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2026 NPPES data Orthopaedic Surgery Physician NPI 1407819972 M.D. P.A.
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James Crowther, M.D. P.A.

Orthopaedic Surgery Physician in Raleigh, North Carolina.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 26,109 in Orthopaedic Surgery Physician, 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
421
Medicare Part D claims · 150 beneficiaries · Orthopaedic Surgery Physician avg: 344
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
70.2/100
▼ 13 pts below national avg 83.5 · Mid-tier
Industry payments
$171.84
6 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

James Crowther, M.D. P.A. reported a CMS MIPS final score of 70.2/100 - below the 83.5 national average - and filed 421 Medicare Part D claims in 2024.

70.2/100
MIPS score · -13 vs avg
421
Part D claims, 2024
97%
generic prescribing
Likely
board-certified (heuristic)

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 Crowther, M.D. P.A.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1407819972), first enumerated 04/07/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 421 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 70.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    4 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $171.84 in reported industry payments (6 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • 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 1407819972 · Orthopaedic Surgery Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1407819972
  • ENUM-LEGACY 2006
  • TAX-MID 26K Orthopaedic Surgery
  • MIPS-LOW 70.2/100
  • RX-LIGHT 421
  • BOOK-LIGHT 925 in North Carolina
  • PHOTO-FINISH Rita Baumgartner · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

James Crowther, M.D. P.A.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

70 ≥ 9th percentile 9% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. 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 whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where James Crowther, M.D. P.A. sits

This provider among orthopaedic surgery physician peers

Across the 7,229 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Crowther, M.D. P.A. writes more Part D claims than 68% of them and scores higher on MIPS quality than 17% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 77James Crowther, M.D. P.A., Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 17
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is James Crowther, M.D. P.A.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

James Crowther, M.D. P.A. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about James Crowther, M.D. P.A.?

Below national average

NPI registry status

Active

Issued 04/07/2006

NPI 1407819972

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

26,109 US NPIs in this specialty

Medicare Part D claims

421 22% vs specialty avg

2024 prescription claims

Specialty avg: 344

MIPS final score

70.2/100 13.3 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in North Carolina

How Orthopaedic Surgery Physician compares to other specialties among North Carolina providers

North Carolina providers
Clinical Social Worker7.1%Behavior Technician6.8%Pharmacist4.9%Student in an Organized Heal…4.7%Physical Therapist4.2%Mental Health Counselor4.2%Orthopaedic Surgery Physician0.5%
Largest specialties in North Carolina (% of in-state providers)

Medicare quality performance, MIPS

James Crowther, M.D. P.A.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
70.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%70.2%
MIPS final score (Orthopaedic Surgery Physician) - 70.2/100 vs national avg 83.5
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

3801 WAKE FOREST RD STE 220
Raleigh, NC 27609
(919) 872-5296

Provider Details

NPI 1407819972
Specialty Orthopaedic Surgery Physician
Credentials M.D. P.A.
Gender Male
NPI Issued 04/07/2006

CMS Quality Score (MIPS)

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

70.1794
Final Score
Measured-score avg: 83.5
59.0949
Quality
55.1382
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Crowther, M.D. P.A. 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.

According to CMS billing records, James Crowther, M.D. P.A. is affiliated with 4 Medicare-billing facilities.

Bone And Joint Surgery Clinic
Raleigh, NC
Carolina Physical Therapy Associates LLC
Louisburg, NC
Comprehensive Rehab OF Wilson, Inc.
Wilson, NC
Select Physical Therapy Holdings Inc
Cary, 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 Crowther, M.D. P.A.. Source: openpaymentsdata.cms.gov.

Total received

$172

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 · Generic-heavy

James Crowther, M.D. P.A. - brand share 3.0%
Orthopaedic Surgery Physician average

3% brand-name claims vs 97% generic, on 421 2024 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 2024.

421
Total Claims
$4K
Total Drug Cost
150
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
435.367
Total Day Supply
5,901
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$2K
Generic Drug Cost
$3K
Opioid Claims
129 (30.6% rate)
Antibiotic Claims
39

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
0.91
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What James Crowther, M.D. P.A. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Gabapentin
 97
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
49
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
36
Methylprednisolone
 34
Ondansetron Hcl
 30
Meloxicam
 27
Amoxicillin
 24
Celecoxib
 18
Oxycodone Hcl
 16
Tramadol Hcl
 16

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

More Orthopaedic Surgery Physician in NC → All providers in North Carolina → Compare specialties →

Orthopaedic Surgery Physician Overview

How James Crowther, M.D. P.A. fits within the Orthopaedic Surgery Physician landscape nationally.

26,109
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
344
Avg Claims per Provider

James Crowther, M.D. P.A.'s 421 claims are above the specialty average of 344.

Nationwide Orthopaedic Surgery Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Crowther, both outside North Carolina so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (70.2 here).

Rita Baumgartner 70.2 CO Aaron Black 70.2 CO Daniel Worrell 70.2 CO Christopher Kestner 70.2 SC

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Gary Bos Ellensburg, WA Mark Sherman Staten Island, NY Raymond Vance San Diego, CA Todd Runyan Yuma, AZ

Nearby Orthopaedic Surgery Physician Providers in North Carolina

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

One of 925 Orthopaedic Surgery Physician providers enrolled in North Carolina, 5 are shown here.

Dr. Christopher Adair
MD
Greensboro, NC
Dr. Richard Adams
M.D.
Statesville, NC
Dr. Samuel Adams
M.D.
Durham, NC
Dr. Anshul Agarwala
M.D.
Greensboro, NC
Dr. Briggs Ahearn
MD
Pineville, NC

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

Frequently Asked Questions

What is James Crowther, M.D. P.A.'s specialty? ▼
James Crowther, M.D. P.A. specializes in Orthopaedic Surgery Physician and practices in Raleigh, North Carolina. Credentials: M.D. P.A..
How much does James Crowther, M.D. P.A. prescribe under Medicare Part D? ▼
In 2024, James Crowther, M.D. P.A. wrote 421 Medicare Part D claims totaling $4K in drug costs for 150 beneficiaries.
What is James Crowther, M.D. P.A.'s Medicare quality score? ▼
James Crowther, M.D. P.A. has a CMS MIPS Final Score of 70.2/100 (Quality: 59.1, Cost: 55.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Crowther, M.D. P.A. located? ▼
James Crowther, M.D. P.A. is located at 3801 WAKE FOREST RD STE 220, Raleigh, NC, 27609. Phone: (919) 872-5296.
What is James Crowther, M.D. P.A.'s NPI number? ▼
James Crowther, M.D. P.A.'s National Provider Identifier (NPI) is 1407819972, issued on 04/07/2006.
Does James Crowther, M.D. P.A. prescribe more brand-name or generic drugs? ▼
James Crowther, M.D. P.A.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $2K in brand drug costs.
Does James Crowther, M.D. P.A. prescribe opioids? ▼
Yes, James Crowther, M.D. P.A. had 129 opioid claims in 2024 with an opioid prescribing rate of 30.6%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 26,109 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 344 Medicare Part D claims per year.
What drugs does James Crowther, M.D. P.A. prescribe most often? ▼
Based on 2024 Medicare Part D data, James Crowther, M.D. P.A.'s most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Crowther, M.D. P.A. accept Medicare? ▼
James Crowther, M.D. P.A. appears in CMS Medicare data with 421 Part D claims and 150 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Crowther, M.D. P.A.'s credentials? ▼
James Crowther, M.D. P.A.'s NPI is 1407819972 with credentials M.D. P.A.. 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.
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 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

Compiled from official public sources by the editorial process.

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.