2026 NPPES data Orthopaedic Surgery Physician NPI 1619974169 M.D.
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JAMES FITZGIBBONS, M.D.

Orthopaedic Surgery Physician in FAIRFIELD, Connecticut. 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
61
Medicare Part D claims · 48 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
70.7696/100
▼ 12 pts below national avg 83.1 · [object Object]
Industry payments
$261.07
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES FITZGIBBONS, M.D. is a Orthopaedic Surgery Physician ([object Object]) practicing in FAIRFIELD, Connecticut with a Medicare Part D prescribing footprint of 61 claims across 48 beneficiaries . Their CMS MIPS Final Score of 70.7696/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $261.07 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES FITZGIBBONS, M.D. reported a CMS MIPS final score of 70.7696 out of 100, below the 83.1 national average, and filed 61 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 FITZGIBBONS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES FITZGIBBONS, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/30/2005

NPI 1619974169

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

61 81% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

70.7696/100 12.330399999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Connecticut

How Orthopaedic Surgery Physician compares to other specialties among Connecticut providers

Connecticut providers

Orthopaedic Surgery Physician share within Connecticut

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Connecticut

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
70.7696/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 70.7696/100 vs national avg 83.1

0%100%National avg83%70.8%
MIPS final score (Orthopaedic Surgery Physician) — 70.7696/100 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 FITZGIBBONS, M.D. is a Orthopaedic Surgery Physician provider practicing in FAIRFIELD, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1619974169. 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 FITZGIBBONS, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 305 BLACK ROCK TPKE, FAIRFIELD, CT, 06825, with a listed phone of (203) 337-2600. NPI 1619974169 was issued on 06/30/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FITZGIBBONS 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 61 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $443 in drug spend, with an opioid prescribing rate of 19.7%. 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 70.7696/100 for the 2023 performance year (Quality 63.2131, Cost 51.8522), 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

305 BLACK ROCK TPKE
FAIRFIELD, CT 06825

Provider Details

NPI 1619974169
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/30/2005

CMS Quality Score (MIPS)

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

70.7696
Final Score
Avg: 83.1
63.2131
Quality
51.8522
Cost
85
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES FITZGIBBONS, 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.

ORTHOPAEDIC SPECIALTY GROUP PC
FAIRFIELD, CT
PTSMA INC
FAIRFIELD, CT
REHABILITATION ASSOCIATES INC
FAIRFIELD, CT

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

Total received

$261

Largest payer

Zimmer Biomet Holdings, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

61
Total Claims
$443
Total Drug Cost
48
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
61
Total Day Supply
833
Brand Drug Cost
$0
Generic Drug Cost
$443
Opioid Claims
12 (19.7% rate)

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
0.98
Gender Split
63% female / 38% 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
Meloxicam
11
Methylprednisolone
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 FITZGIBBONS, 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 FITZGIBBONS, M.D.'s 61 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Connecticut

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

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

Frequently Asked Questions

What is JAMES FITZGIBBONS, M.D.'s specialty?
JAMES FITZGIBBONS, M.D. specializes in Orthopaedic Surgery Physician and practices in FAIRFIELD, Connecticut. Credentials: M.D..
How much does JAMES FITZGIBBONS, M.D. prescribe under Medicare Part D?
In 2023, JAMES FITZGIBBONS, M.D. wrote 61 Medicare Part D claims totaling $443 in drug costs for 48 beneficiaries.
What is JAMES FITZGIBBONS, M.D.'s Medicare quality score?
JAMES FITZGIBBONS, M.D. has a CMS MIPS Final Score of 70.7696/100 (Quality: 63.2131, Cost: 51.8522). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES FITZGIBBONS, M.D. located?
JAMES FITZGIBBONS, M.D. is located at 305 BLACK ROCK TPKE, FAIRFIELD, CT, 06825. Phone: (203) 337-2600.
What is JAMES FITZGIBBONS, M.D.'s NPI number?
JAMES FITZGIBBONS, M.D.'s National Provider Identifier (NPI) is 1619974169, issued on 06/30/2005.
Does JAMES FITZGIBBONS, M.D. prescribe opioids?
Yes, JAMES FITZGIBBONS, M.D. had 12 opioid claims in 2023 with an opioid prescribing rate of 19.7%.
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 FITZGIBBONS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES FITZGIBBONS, M.D.'s most frequently prescribed drugs include Meloxicam, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES FITZGIBBONS, M.D. accept Medicare?
JAMES FITZGIBBONS, M.D. appears in CMS Medicare data with 61 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES FITZGIBBONS, M.D.'s credentials?
JAMES FITZGIBBONS, M.D.'s NPI is 1619974169 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