dr. James wrote 17 prescriptions for Allopurinol, about 35% as often as the typical Virginia prescriber of it (49). Medicare paid $8.77 per fill, versus $8.76 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Carvedilol is used to treat high blood pressure and heart failure.
Compared with Virginia prescribers
Dr. James wrote 17 prescriptions for Carvedilol, about 27% as often as the typical Virginia prescriber of it (64). Medicare paid $1.73 per fill, versus $8.08 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders.
Compared with Virginia prescribers
Dr. James wrote 17 prescriptions for Methylprednisolone, about half as often as the typical Virginia prescriber of it (36). Medicare paid $5.97 per fill, versus $6.84 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Virginia prescribers
Dr. James wrote 15 prescriptions for Metformin Hcl Er, about 26% as often as the typical Virginia prescriber of it (58). Medicare paid $7.02 per fill, versus $8.58 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation).
Compared with Virginia prescribers
Dr. James wrote 14 prescriptions for Celecoxib, about 38% as often as the typical Virginia prescriber of it (37). Medicare paid $27.81 per fill, versus $31.32 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Virginia prescribers
Dr. James wrote 14 prescriptions for Lantus Solostar, about 33% as often as the typical Virginia prescriber of it (42). Medicare paid $149.06 per fill, versus $129.92 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder).
Compared with Virginia prescribers
Dr. James wrote 14 prescriptions for Sertraline Hcl, about 24% as often as the typical Virginia prescriber of it (59). Medicare paid $8.82 per fill, versus $9.17 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cefuroxime is used to treat a wide variety of bacterial infections.
Compared with Virginia prescribers
Dr. James wrote 13 prescriptions for Cefuroxime, about half as often as the typical Virginia prescriber of it (29). Medicare paid $8.76 per fill, versus $15.63 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of bacterial infections.
Compared with Virginia prescribers
Dr. James wrote 13 prescriptions for Ciprofloxacin Hcl, about half as often as the typical Virginia prescriber of it (27). Medicare paid $4.57 per fill, versus $6.56 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cyclobenzaprine is used short-term to treat muscle spasms.
Compared with Virginia prescribers
Dr. James wrote 13 prescriptions for Cyclobenzaprine Hcl, about 35% as often as the typical Virginia prescriber of it (37). Medicare paid $3.52 per fill, versus $8.00 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Virginia prescribers
Dr. James wrote 13 prescriptions for Tramadol Hcl, about 26% as often as the typical Virginia prescriber of it (50). Medicare paid $2.14 per fill, versus $7.14 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Virginia prescribers
Dr. James wrote 12 prescriptions for Januvia, about 37% as often as the typical Virginia prescriber of it (32). Medicare paid $807.65 per fill, versus $961.14 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metoprolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with Virginia prescribers
Dr. James wrote 12 prescriptions for Metoprolol Tartrate, about 20% as often as the typical Virginia prescriber of it (61). Medicare paid $4.60 per fill, versus $6.35 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Virginia prescribers
Dr. James wrote 12 prescriptions for Mirtazapine, about 28% as often as the typical Virginia prescriber of it (43). Medicare paid $20.52 per fill, versus $20.02 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Virginia prescribers
Dr. James wrote 12 prescriptions for Ozempic, about 23% as often as the typical Virginia prescriber of it (52). Medicare paid $952.42 per fill, versus $1,312.34 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Spironolactone is used to treat high blood pressure and heart failure.
Compared with Virginia prescribers
Dr. James wrote 12 prescriptions for Spironolactone, about 27% as often as the typical Virginia prescriber of it (45). Medicare paid $6.97 per fill, versus $8.44 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Virginia prescribers
Dr. James wrote 12 prescriptions for Trazodone Hcl, about 19% as often as the typical Virginia prescriber of it (63). Medicare paid $7.90 per fill, versus $8.61 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to prevent or treat gout attacks (flares).
Compared with Virginia prescribers
Dr. James wrote 11 prescriptions for Colchicine, about half as often as the typical Virginia prescriber of it (22). Medicare paid $31.06 per fill, versus $60.63 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery.
Compared with Virginia prescribers
Dr. James wrote 11 prescriptions for Eliquis, about 13% as often as the typical Virginia prescriber of it (85). Medicare paid $783.05 per fill, versus $886.94 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Virginia prescribers
Dr. James wrote 11 prescriptions for Glimepiride, about 25% as often as the typical Virginia prescriber of it (43). Medicare paid $7.15 per fill, versus $7.25 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Dr. James’s prescriptions
What does Dr. James prescribe most?
In 2024 Medicare Part D data, Dr. James's most prescribed medications were Amlodipine Besylate (97), Atorvastatin Calcium (60) and Diclofenac Sodium (44).
How does Dr. James's prescribing compare with other Virginia prescribers?
Of the 40 medications with a state comparison, Dr. James prescribes 3 about as often than the typical Virginia prescriber and 37 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. James prescribes?
No. It covers prescriptions filled by people with Medicare Part D drug coverage in 2024, and CMS leaves out any medication with fewer than 11 prescriptions.
About this data
This page shows one provider’s slice of public Medicare files. NPI Profile does not receive prescriptions or patient records.
| Source | What it provides here | Data year |
|---|---|---|
| CMS Medicare Part D Prescribers by Provider and Drug | Each medication, prescriptions, patients, 30-day fills, days of medication and cost. State comparisons average the Virginia prescribers of the same medication and form, where at least five wrote it. | 2024 (released 2026, the most recent available) |
| CMS Medicare Part D Drug Spending Dashboard | What each medication is used for. | 2024 |
- Only prescriptions filled by people with Medicare Part D drug coverage are counted. Private insurance, Medicaid and cash purchases are not.
- CMS leaves out medications with fewer than 11 prescriptions and hides patient counts under 11.
- Cost per fill is what the plan and the patient paid the pharmacy together, not what you pay at the counter.
- Medication descriptions are summaries from CMS. They are not medical advice; ask a health care professional about any medication.
