NPPES file of Aug 9, 2026

James Flanagan, MD

Emergency Medicine Physician · Erlanger, KY

James Flanagan, MD is an emergency medicine physician with a practice address in Erlanger, Kentucky, and NPI 1316963978, issued on Jul 15, 2006. Check the license (Kentucky 34664, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1316963978
Name
James Flanagan
Credential
MD
Primary taxonomy
Emergency Medicine Physician 207P00000X
License number
34664 KY
Self-reported in NPPES; status is on the state search
Practice location
600 Rodeo Dr, Erlanger, KY 41018
Phone
(859) 342-0901
Enumerated
Jul 15, 2006
Record last updated
Apr 9, 2026
Fax
(859) 973-4916
Medicaid IDs
2320054 OH
64038284 KY
Medicare enrollment
Enrolled (PECOS I20040427001254); accepts Medicare assignment
Medical or professional school
University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 1991
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 600 Rodeo Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jordan Barker, DPTPhysical Therapist1295277358
  2. Sarah Bills, APRNNurse Practitioner1386870020
  3. Edward Brush, MPTPhysical Therapist1962724633
  4. Kristen Bynum, PTPhysical Therapist1518523562
  5. Alec Glines, PTPhysical Therapist1972975118
  6. Keaton Hagins, DPTPhysical Therapist1578270013

Verify James Flanagan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 34664
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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58% fewer Medicare Part D claims than the average emergency medicine physician in 2024

96 Medicare Part D claims for 62 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 24% of claims.

  1. James Flanagan96
  2. Specialty average226

Most prescribed

  1. Santyl20 claims
  2. Cefdinir14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%100.0
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $45.42

2 payments; by number, the most common kind was food and beverage; the largest payer was Smith+Nephew, Inc. The 12,335 providers of this specialty with any payment received $953.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Flanagan$45.42
  2. Specialty average$953.79

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Ameriwound Physicians KY, LLCLouisville, KY
  2. Concord Medical Group OF Kentucky PLLCHardinsburg, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Flanagan among 903 emergency medicine physician records in Kentucky

James Flanagan, MD is one of 903 emergency medicine physician records with a practice address in Kentucky. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 55% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated1991 · median 2011 among the 557 with a school on file
  • Record last updated2026 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Emergency Medicine Physician providers in Kentucky

There are 903 emergency medicine physician records in Kentucky.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Andrew ChavezEdgewood, KY 410171811637390
  2. Stephen Cooper, MDEdgewood, KY 410171669993960
  3. Rachel Frederick, MDEdgewood, KY 410171386266013
  4. Anne Grisoli, MDEdgewood, KY 410171164009924
  5. Rachel Helpling, MDEdgewood, KY 410171275916603
  6. William Henry, MDEdgewood, KY 410171891316824
  7. Robert Hudepohl, MDCrestview Hills, KY 410171215464839
  8. Mackenzie Loesing, MDEdgewood, KY 410171104407931

Common questions

What is James Flanagan, MD's NPI number?

James Flanagan, MD's National Provider Identifier (NPI) is 1316963978, issued on Jul 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James Flanagan, MD located?

The NPPES record lists a practice address at 600 Rodeo Dr, Erlanger, KY, 41018. Phone: (859) 342-0901. Providers update this record themselves, so call before visiting.

How can I verify James Flanagan, MD's license?

NPPES lists Kentucky license number 34664, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Flanagan, MD prescribe under Medicare Part D?

In 2024, James Flanagan, MD had 96 Medicare Part D claims for 62 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is James Flanagan, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.