2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1972576304 M.D.
Verify on CMS →

James Flanagan, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in Birmingham, Alabama.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,681 in Sports Medicine (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
567
Medicare Part D claims · 165 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Flanagan, M.D. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 567 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
567
Part D claims, 2023
94%
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 Flanagan, 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

100 Top 7% higher than 93% 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+: 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 Flanagan, M.D. sits

This provider among sports medicine (orthopaedic surgery) physician peers

Across the 1,085 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Flanagan, M.D. writes more Part D claims than 82% of them and scores higher on MIPS quality than 96% - 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: 3 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 20James Flanagan, M.D.-Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 96
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is James Flanagan, 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 Flanagan, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Flanagan, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 02/08/2006

NPI 1972576304

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

567 104% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Alabama

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Alabama providers

Alabama providers
Student in an Organized Health Care Education/Training Program - 8.1%Student in an Organized Health Care Education/Training Program8.1%Pharmacist - 6.7%Pharmacist6.7%Family Nurse Practitioner - 5.9%Family Nurse Practitioner5.9%Behavior Technician - 4.4%Behavior Technician4.4%Physical Therapist - 4.2%Physical Therapist4.2%Mental Health Counselor - 3.3%Mental Health Counselor3.3%Sports Medicine (Orthopaedic Surgery) Physician - 0.1%Sports Medicine (Orthopaedic Surgery) Physician0.1%
Largest specialties in Alabama (% of in-state providers)

Medicare quality performance, MIPS

James Flanagan, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

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

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 100/100 vs national avg 83.1
How MIPS and board certification work

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 Flanagan, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 805 SAINT VINCENTS DR, Birmingham, AL, 35205, with a listed phone of (205) 939-3699. NPI 1972576304 was issued on 02/08/2006.

Medicare Part D records for calendar year 2023 show 567 prescription claims written by this provider, covering 165 Medicare beneficiaries and totaling roughly $15K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 22.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

805 SAINT VINCENTS DR
Birmingham, AL 35205

Provider Details

NPI 1972576304
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 02/08/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

James Flanagan, M.D. - brand share 6.0%
Sports Medicine (Orthopaedic Surgery) Physician average

6% brand-name claims vs 94% generic, on 567 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.

567
Total Claims
$15K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
574
Total Day Supply
4,199
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$11K
Generic Drug Cost
$5K
Opioid Claims
130 (22.9% rate)
Antibiotic Claims
309

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
0.78
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What James Flanagan, 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
Amoxicillin
192
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
96
Cephalexin
93
Mupirocin
54
Eliquis
Apixaban
29
Levofloxacin
21
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
16
Tramadol Hcl
16
Celecoxib
12

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How James Flanagan, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

James Flanagan, M.D.'s 567 claims are above the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Alabama

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

Compare Sports Medicine (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 Alabama medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Sports Medicine (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 Flanagan, M.D.'s specialty?
James Flanagan, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Birmingham, Alabama. Credentials: M.D..
How much does James Flanagan, M.D. prescribe under Medicare Part D?
In 2023, James Flanagan, M.D. wrote 567 Medicare Part D claims totaling $15K in drug costs for 165 beneficiaries.
What is James Flanagan, M.D.'s Medicare quality score?
James Flanagan, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Flanagan, M.D. located?
James Flanagan, M.D. is located at 805 SAINT VINCENTS DR, Birmingham, AL, 35205. Phone: (205) 939-3699.
What is James Flanagan, M.D.'s NPI number?
James Flanagan, M.D.'s National Provider Identifier (NPI) is 1972576304, issued on 02/08/2006.
Does James Flanagan, M.D. prescribe more brand-name or generic drugs?
James Flanagan, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $11K in brand drug costs.
Does James Flanagan, M.D. prescribe opioids?
Yes, James Flanagan, M.D. had 130 opioid claims in 2023 with an opioid prescribing rate of 22.9%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does James Flanagan, M.D. prescribe most often?
Based on 2023 Medicare Part D data, James Flanagan, M.D.'s most frequently prescribed drugs include Amoxicillin, Oxycodone-Acetaminophen, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Flanagan, M.D. accept Medicare?
James Flanagan, M.D. appears in CMS Medicare data with 567 Part D claims and 165 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Flanagan, M.D.'s credentials?
James Flanagan, M.D.'s NPI is 1972576304 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

View source datasets and methodology notes
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.