2026 NPPES data Orthopaedic Surgery Physician NPI 1881998490 D.O.
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JAMES HELTSLEY, D.O.

Orthopaedic Surgery Physician in BOWLING GREEN, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 450 beneficiaries · Orthopaedic Surgery Physician avg: 324
Industry payments
$471.16
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES HELTSLEY, D.O. filed 1,008 Medicare Part D claims in 2023 as a Orthopaedic Surgery Physician in BOWLING GREEN, Kentucky.

1K
Part D claims, 2023
Likely
board-certified (heuristic)

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 HELTSLEY, D.O.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,008 Top 24% higher than 76% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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 certification likely (heuristic — not verified)

JAMES HELTSLEY, D.O. 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 HELTSLEY, D.O.?

Quality data not reported

NPI registry status

Active

Issued 12/23/2010

NPI 1881998490

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

1,008 211% vs specialty avg

2023 prescription claims

Specialty avg: 324

Specialty distribution in Kentucky

How Orthopaedic Surgery Physician compares to other specialties among Kentucky providers

Kentucky providers

Orthopaedic Surgery Physician share within Kentucky

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Kentucky

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthopaedic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Orthopaedic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery Physician) — ABMS / AOA estimate

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 HELTSLEY, D.O. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding D.O. credentials at 165 NATCHEZ TRACE AVE, BOWLING GREEN, KY, 42103, with a listed phone of (270) 782-7800. NPI 1881998490 was issued on 12/23/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HELTSLEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,008 prescription claims written by this provider, covering 450 Medicare beneficiaries and totaling roughly $13K in drug spend, with an opioid prescribing rate of 28.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

165 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103

Provider Details

NPI 1881998490
Specialty Orthopaedic Surgery Physician
Credentials D.O.
Gender Male
NPI Issued 12/23/2010

Hospital and facility affiliations

Facilities where JAMES HELTSLEY, D.O. 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.

GRAVES GILBERT CLINIC PLLC
BOWLING GREEN, KY

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 HELTSLEY, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$471

Largest payer

Music City Medical Technologies, LLC

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 2023.

1,008
Total Claims
$13K
Total Drug Cost
450
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,085
Total Day Supply
21,536
Generic Drug Cost
$13K
Opioid Claims
286 (28.4% rate)
Antibiotic Claims
47

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.07
Gender Split
63% female / 37% male
Age Distribution
<65: 83, 65-74: 245, 75-84: 95, 85+: 27

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JAMES HELTSLEY, D.O. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Diclofenac Sodium
369
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
187
Methylprednisolone
93
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
72
Celecoxib
42
Cyclobenzaprine Hcl
39
Meloxicam
31
Gabapentin
27
Tramadol Hcl
26
Mupirocin
22

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

Orthopaedic Surgery Physician Overview

How JAMES HELTSLEY, D.O. fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

JAMES HELTSLEY, D.O.'s 1,008 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as HELTSLEY.

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES HELTSLEY, D.O.'s specialty?
JAMES HELTSLEY, D.O. specializes in Orthopaedic Surgery Physician and practices in BOWLING GREEN, Kentucky. Credentials: D.O..
How much does JAMES HELTSLEY, D.O. prescribe under Medicare Part D?
In 2023, JAMES HELTSLEY, D.O. wrote 1,008 Medicare Part D claims totaling $13K in drug costs for 450 beneficiaries.
Where is JAMES HELTSLEY, D.O. located?
JAMES HELTSLEY, D.O. is located at 165 NATCHEZ TRACE AVE, BOWLING GREEN, KY, 42103. Phone: (270) 782-7800.
What is JAMES HELTSLEY, D.O.'s NPI number?
JAMES HELTSLEY, D.O.'s National Provider Identifier (NPI) is 1881998490, issued on 12/23/2010.
Does JAMES HELTSLEY, D.O. prescribe opioids?
Yes, JAMES HELTSLEY, D.O. had 286 opioid claims in 2023 with an opioid prescribing rate of 28.4%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does JAMES HELTSLEY, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JAMES HELTSLEY, D.O.'s most frequently prescribed drugs include Diclofenac Sodium, Oxycodone-Acetaminophen, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES HELTSLEY, D.O. accept Medicare?
JAMES HELTSLEY, D.O. appears in CMS Medicare data with 1,008 Part D claims and 450 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES HELTSLEY, D.O.'s credentials?
JAMES HELTSLEY, D.O.'s NPI is 1881998490 with credentials D.O.. 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

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