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 1,914 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
255
Medicare Part D claims · 102 beneficiaries · Paramedic avg: 451
What the federal data shows
James Cowger, APN filed 255 Medicare Part D claims in 2024 as a Paramedic in Flora, Illinois.
- 255
- Part D claims, 2024
- ≥48th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about James Cowger, APN
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1902056138), first enumerated 09/24/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 255 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not James Cowger, APN's individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1902056138 · Paramedic
NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1902056138
- ENUM-MID 2008
- TAX-NARROW 1,914
- RX-LIGHT 255
- BOOK-THIN 35 in Illinois
- PHOTO-ENUM Christy Skipper, NRE… · 2008
James Cowger, APN's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
255 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about James Cowger, APN?
Quality data not reportedPrimary specialty
Paramedic
Medicare Part D claims
255 43% 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).
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
255
Total Claims
$13K
Total Drug Cost
102
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 270.667
- Total Day Supply
- 4,677
- Generic Drug Cost
- $4K
- Opioid Claims
- 20 (7.8% rate)
- Antibiotic Claims
- 74
Patient Demographics
- Average Patient Age
- 75.4 years
- Avg HCC Risk Score
- 1.94
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 14, 65-74: 37, 75-84: 25, 85+: 26
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What James Cowger, APN prescribes most
Top Medicare Part D drugs by claim count, 2024
- Cefdinir
Cefdinir
22 claims
- Prednisone
Prednisone
20 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
16 claims
- Lisinopril
Lisinopril
15 claims
- Amlodipine Besylate
Amlodipine Besylate
14 claims
- Tolterodine Tartrate
Tolterodine Tartrate
12 claims
| Drug | Claims |
|---|---|
| Cefdinir | 22 |
| Prednisone | 20 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 16 |
| Lisinopril | 15 |
| Amlodipine Besylate | 14 |
| Tolterodine Tartrate | 12 |
* 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.
1,914
Paramedic Providers in US
53
States with Paramedic
451
Avg Claims per Provider
James Cowger, APN's 255 claims are below the specialty average of 451.
Nationwide Paramedic peers with similar MIPS or enrollment year
Two federal-record peer sets for Cowger, both outside Illinois so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Paramedic Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Cowger.
One of 35 Paramedic providers enrolled in Illinois, 5 are shown here.
Joshua Armstrong
PARAMEDIC, NRP
Melrose Park, IL
Brody Atherton
East Peoria, IL
Dr. Eric Beck
DO, EMT-P
Chicago, IL
Casy Byrd
NRP, CCP
Peoria, IL
Reginald Castillo
ATC, EMT-P
Crestwood, IL
Compare Paramedic nationally: see state-by-state distribution →
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 2024, James Cowger, APN wrote 255 Medicare Part D claims totaling $13K 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 opioids? ▼
Yes, James Cowger, APN had 20 opioid claims in 2024 with an opioid prescribing rate of 7.8%.
How many Paramedic providers are there in the US? ▼
There are 1,914 Paramedic providers across 53 states in the US. The average Paramedic provider writes 451 Medicare Part D claims per year.
What drugs does James Cowger, APN prescribe most often? ▼
Based on 2024 Medicare Part D data, James Cowger, APN's most frequently prescribed drugs include Cefdinir, Prednisone, Amoxicillin-Clavulanate Potass. 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 255 Part D claims and 102 Medicare beneficiaries in 2024. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.