NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1669634283 MD
Verify on CMS → James Gardner, MD
Emergency Medicine Physician in Philadelphia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 66,293 in Emergency Medicine 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
108
Medicare Part D claims · 64 beneficiaries · Emergency Medicine Physician avg: 355
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
James Gardner, MD filed 108 Medicare Part D claims in 2024 as an Emergency Medicine Physician in Philadelphia, Pennsylvania, prescribing 88% generic.
- 108
- Part D claims, 2024
- 88%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥34th
- 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, MD
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 1669634283), first enumerated 06/25/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 108 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
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not James Gardner, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- 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 1669634283 · Emergency Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1669634283
- ENUM-MID 2008
- TAX-MEGA 66K Emergency Medicine
- RX-LIGHT 108
- BOOK-LIGHT 3,735 in Pennsylvania
- PHOTO-ENUM Stephanie Chen · 2008
James Gardner, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
108 ≥ 34th percentile 34% 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, MD 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, MD?
Quality data not reportedPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
108 70% vs specialty avg
Specialty distribution in Pennsylvania
How Emergency Medicine Physician compares to other specialties among Pennsylvania 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 Emergency Medicine 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 | 1669634283 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/25/2008 |
Hospital and facility affiliations
Facilities where James Gardner, MD 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.
Medstar Medical Group II LLC
Washington, DC
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to James Gardner, MD. To verify James Gardner, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
James Gardner, MD - brand share 12.0%
Emergency Medicine Physician average
12% brand-name claims vs 88% generic, on 108 2024 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 2024.
108
Total Claims
$2K
Total Drug Cost
64
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 113.4
- Total Day Supply
- 2,244
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $583
- Generic Drug Cost
- $1K
- Antibiotic Claims
- 18
Patient Demographics
- Average Patient Age
- 70.8 years
- Avg HCC Risk Score
- 2.14
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 15, 65-74: N/A, 75-84: 22, 85+: N/A
Emergency Medicine Physician Overview
How James Gardner, MD fits within the Emergency Medicine Physician landscape nationally.
66,293
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
355
Avg Claims per Provider
James Gardner, MD's 108 claims are below the specialty average of 355.
Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gardner, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Gardner.
One of 3,735 Emergency Medicine Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Nicole Abate
MD
Phila, PA
Osman Abbasi
Bethlehem, PA
Dr. Michael Abboud
MD
Philadelphia, PA
Dr. Stephanie Abbuhl
MD
Philadelphia, PA
Dr. Rehab Abdel-Kariem
M.D.
Philadelphia, PA
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is James Gardner, MD's specialty? ▼
James Gardner, MD specializes in Emergency Medicine Physician and practices in Philadelphia, Pennsylvania. Credentials: MD.
How much does James Gardner, MD prescribe under Medicare Part D? ▼
In 2024, James Gardner, MD wrote 108 Medicare Part D claims totaling $2K in drug costs for 64 beneficiaries.
Where is James Gardner, MD located? ▼
James Gardner, MD is located at 5501 OLD YORK RD, Philadelphia, PA, 19141. Phone: (215) 456-6679.
What is James Gardner, MD's NPI number? ▼
James Gardner, MD's National Provider Identifier (NPI) is 1669634283, issued on 06/25/2008.
Does James Gardner, MD prescribe more brand-name or generic drugs? ▼
James Gardner, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $583 in brand drug costs.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 66,293 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 355 Medicare Part D claims per year.
Does James Gardner, MD accept Medicare? ▼
James Gardner, MD appears in CMS Medicare data with 108 Part D claims and 64 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Gardner, MD's credentials? ▼
James Gardner, MD's NPI is 1669634283 with credentials MD. 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.