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2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1972576304 M.D.
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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 2,766 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
110
Medicare Part D claims · 42 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 309
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
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Compiled from official public sources by the editorial process.

What the federal data shows

James Flanagan, M.D. reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 110 Medicare Part D claims in 2024.

100/100
MIPS score · +17 vs avg
110
Part D claims, 2024
Likely
board-certified (heuristic)
≥92nd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about James Flanagan, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1972576304), first enumerated 02/08/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 110 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 100/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1972576304 · Sports Medicine (Orthopaedic Surgery) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1972576304
  • ENUM-LEGACY 2006
  • TAX-NARROW 2,766
  • MIPS-ELITE 100/100
  • RX-LIGHT 110
  • BOOK-THIN 40 in Alabama
  • PHOTO-FINISH Douglas Abbott · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

James Flanagan, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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 924 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 33% of them and scores higher on MIPS quality than 96% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 73James Flanagan, M.D., Part D claim volume, percentile in specialty: 33 · 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

2,766 US NPIs in this specialty

Medicare Part D claims

110 64% vs specialty avg

2024 prescription claims

Specialty avg: 309

MIPS final score

100/100 16.5 pts vs avg

Exceptional band

vs 83.5 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 Heal…8.4%Pharmacist6.6%Family Nurse Practitioner5.9%Behavior Technician4.7%Physical Therapist4.2%Mental Health Counselor3.4%Sports Medicine (Orthopaedic…0.1%
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 83.5 national avg · 2023 performance year
0%100%National avg84%99%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 100/100 vs national avg 83.5
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).

Practice Address

805 SAINT VINCENTS DR
Birmingham, AL 35205
(205) 939-3699

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
Measured-score avg: 83.5
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

110
Total Claims
$840
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
113.4
Total Day Supply
836
Generic Drug Cost
$400
Antibiotic Claims
87

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
0.96
Gender Split
69% female / 31% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Amoxicillin
 73
Albuterol Sulfate Hfa
Albuterol Sulfate
14

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

More Sports Medicine (Orthopaedic Surgery) Physician in AL → All providers in Alabama → Compare specialties →

Sports Medicine (Orthopaedic Surgery) Physician Overview

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

2,766
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
309
Avg Claims per Provider

James Flanagan, M.D.'s 110 claims are below the specialty average of 309.

Nationwide Sports Medicine (Orthopaedic Surgery) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Flanagan, both outside Alabama so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (100 here).

Douglas Abbott 100 OR Husam Almajed 100 CA David Anapolle 100 NJ John Belzer 100 CA

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Antonio De La Cruz Miranda Bayamon, PR John Mehalik Fort Myers, FL Daniel Kulund Panama City, FL Diane Hillard-Sembell Springfield, IL

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.

One of 40 Sports Medicine (Orthopaedic Surgery) Physician providers enrolled in Alabama, 5 are shown here.

Dr. Baylor Blickenstaff
MD
Birmingham, AL
Dr. Kenneth Bramlett
M.D.
Vestavia Hills, AL
Dr. Austin Broussard
MD
Birmingham, AL
Dr. Collier Campbell
MD
Birmingham, AL
Dr. Samuel Carstensen
M.D.
Pelham, AL

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

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 2024, James Flanagan, M.D. wrote 110 Medicare Part D claims totaling $840 in drug costs for 42 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 average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,766 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 309 Medicare Part D claims per year.
What drugs does James Flanagan, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, James Flanagan, M.D.'s most frequently prescribed drugs include Amoxicillin, Albuterol Sulfate Hfa. 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 110 Part D claims and 42 Medicare beneficiaries in 2024. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.