NPI registry status
Active
2026 NPPES data Chiropractor NPI 1316946163 D.C., APRN
Verify on CMS → James Guthrie, D.C., APRN
Chiropractor in Spiro, Oklahoma.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 95,504 in Chiropractor, 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
5K
Medicare Part D claims · 279 beneficiaries · Chiropractor avg: 824
Generic prescribing
90%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
29.5/100
▼ 54 pts below national avg 83.1 · Below average
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 Guthrie, D.C., APRN reported a CMS MIPS final score of 29.5/100 - below the 83.1 national average - and filed 5,045 Medicare Part D claims in 2023.
- 29.5/100
- MIPS score · -54 vs avg
- 5K
- Part D claims, 2023
- 90%
- generic prescribing
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 Guthrie, D.C., APRN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
30 3rd percentile higher than 3% of 477,587 scored providers
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 Guthrie, D.C., APRN sits
This provider among chiropractor peers
Across the 60 chiropractor providers who report both Medicare Part D prescribing and a MIPS quality score, James Guthrie, D.C., APRN writes more Part D claims than 95% of them and scores higher on MIPS quality than 5% - placing this provider in the high-volume, lower-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
Each dot is one chiropractor peer from a representative sample of 59; the gold marker is James Guthrie, D.C., APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about James Guthrie, D.C., APRN?
Below national averagePrimary specialty
Chiropractor
Medicare Part D claims
5,045 6× vs specialty avg
MIPS final score
29.5/100 53.6 pts vs avg
Specialty distribution in Oklahoma
How Chiropractor compares to other specialties among Oklahoma providers
Medicare quality performance, MIPS
James Guthrie, D.C., APRN's 2023 MIPS final score plotted against the Chiropractor national average
- MIPS Final Score
- 29.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Chiropractor) - 29.5/100 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 Guthrie, D.C., APRN appears in the CMS NPPES registry as a Chiropractor provider holding D.C., APRN credentials at 2000 E BROADWAY ST, Spiro, OK, 74959, with a listed phone of (918) 962-2439. NPI 1316946163 was issued on 07/14/2005.
Medicare Part D records for calendar year 2023 show 5,045 prescription claims written by this provider, covering 279 Medicare beneficiaries and totaling roughly $370K in drug spend, split 9% brand-name and 90% generic by claim count, with an opioid prescribing rate of 5.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 29.5/100 for the 2023 performance year (Quality 0, Cost 98.4), compared with the national average of 83.1.
Chiropractor is a high-volume specialty nationwide, with 95,504 enrolled providers across 56 states and an average of 824 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 | 1316946163 |
|---|---|
| Specialty | Chiropractor |
| Credentials | D.C., APRN |
| Gender | Male |
| NPI Issued | 07/14/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
29.5343
Final Score
Avg: 83.1
0
Quality
98.4477
Cost
Reporting: Individual
Brand vs generic prescribing mix · Generic-heavy
James Guthrie, D.C., APRN - brand share 9.0%
Chiropractor average
9% brand-name claims vs 90% generic, on 5,045 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.
5,045
Total Claims
$370K
Total Drug Cost
279
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,094
- Total Day Supply
- 219,982
- Brand vs Generic
- 9% brand / 90% generic
- Brand Drug Cost
- $288K
- Generic Drug Cost
- $82K
- Opioid Claims
- 270 (5.4% rate)
- Antibiotic Claims
- 325
Patient Demographics
- Average Patient Age
- 69.1 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 67, 65-74: 119, 75-84: 79, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Guthrie, D.C., APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
194 claims
- Atorvastatin Calcium
Atorvastatin Calcium
163 claims
- Tramadol Hcl
Tramadol Hcl
158 claims
- Omeprazole
Omeprazole
121 claims
- Levothyroxine Sodium
Levothyroxine Sodium
113 claims
- Tamsulosin Hcl
Tamsulosin Hcl
113 claims
- Methylprednisolone
Methylprednisolone
103 claims
- Acetaminophen-Code…
Acetaminophen-Codeine
99 claims
| Drug | Claims |
|---|---|
| Gabapentin | 194 |
| Atorvastatin Calcium | 163 |
| Tramadol Hcl | 158 |
| Omeprazole | 121 |
| Levothyroxine Sodium | 113 |
| Tamsulosin Hcl | 113 |
| Methylprednisolone | 103 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 99 |
| Meloxicam | 97 |
| Prednisone | 94 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Chiropractor Overview
How James Guthrie, D.C., APRN fits within the Chiropractor landscape nationally.
95,504
Chiropractor Providers in US
56
States with Chiropractor
824
Avg Claims per Provider
James Guthrie, D.C., APRN's 5,045 claims are above the specialty average of 824.
Nearby Chiropractor Providers in Oklahoma
Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as Guthrie.
Dr. Christian Abels
D.C.
Tahlequah, OK
Dr. Christian Abels
D.C.
Tahlequah, OK
Dr. Blaine Adair
D.C.
Lawton, OK
Dr. Jay Adams
D.C.
Norman, OK
Dr. Michelle Adams
D.C.
Lawton, OK
Compare Chiropractor 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 Oklahoma medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Chiropractor 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
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Frequently Asked Questions
What is James Guthrie, D.C., APRN's specialty? ▼
James Guthrie, D.C., APRN specializes in Chiropractor and practices in Spiro, Oklahoma. Credentials: D.C., APRN.
How much does James Guthrie, D.C., APRN prescribe under Medicare Part D? ▼
In 2023, James Guthrie, D.C., APRN wrote 5,045 Medicare Part D claims totaling $370K in drug costs for 279 beneficiaries.
What is James Guthrie, D.C., APRN's Medicare quality score? ▼
James Guthrie, D.C., APRN has a CMS MIPS Final Score of 29.5/100 (Quality: 0, Cost: 98.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Guthrie, D.C., APRN located? ▼
James Guthrie, D.C., APRN is located at 2000 E BROADWAY ST, Spiro, OK, 74959. Phone: (918) 962-2439.
What is James Guthrie, D.C., APRN's NPI number? ▼
James Guthrie, D.C., APRN's National Provider Identifier (NPI) is 1316946163, issued on 07/14/2005.
Does James Guthrie, D.C., APRN prescribe more brand-name or generic drugs? ▼
James Guthrie, D.C., APRN's prescribing is 9% brand-name and 90% generic drugs by claim count, with $288K in brand drug costs.
Does James Guthrie, D.C., APRN prescribe opioids? ▼
Yes, James Guthrie, D.C., APRN had 270 opioid claims in 2023 with an opioid prescribing rate of 5.4%.
How many Chiropractor providers are there in the US? ▼
There are 95,504 Chiropractor providers across 56 states in the US. The average Chiropractor provider writes 824 Medicare Part D claims per year.
What drugs does James Guthrie, D.C., APRN prescribe most often? ▼
Based on 2023 Medicare Part D data, James Guthrie, D.C., APRN's most frequently prescribed drugs include Gabapentin, Atorvastatin Calcium, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Guthrie, D.C., APRN accept Medicare? ▼
James Guthrie, D.C., APRN appears in CMS Medicare data with 5,045 Part D claims and 279 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Guthrie, D.C., APRN's credentials? ▼
James Guthrie, D.C., APRN's NPI is 1316946163 with credentials D.C., APRN. 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.
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 May 2026.