2026 NPPES data Orthopaedic Surgery Physician NPI 1154375897 M.D.
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James Dodds, M.D.

Orthopaedic Surgery Physician in Madisonville, Kentucky. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 25,781 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
886
Medicare Part D claims · 317 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$126.6
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Dodds, M.D. reported a CMS MIPS final score of 95.5/100 — above the 83.1 national average — and filed 886 Medicare Part D claims in 2023.

95.5/100
MIPS score · +12 vs avg
886
Part D claims, 2023
93%
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.

James Dodds, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

96 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Where James Dodds, M.D. sits

This provider among orthopaedic surgery physician peers

Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Dodds, M.D. writes more Part D claims than 88% of them and scores higher on MIPS quality than 88% — placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 37James Dodds, M.D. — Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 88
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 Dodds, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

James Dodds, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 Dodds, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/19/2006

NPI 1154375897

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

886 173% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

95.5/100 12.4 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Orthopaedic Surgery Physician compares to other specialties among Kentucky providers

Kentucky providers

Largest specialties in Kentucky (% of in-state providers)

Family Nurse Practitioner — 5.9%Family Nurse Practitioner5.9%Student in an Organized Health Care Education/Training Program — 5.2%Student in an Organized Health Care Education/Training Program5.2%Pharmacist — 4.8%Pharmacist4.8%Mental Health Counselor — 4.6%Mental Health Counselor4.6%Clinical Social Worker — 4.1%Clinical Social Worker4.1%Physical Therapist — 3.7%Physical Therapist3.7%Orthopaedic Surgery Physician — 0.4%Orthopaedic Surgery Physician0.4%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
95.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 95.5/100 vs national avg 83.1

0%100%National avg83%95.5%
MIPS final score (Orthopaedic Surgery Physician) — 95.5/100 vs national avg 83.1

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 Dodds, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 200 CLINIC DR, Madisonville, KY, 42431, with a listed phone of (270) 824-6655. NPI 1154375897 was issued on 05/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Dodds 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 886 prescription claims written by this provider, covering 317 Medicare beneficiaries and totaling roughly $36K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 33.2%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.5/100 for the 2023 performance year (Quality 89.6), compared with the national average of 83.1.

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

200 CLINIC DR
Madisonville, KY 42431

Provider Details

NPI 1154375897
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 05/19/2006

CMS Quality Score (MIPS)

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

95.5077
Final Score
Avg: 83.1
89.5953
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where James Dodds, M.D. 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.

Baptist Health Deaconess Medical Group Inc
Powderly, KY

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 Dodds, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$127

Largest payer

Radius Health, Inc.

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 Dodds, M.D. — brand share 7.0%
Orthopaedic Surgery Physician average

7% brand-name claims vs 93% generic, on 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.

886
Total Claims
$36K
Total Drug Cost
317
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
966
Total Day Supply
20,310
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$21K
Generic Drug Cost
$14K
Opioid Claims
294 (33.2% rate)
Antibiotic Claims
43

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.00
Gender Split
60% female / 40% male
Age Distribution
<65: 65, 65-74: 164, 75-84: 77, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What James Dodds, M.D. 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
Meloxicam
353
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
152
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
82
Eliquis
Apixaban
60
Celecoxib
54
Tramadol Hcl
53
Diclofenac Sodium
39
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
13
Enoxaparin Sodium
12
Cephalexin
11

* 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 Dodds, M.D. 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 Dodds, M.D.'s 886 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Kentucky

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

Compare Orthopaedic Surgery Physician 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 Kentucky medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Orthopaedic Surgery Physician 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.

Frequently Asked Questions

What is James Dodds, M.D.'s specialty?
James Dodds, M.D. specializes in Orthopaedic Surgery Physician and practices in Madisonville, Kentucky. Credentials: M.D..
How much does James Dodds, M.D. prescribe under Medicare Part D?
In 2023, James Dodds, M.D. wrote 886 Medicare Part D claims totaling $36K in drug costs for 317 beneficiaries.
What is James Dodds, M.D.'s Medicare quality score?
James Dodds, M.D. has a CMS MIPS Final Score of 95.5/100 (Quality: 89.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Dodds, M.D. located?
James Dodds, M.D. is located at 200 CLINIC DR, Madisonville, KY, 42431. Phone: (270) 824-6655.
What is James Dodds, M.D.'s NPI number?
James Dodds, M.D.'s National Provider Identifier (NPI) is 1154375897, issued on 05/19/2006.
Does James Dodds, M.D. prescribe more brand-name or generic drugs?
James Dodds, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $21K in brand drug costs.
Does James Dodds, M.D. prescribe opioids?
Yes, James Dodds, M.D. had 294 opioid claims in 2023 with an opioid prescribing rate of 33.2%.
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 Dodds, M.D. prescribe most often?
Based on 2023 Medicare Part D data, James Dodds, M.D.'s most frequently prescribed drugs include Meloxicam, Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Dodds, M.D. accept Medicare?
James Dodds, M.D. appears in CMS Medicare data with 886 Part D claims and 317 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Dodds, M.D.'s credentials?
James Dodds, M.D.'s NPI is 1154375897 with credentials M.D.. 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.
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 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.