2026 NPPES data Cardiovascular Disease Physician NPI 1922008960 MD
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JAMES ARTER, MD

Cardiovascular Disease Physician in GASTONIA, North Carolina. 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
5K
Medicare Part D claims · 627 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$50.11
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES ARTER, MD is a Cardiovascular Disease Physician ([object Object]) practicing in GASTONIA, North Carolina with a Medicare Part D prescribing footprint of 5K claims across 627 beneficiaries — 17% brand-name prescribing . Industry payments of $50.11 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES ARTER, MD filed 4,886 Medicare Part D claims in 2023 across GASTONIA, North Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES ARTER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES ARTER, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/29/2005

NPI 1922008960

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

4,886 61% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

Specialty distribution in North Carolina

How Cardiovascular Disease Physician compares to other specialties among North Carolina providers

North Carolina providers

Cardiovascular Disease Physician share within North Carolina

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Cardiovascular Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Cardiovascular Disease Physician ABMS/AOA estimate

Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

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 ARTER, MD is a Cardiovascular Disease Physician provider practicing in GASTONIA, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1922008960. 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 ARTER, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 2555 COURT DR, GASTONIA, NC, 28054, with a listed phone of (704) 868-3256. NPI 1922008960 was issued on 07/29/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARTER 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 4,886 prescription claims written by this provider, covering 627 Medicare beneficiaries and totaling roughly $742K in drug spend, split 17% brand-name and 83% generic by claim count. 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.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

2555 COURT DR
GASTONIA, NC 28054

Provider Details

NPI 1922008960
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 07/29/2005

Hospital and facility affiliations

Facilities where JAMES ARTER, MD 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.

CAROMONT MEDICAL GROUP INC
BELMONT, NC

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 ARTER, MD. Source: openpaymentsdata.cms.gov.

Total received

$50

Largest payer

Boston Scientific Corporation

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 ARTER, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 4,886 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.

4,886
Total Claims
$742K
Total Drug Cost
627
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,816
Total Day Supply
321,932
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$666K
Generic Drug Cost
$76K

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.75
Gender Split
56% female / 44% male
Age Distribution
<65: 71, 65-74: 271, 75-84: 221, 85+: 64

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
418
Rosuvastatin Calcium
336
Metoprolol Tartrate
318
Metoprolol Succinate
312
Furosemide
295
Amlodipine Besylate
266
Ezetimibe
238
Repatha Sureclick
Evolocumab
210
Pravastatin Sodium
208
Eliquis
Apixaban
198

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

Cardiovascular Disease Physician Overview

How JAMES ARTER, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

JAMES ARTER, MD's 4,886 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as ARTER.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES ARTER, MD's specialty?
JAMES ARTER, MD specializes in Cardiovascular Disease Physician and practices in GASTONIA, North Carolina. Credentials: MD.
How much does JAMES ARTER, MD prescribe under Medicare Part D?
In 2023, JAMES ARTER, MD wrote 4,886 Medicare Part D claims totaling $742K in drug costs for 627 beneficiaries.
Where is JAMES ARTER, MD located?
JAMES ARTER, MD is located at 2555 COURT DR, GASTONIA, NC, 28054. Phone: (704) 868-3256.
What is JAMES ARTER, MD's NPI number?
JAMES ARTER, MD's National Provider Identifier (NPI) is 1922008960, issued on 07/29/2005.
Does JAMES ARTER, MD prescribe more brand-name or generic drugs?
JAMES ARTER, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $666K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does JAMES ARTER, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES ARTER, MD's most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Metoprolol Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES ARTER, MD accept Medicare?
JAMES ARTER, MD appears in CMS Medicare data with 4,886 Part D claims and 627 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES ARTER, MD's credentials?
JAMES ARTER, MD's NPI is 1922008960 with credentials MD. 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.
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