2026 NPPES data Orthopaedic Surgery Physician NPI 1518927672 MD
Verify on CMS →

JAMES CARSON, MD

Orthopaedic Surgery Physician in LANCASTER, Pennsylvania. 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
168
Medicare Part D claims · 101 beneficiaries · Orthopaedic Surgery Physician avg: 324

What the federal data shows

JAMES CARSON, MD filed 168 Medicare Part D claims in 2023 as a Orthopaedic Surgery Physician in LANCASTER, Pennsylvania.

168
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JAMES CARSON, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

168 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

JAMES CARSON, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JAMES CARSON, MD?

Quality data not reported

NPI registry status

Active

Issued 03/24/2006

NPI 1518927672

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

168 48% vs specialty avg

2023 prescription claims

Specialty avg: 324

Specialty distribution in Pennsylvania

How Orthopaedic Surgery Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Orthopaedic Surgery Physician share within Pennsylvania

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery Physician (ABMS / AOA reference)

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

Est. board-certified rate (Orthopaedic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery 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 CARSON, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 170 N POINTE BLVD, LANCASTER, PA, 17601, with a listed phone of (717) 299-4871. NPI 1518927672 was issued on 03/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARSON 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 168 prescription claims written by this provider, covering 101 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 48.8%. 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.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

170 N POINTE BLVD
LANCASTER, PA 17601

Provider Details

NPI 1518927672
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 03/24/2006

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to JAMES CARSON, MD. To verify JAMES CARSON, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

168
Total Claims
$2K
Total Drug Cost
101
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
168
Total Day Supply
1,861
Generic Drug Cost
$2K
Opioid Claims
82 (48.8% rate)
Antibiotic Claims
30

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.26
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What JAMES CARSON, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone Hcl
30
Tramadol Hcl
27
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
18
Celecoxib
12
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11
Calcitonin-Salmon
"Calcitonin
N/A

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

Orthopaedic Surgery Physician Overview

How JAMES CARSON, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

JAMES CARSON, MD's 168 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as CARSON.

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES CARSON, MD's specialty?
JAMES CARSON, MD specializes in Orthopaedic Surgery Physician and practices in LANCASTER, Pennsylvania. Credentials: MD.
How much does JAMES CARSON, MD prescribe under Medicare Part D?
In 2023, JAMES CARSON, MD wrote 168 Medicare Part D claims totaling $2K in drug costs for 101 beneficiaries.
Where is JAMES CARSON, MD located?
JAMES CARSON, MD is located at 170 N POINTE BLVD, LANCASTER, PA, 17601. Phone: (717) 299-4871.
What is JAMES CARSON, MD's NPI number?
JAMES CARSON, MD's National Provider Identifier (NPI) is 1518927672, issued on 03/24/2006.
Does JAMES CARSON, MD prescribe opioids?
Yes, JAMES CARSON, MD had 82 opioid claims in 2023 with an opioid prescribing rate of 48.8%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does JAMES CARSON, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES CARSON, MD's most frequently prescribed drugs include Oxycodone Hcl, Tramadol Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES CARSON, MD accept Medicare?
JAMES CARSON, MD appears in CMS Medicare data with 168 Part D claims and 101 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES CARSON, MD's credentials?
JAMES CARSON, MD's NPI is 1518927672 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