2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1821046459 D.O.
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JAMES FISH, D.O.

Orthopaedic Surgery of the Spine Physician in SMYRNA, Tennessee. 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
1K
Medicare Part D claims · 289 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.3K
23 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES FISH, D.O. is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in SMYRNA, Tennessee with a Medicare Part D prescribing footprint of 1K claims across 289 beneficiaries — 1% brand-name prescribing . Industry payments of $1.3K across 23 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES FISH, D.O. filed 1,156 Medicare Part D claims in 2023 across SMYRNA, Tennessee. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES FISH, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES FISH, D.O. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/05/2006

NPI 1821046459

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

1,156 219% vs specialty avg

2023 prescription claims

Specialty avg: 362

Specialty distribution in Tennessee

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Tennessee providers

Tennessee providers

Orthopaedic Surgery of the Spine Physician share within Tennessee

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery of the Spine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthopaedic Surgery of the Spine Physician ABMS/AOA estimate

Est. board-certified rate (Orthopaedic Surgery of the Spine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery of the Spine Physician) — ABMS / AOA estimate

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 FISH, D.O. is a Orthopaedic Surgery of the Spine Physician provider practicing in SMYRNA, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1821046459. 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 FISH, D.O. appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding D.O. credentials at 300 STONECREST BLVD STE 230, SMYRNA, TN, 37167, with a listed phone of (615) 730-8626. NPI 1821046459 was issued on 05/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FISH 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 1,156 prescription claims written by this provider, covering 289 Medicare beneficiaries and totaling roughly $24K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 36.9%. 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.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

300 STONECREST BLVD STE 230
SMYRNA, TN 37167

Provider Details

NPI 1821046459
Specialty Orthopaedic Surgery of the Spine Physician
Credentials D.O.
Gender Male
NPI Issued 05/05/2006

Hospital and facility affiliations

Facilities where JAMES FISH, D.O. 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.

ADVANCED DIAGNOSTIC IMAGING PC
SMYRNA, TN

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 FISH, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

Intrinsic Therapeutics

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 FISH, D.O. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 1,156 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.

1,156
Total Claims
$24K
Total Drug Cost
289
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,325
Total Day Supply
31,410
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$5K
Generic Drug Cost
$19K
Opioid Claims
427 (36.9% rate)

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
1.21
Gender Split
65% female / 35% male
Age Distribution
<65: 78, 65-74: 133, 75-84: 65, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
295
Meloxicam
179
Gabapentin
105
Pregabalin
90
Methylprednisolone
88
Tramadol Hcl
83
Cyclobenzaprine Hcl
69
Tizanidine Hcl
44
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
32
Diclofenac Sodium
28

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

Orthopaedic Surgery of the Spine Physician Overview

How JAMES FISH, D.O. fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

JAMES FISH, D.O.'s 1,156 claims are above the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is JAMES FISH, D.O.'s specialty?
JAMES FISH, D.O. specializes in Orthopaedic Surgery of the Spine Physician and practices in SMYRNA, Tennessee. Credentials: D.O..
How much does JAMES FISH, D.O. prescribe under Medicare Part D?
In 2023, JAMES FISH, D.O. wrote 1,156 Medicare Part D claims totaling $24K in drug costs for 289 beneficiaries.
Where is JAMES FISH, D.O. located?
JAMES FISH, D.O. is located at 300 STONECREST BLVD STE 230, SMYRNA, TN, 37167. Phone: (615) 730-8626.
What is JAMES FISH, D.O.'s NPI number?
JAMES FISH, D.O.'s National Provider Identifier (NPI) is 1821046459, issued on 05/05/2006.
Does JAMES FISH, D.O. prescribe more brand-name or generic drugs?
JAMES FISH, D.O.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $5K in brand drug costs.
Does JAMES FISH, D.O. prescribe opioids?
Yes, JAMES FISH, D.O. had 427 opioid claims in 2023 with an opioid prescribing rate of 36.9%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does JAMES FISH, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JAMES FISH, D.O.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Meloxicam, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES FISH, D.O. accept Medicare?
JAMES FISH, D.O. appears in CMS Medicare data with 1,156 Part D claims and 289 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES FISH, D.O.'s credentials?
JAMES FISH, D.O.'s NPI is 1821046459 with credentials D.O.. 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.
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