NPI registry status
Active
2026 NPPES data Paramedic NPI 1902056138 APN
Verify on CMS → James Cowger, APN
Paramedic in Flora, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,664 in Paramedic, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
236
Medicare Part D claims · 102 beneficiaries · Paramedic avg: 535
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Cowger, APN filed 236 Medicare Part D claims in 2023 as a Paramedic in Flora, Illinois, prescribing 92% generic.
- 236
- Part D claims, 2023
- 92%
- generic prescribing
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 Cowger, APN's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
236 49th percentile higher than 49% of 1,370,886 prescribers
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
What does the federal data show about James Cowger, APN?
Quality data not reportedPrimary specialty
Paramedic
Medicare Part D claims
236 56% vs specialty avg
Specialty distribution in Illinois
How Paramedic compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Paramedic. Verify directly:
How MIPS and board certification work
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 Cowger, APN appears in the CMS NPPES registry as a Paramedic provider holding APN credentials at 929 STACEY BURK DR, Flora, IL, 62839, with a listed phone of (618) 662-2191. NPI 1902056138 was issued on 09/24/2008.
Medicare Part D records for calendar year 2023 show 236 prescription claims written by this provider, covering 102 Medicare beneficiaries and totaling roughly $28K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 7.2%.
Paramedic is a narrow specialty nationwide, with 1,664 enrolled providers across 53 states and an average of 535 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
Provider Details
| NPI | 1902056138 |
|---|---|
| Specialty | Paramedic |
| Credentials | APN |
| Gender | Male |
| NPI Issued | 09/24/2008 |
Hospital and facility affiliations
Facilities where James Cowger, APN 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.
County OF Clay
Flora, IL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to James Cowger, APN. To verify James Cowger, APN's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
James Cowger, APN - brand share 8.0%
Paramedic average
8% brand-name claims vs 92% generic, on 236 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.
236
Total Claims
$28K
Total Drug Cost
102
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 241
- Total Day Supply
- 4,265
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $25K
- Generic Drug Cost
- $3K
- Opioid Claims
- 17 (7.2% rate)
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 76.0 years
- Avg HCC Risk Score
- 2.15
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 13, 65-74: 32, 75-84: 31, 85+: 26
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Cowger, APN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
17 claims
- Prednisone
Prednisone
16 claims
- Cefdinir
Cefdinir
13 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
11 claims
- Lisinopril
Lisinopril
11 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 17 |
| Prednisone | 16 |
| Cefdinir | 13 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 |
| Lisinopril | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Paramedic Overview
How James Cowger, APN fits within the Paramedic landscape nationally.
1,664
Paramedic Providers in US
53
States with Paramedic
535
Avg Claims per Provider
James Cowger, APN's 236 claims are below the specialty average of 535.
Nearby Paramedic Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Cowger.
Dr. Joshua Armstrong
PARAMEDIC, NRP
Melrose Park, IL
Brody Atherton
East Peoria, IL
Dr. Katrina Basic
FNP-C, EMT-P
Chicago, IL
Dr. Eric Beck
DO, EMT-P
Chicago, IL
Dr. Casy Byrd
NRP, CCP
Peoria, IL
Compare Paramedic nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Paramedic peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is James Cowger, APN's specialty? ▼
James Cowger, APN specializes in Paramedic and practices in Flora, Illinois. Credentials: APN.
How much does James Cowger, APN prescribe under Medicare Part D? ▼
In 2023, James Cowger, APN wrote 236 Medicare Part D claims totaling $28K in drug costs for 102 beneficiaries.
Where is James Cowger, APN located? ▼
James Cowger, APN is located at 929 STACEY BURK DR, Flora, IL, 62839. Phone: (618) 662-2191.
What is James Cowger, APN's NPI number? ▼
James Cowger, APN's National Provider Identifier (NPI) is 1902056138, issued on 09/24/2008.
Does James Cowger, APN prescribe more brand-name or generic drugs? ▼
James Cowger, APN's prescribing is 8% brand-name and 92% generic drugs by claim count, with $25K in brand drug costs.
Does James Cowger, APN prescribe opioids? ▼
Yes, James Cowger, APN had 17 opioid claims in 2023 with an opioid prescribing rate of 7.2%.
How many Paramedic providers are there in the US? ▼
There are 1,664 Paramedic providers across 53 states in the US. The average Paramedic provider writes 535 Medicare Part D claims per year.
What drugs does James Cowger, APN prescribe most often? ▼
Based on 2023 Medicare Part D data, James Cowger, APN's most frequently prescribed drugs include Amlodipine Besylate, Prednisone, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Cowger, APN accept Medicare? ▼
James Cowger, APN appears in CMS Medicare data with 236 Part D claims and 102 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Cowger, APN's credentials? ▼
James Cowger, APN's NPI is 1902056138 with credentials APN. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.