NPI registry status
Active
2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1528621174
Verify on CMS → James Gardner
Sports Medicine (Physical Medicine & Rehabilitation) Physician in Charleston, South Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,302 in Sports Medicine (Physical Medicine & Rehabilitation) 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
29
Medicare Part D claims · 22 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 583
Industry payments
$40.21
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
James Gardner filed 29 Medicare Part D claims in 2024 as a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Charleston, South Carolina.
- 29
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (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 Gardner
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1528621174), first enumerated 04/18/2019.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 29 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$40.21 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1528621174 · Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI-10 · ENUM-RECENT · TAX-NARROW · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1528621174
- ENUM-RECENT 2019
- TAX-NARROW 1,302
- RX-TRACE 29
- BOOK-THIN 17 in South Carolina
- PHOTO-ENUM Matthew Straight, MD · 2019
James Gardner's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
29 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
James Gardner 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).
What does the federal data show about James Gardner?
Quality data not reportedPrimary specialty
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
29 95% vs specialty avg
Specialty distribution in South Carolina
How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among South Carolina providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Physical Medicine & Rehabilitation) Physician. Verify directly:
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
Provider Details
| NPI | 1528621174 |
|---|---|
| Specialty | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Gender | Male |
| NPI Issued | 04/18/2019 |
Hospital and facility affiliations
Facilities where James Gardner 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.
University Medical Associates OF The Medical University OF South Carol
Charleston, SC
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 Gardner. Source: openpaymentsdata.cms.gov.
Total received
$40
Largest payer
TRICE MEDICAL, 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 2024.
29
Total Claims
$379
Total Drug Cost
22
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 29
- Total Day Supply
- 614
- Generic Drug Cost
- $67
Patient Demographics
- Average Patient Age
- 67.7 years
- Avg HCC Risk Score
- 1.34
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Meloxicam | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Physical Medicine & Rehabilitation) Physician in SC →
All providers in South Carolina →
Compare specialties →
Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview
How James Gardner fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,302
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
583
Avg Claims per Provider
James Gardner's 29 claims are below the specialty average of 583.
Nationwide Sports Medicine (Physical Medicine & Rehabilitation) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gardner, both outside South Carolina so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in South Carolina
Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as Gardner.
One of 17 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers enrolled in South Carolina, 5 are shown here.
Frequently Asked Questions
What is James Gardner's specialty? ▼
James Gardner specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in Charleston, South Carolina.
How much does James Gardner prescribe under Medicare Part D? ▼
In 2024, James Gardner wrote 29 Medicare Part D claims totaling $379 in drug costs for 22 beneficiaries.
Where is James Gardner located? ▼
James Gardner is located at 171 ASHLEY AVE, Charleston, SC, 29425. Phone: (843) 792-1414.
What is James Gardner's NPI number? ▼
James Gardner's National Provider Identifier (NPI) is 1528621174, issued on 04/18/2019.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,302 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 583 Medicare Part D claims per year.
What drugs does James Gardner prescribe most often? ▼
Based on 2024 Medicare Part D data, James Gardner's most frequently prescribed drugs include Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Gardner accept Medicare? ▼
James Gardner appears in CMS Medicare data with 29 Part D claims and 22 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Gardner's credentials? ▼
James Gardner's NPI is 1528621174. 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.
- 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
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.