2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1558369371 M.D.
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JAMES FERLMANN, M.D.

Plastic and Reconstructive Surgery Physician in GILBERT, Arizona. 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
119
Medicare Part D claims · 67 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
Generic prescribing
30%
generic claims · 70% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.45/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$181.9
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES FERLMANN, M.D. is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in GILBERT, Arizona with a Medicare Part D prescribing footprint of 119 claims across 67 beneficiaries — 70% brand-name prescribing . Their CMS MIPS Final Score of 97.45/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $181.9 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES FERLMANN, M.D. reported a CMS MIPS final score of 97.45 out of 100, above the 83.1 national average, and filed 119 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES FERLMANN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES FERLMANN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/14/2005

NPI 1558369371

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

119 38% vs specialty avg

2023 prescription claims

Specialty avg: 86

MIPS final score

97.45/100 14.350000000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Arizona

How Plastic and Reconstructive Surgery Physician compares to other specialties among Arizona providers

Arizona providers

Plastic and Reconstructive Surgery Physician share within Arizona

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within Arizona

Medicare quality performance — MIPS

JAMES FERLMANN, M.D.'s 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
MIPS Final Score
97.45/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic and Reconstructive Surgery Physician) — 97.45/100 vs national avg 83.1

0%100%National avg83%97.5%
MIPS final score (Plastic and Reconstructive Surgery Physician) — 97.45/100 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 FERLMANN, M.D. is a Plastic and Reconstructive Surgery Physician provider practicing in GILBERT, Arizona, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1558369371. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES FERLMANN, M.D. appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding M.D. credentials at 4915 E BASELINE RD STE 104, GILBERT, AZ, 85234, with a listed phone of (480) 616-0676. NPI 1558369371 was issued on 07/14/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FERLMANN 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 119 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $15K in drug spend, split 70% brand-name and 30% generic by claim count. 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 97.45/100 for the 2023 performance year, compared with the national average of 83.1.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

4915 E BASELINE RD STE 104
GILBERT, AZ 85234

Provider Details

NPI 1558369371
Specialty Plastic and Reconstructive Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/14/2005

CMS Quality Score (MIPS)

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

97.45
Final Score
Avg: 83.1
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES FERLMANN, 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.

HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC
ALTON, IL
HEALOGICS SPECIALTY PHYSICIANS OF MISSOURI LLC
SAINT LOUIS, MO

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

Total received

$182

Largest payer

Kerecis Limited

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 · Brand-heavy

JAMES FERLMANN, M.D. — brand share 70.0%
Specialty average (est.)

70% brand-name claims vs 30% generic, on 119 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.

119
Total Claims
$15K
Total Drug Cost
67
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
127
Total Day Supply
2,243
Brand vs Generic
70% brand / 30% generic
Brand Drug Cost
$15K
Generic Drug Cost
$700
Antibiotic Claims
35

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
3.37
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ssd
Silver Sulfadiazine
41
Silver Sulfadiazine
32

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

Plastic and Reconstructive Surgery Physician Overview

How JAMES FERLMANN, M.D. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

JAMES FERLMANN, M.D.'s 119 claims are above the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in Arizona

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

Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES FERLMANN, M.D.'s specialty?
JAMES FERLMANN, M.D. specializes in Plastic and Reconstructive Surgery Physician and practices in GILBERT, Arizona. Credentials: M.D..
How much does JAMES FERLMANN, M.D. prescribe under Medicare Part D?
In 2023, JAMES FERLMANN, M.D. wrote 119 Medicare Part D claims totaling $15K in drug costs for 67 beneficiaries.
What is JAMES FERLMANN, M.D.'s Medicare quality score?
JAMES FERLMANN, M.D. has a CMS MIPS Final Score of 97.45/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES FERLMANN, M.D. located?
JAMES FERLMANN, M.D. is located at 4915 E BASELINE RD STE 104, GILBERT, AZ, 85234. Phone: (480) 616-0676.
What is JAMES FERLMANN, M.D.'s NPI number?
JAMES FERLMANN, M.D.'s National Provider Identifier (NPI) is 1558369371, issued on 07/14/2005.
Does JAMES FERLMANN, M.D. prescribe more brand-name or generic drugs?
JAMES FERLMANN, M.D.'s prescribing is 70% brand-name and 30% generic drugs by claim count, with $15K in brand drug costs.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does JAMES FERLMANN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES FERLMANN, M.D.'s most frequently prescribed drugs include Ssd, Silver Sulfadiazine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES FERLMANN, M.D. accept Medicare?
JAMES FERLMANN, M.D. appears in CMS Medicare data with 119 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES FERLMANN, M.D.'s credentials?
JAMES FERLMANN, M.D.'s NPI is 1558369371 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