2026 NPPES data Foot & Ankle Surgery Podiatrist NPI 1710280037 DPM
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JAMES APPLETON, DPM

Foot & Ankle Surgery Podiatrist in PAWTUCKET, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
504
Medicare Part D claims · 215 beneficiaries · Foot & Ankle Surgery Podiatrist avg: 309
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$1.2K
24 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES APPLETON, DPM is a Foot & Ankle Surgery Podiatrist ([object Object]) practicing in PAWTUCKET, Rhode Island with a Medicare Part D prescribing footprint of 504 claims across 215 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.2K across 24 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES APPLETON, DPM reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 504 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JAMES APPLETON, DPM at a glance

Below national average

NPI registry status

Active

Issued 12/08/2010

NPI 1710280037

Primary specialty

Foot & Ankle Surgery Podiatrist

Mid-sized

8,920 US NPIs in this specialty

Medicare Part D claims

504 63% vs specialty avg

2023 prescription claims

Specialty avg: 309

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Rhode Island

How Foot & Ankle Surgery Podiatrist compares to other specialties among Rhode Island providers

Rhode Island providers

Foot & Ankle Surgery Podiatrist share within Rhode Island

1. Foot & Ankle Surgery Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Foot & Ankle Surgery Podiatrist share within Rhode Island

Medicare quality performance — MIPS

JAMES APPLETON, DPM's 2023 MIPS final score plotted against the Foot & Ankle Surgery Podiatrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Foot & Ankle Surgery Podiatrist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Foot & Ankle Surgery Podiatrist) — 0/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JAMES APPLETON, DPM is a Foot & Ankle Surgery Podiatrist provider practicing in PAWTUCKET, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DPM. NPI: 1710280037. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES APPLETON, DPM appears in the CMS NPPES registry as a Foot & Ankle Surgery Podiatrist provider holding DPM credentials at 649 EAST AVE, PAWTUCKET, RI, 02860, with a listed phone of (401) 305-3800. NPI 1710280037 was issued on 12/08/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what APPLETON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 504 prescription claims written by this provider, covering 215 Medicare beneficiaries and totaling roughly $24K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 6.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Foot & Ankle Surgery Podiatrist is a mid-sized specialty nationwide, with 8,920 enrolled providers across 53 states and an average of 309 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

649 EAST AVE
PAWTUCKET, RI 02860

Provider Details

NPI 1710280037
Specialty Foot & Ankle Surgery Podiatrist
Credentials DPM
Gender Male
NPI Issued 12/08/2010

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where JAMES APPLETON, DPM bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

RHODE ISLAND FOOT CARE, INC.
NORTH PROVIDENCE, RI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JAMES APPLETON, DPM. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

TREACE MEDICAL CONCEPTS, INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

JAMES APPLETON, DPM — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 504 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

504
Total Claims
$24K
Total Drug Cost
215
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
540
Total Day Supply
11,591
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$14K
Generic Drug Cost
$9K
Opioid Claims
35 (6.9% rate)
Antibiotic Claims
153

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.83
Gender Split
50% female / 50% male
Age Distribution
<65: 51, 65-74: 88, 75-84: 57, 85+: 19

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ketoconazole
69
Ammonium Lactate
53
Doxycycline Hyclate
44
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
42
Gabapentin
41
Silver Sulfadiazine
30
Levofloxacin
27
Santyl
Collagenase Clostridium Hist.
22
Triamcinolone Acetonide
20
Clindamycin Hcl
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Foot & Ankle Surgery Podiatrist Overview

How JAMES APPLETON, DPM fits within the Foot & Ankle Surgery Podiatrist landscape nationally.

8,920
Foot & Ankle Surgery Podiatrist Providers in US
53
States with Foot & Ankle Surgery Podiatrist
309
Avg Claims per Provider

JAMES APPLETON, DPM's 504 claims are above the specialty average of 309.

Nearby Foot & Ankle Surgery Podiatrist Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as APPLETON.

Compare Foot & Ankle Surgery Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES APPLETON, DPM's specialty?
JAMES APPLETON, DPM specializes in Foot & Ankle Surgery Podiatrist and practices in PAWTUCKET, Rhode Island. Credentials: DPM.
How much does JAMES APPLETON, DPM prescribe under Medicare Part D?
In 2023, JAMES APPLETON, DPM wrote 504 Medicare Part D claims totaling $24K in drug costs for 215 beneficiaries.
What is JAMES APPLETON, DPM's Medicare quality score?
JAMES APPLETON, DPM has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES APPLETON, DPM located?
JAMES APPLETON, DPM is located at 649 EAST AVE, PAWTUCKET, RI, 02860. Phone: (401) 305-3800.
What is JAMES APPLETON, DPM's NPI number?
JAMES APPLETON, DPM's National Provider Identifier (NPI) is 1710280037, issued on 12/08/2010.
Does JAMES APPLETON, DPM prescribe more brand-name or generic drugs?
JAMES APPLETON, DPM's prescribing is 12% brand-name and 88% generic drugs by claim count, with $14K in brand drug costs.
Does JAMES APPLETON, DPM prescribe opioids?
Yes, JAMES APPLETON, DPM had 35 opioid claims in 2023 with an opioid prescribing rate of 6.9%.
How many Foot & Ankle Surgery Podiatrist providers are there in the US?
There are 8,920 Foot & Ankle Surgery Podiatrist providers across 53 states in the US. The average Foot & Ankle Surgery Podiatrist provider writes 309 Medicare Part D claims per year.
What drugs does JAMES APPLETON, DPM prescribe most often?
Based on 2023 Medicare Part D data, JAMES APPLETON, DPM's most frequently prescribed drugs include Ketoconazole, Ammonium Lactate, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES APPLETON, DPM accept Medicare?
JAMES APPLETON, DPM appears in CMS Medicare data with 504 Part D claims and 215 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES APPLETON, DPM's credentials?
JAMES APPLETON, DPM's NPI is 1710280037 with credentials DPM. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology