NPI registry status
Active
2026 NPPES data Forensic Psychiatry Physician NPI 1811090566 MD
Verify on CMS → James Groce, MD
Forensic Psychiatry Physician in Smithfield, North 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 841 in Forensic Psychiatry 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
296
Medicare Part D claims · 65 beneficiaries · Forensic Psychiatry Physician avg: 869
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$476.67
24 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Groce, MD filed 296 Medicare Part D claims in 2023 as a Forensic Psychiatry Physician in Smithfield, North Carolina, prescribing 92% generic.
- 296
- Part D claims, 2023
- 92%
- generic prescribing
- $476.67
- industry payments (Sunshine Act)
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 Groce, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
296 49th percentile higher than 49% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
James Groce, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Groce, MD?
Quality data not reportedPrimary specialty
Forensic Psychiatry Physician
Medicare Part D claims
296 66% vs specialty avg
Specialty distribution in North Carolina
How Forensic Psychiatry Physician compares to other specialties among North 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 Forensic Psychiatry 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).
James Groce, MD appears in the CMS NPPES registry as a Forensic Psychiatry Physician provider holding MD credentials at 521 NORTH BRIGHT LEAF BLVD, Smithfield, NC, 27577, with a listed phone of (919) 989-5000. NPI 1811090566 was issued on 09/07/2006.
Medicare Part D records for calendar year 2023 show 296 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $45K in drug spend, split 8% brand-name and 92% generic by claim count.
Forensic Psychiatry Physician is a narrow specialty nationwide, with 841 enrolled providers across 47 states and an average of 869 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
Provider Details
| NPI | 1811090566 |
|---|---|
| Specialty | Forensic Psychiatry Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/07/2006 |
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 Groce, MD. Source: openpaymentsdata.cms.gov.
Total received
$477
Largest payer
Teva Pharmaceuticals USA, 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.
Brand vs generic prescribing mix · Generic-heavy
James Groce, MD - brand share 8.0%
Forensic Psychiatry Physician average
8% brand-name claims vs 92% generic, on 296 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.
296
Total Claims
$45K
Total Drug Cost
65
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 300
- Total Day Supply
- 8,227
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $38K
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 55.1 years
- Avg HCC Risk Score
- 1.51
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 49, 65-74: 13, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Groce, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clonazepam
Clonazepam
35 claims
- Gabapentin
Gabapentin
19 claims
- Trazodone Hcl
Trazodone Hcl
17 claims
- Diazepam
Diazepam
15 claims
- Alprazolam 13
Alprazolam
13 claims
- Fluoxetine Hcl 11
Fluoxetine Hcl
11 claims
- Zolpidem Tartrate 11
Zolpidem Tartrate
11 claims
| Drug | Claims |
|---|---|
| Clonazepam | 35 |
| Gabapentin | 19 |
| Trazodone Hcl | 17 |
| Diazepam | 15 |
| Alprazolam | 13 |
| Fluoxetine Hcl | 11 |
| Zolpidem Tartrate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Forensic Psychiatry Physician Overview
How James Groce, MD fits within the Forensic Psychiatry Physician landscape nationally.
841
Forensic Psychiatry Physician Providers in US
47
States with Forensic Psychiatry Physician
869
Avg Claims per Provider
James Groce, MD's 296 claims are below the specialty average of 869.
Nearby Forensic Psychiatry Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Groce.
Dr. Moira Artigues
M.D.
Cary, NC
Dr. David Bartholomew
M.D.
Raleigh, NC
Dr. Bruce Berger
M.D.
Raleigh, NC
Dr. Regina Carroll
M.D.
Cary, NC
Dr. George Corvin
M.D.
Raleigh, NC
Compare Forensic Psychiatry 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 North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Forensic Psychiatry 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.
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Explore North Carolina
Frequently Asked Questions
What is James Groce, MD's specialty? ▼
James Groce, MD specializes in Forensic Psychiatry Physician and practices in Smithfield, North Carolina. Credentials: MD.
How much does James Groce, MD prescribe under Medicare Part D? ▼
In 2023, James Groce, MD wrote 296 Medicare Part D claims totaling $45K in drug costs for 65 beneficiaries.
Where is James Groce, MD located? ▼
James Groce, MD is located at 521 NORTH BRIGHT LEAF BLVD, Smithfield, NC, 27577. Phone: (919) 989-5000.
What is James Groce, MD's NPI number? ▼
James Groce, MD's National Provider Identifier (NPI) is 1811090566, issued on 09/07/2006.
Does James Groce, MD prescribe more brand-name or generic drugs? ▼
James Groce, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $38K in brand drug costs.
How many Forensic Psychiatry Physician providers are there in the US? ▼
There are 841 Forensic Psychiatry Physician providers across 47 states in the US. The average Forensic Psychiatry Physician provider writes 869 Medicare Part D claims per year.
What drugs does James Groce, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, James Groce, MD's most frequently prescribed drugs include Clonazepam, Gabapentin, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Groce, MD accept Medicare? ▼
James Groce, MD appears in CMS Medicare data with 296 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Groce, MD's credentials? ▼
James Groce, MD's NPI is 1811090566 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 (2023). 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 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.