2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1366550691 DO PC AOAOS
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JAMES HENRY, DO PC AOAOS

Adult Reconstructive Orthopaedic Surgery Physician in FAR ROCKAWAY, New York. 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
53
Medicare Part D claims · 32 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$392.3
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES HENRY, DO PC AOAOS reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 53 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
53
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 HENRY, DO PC AOAOS's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

JAMES HENRY, DO PC AOAOS practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 HENRY, DO PC AOAOS?

Below national average

NPI registry status

Active

Issued 08/28/2006

NPI 1366550691

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

53 89% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in New York

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among New York providers

New York providers

Adult Reconstructive Orthopaedic Surgery Physician share within New York

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within New York

Medicare quality performance — MIPS

JAMES HENRY, DO PC AOAOS's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 0/100 vs national avg 83.1

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 HENRY, DO PC AOAOS appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding DO PC AOAOS credentials at 347 BEACH 19TH STREET, FAR ROCKAWAY, NY, 11691, with a listed phone of (718) 869-8888. NPI 1366550691 was issued on 08/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HENRY 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 53 prescription claims written by this provider, covering 32 Medicare beneficiaries and totaling roughly $513 in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

347 BEACH 19TH STREET
FAR ROCKAWAY, NY 11691

Provider Details

NPI 1366550691
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials DO PC AOAOS
Gender Male
NPI Issued 08/28/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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 HENRY, DO PC AOAOS. Source: openpaymentsdata.cms.gov.

Total received

$392

Largest payer

Stryker Corporation

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.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to JAMES HENRY, DO PC AOAOS. To verify JAMES HENRY, DO PC AOAOS's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

53
Total Claims
$513
Total Drug Cost
32
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
60
Total Day Supply
1,143
Brand Drug Cost
$0
Generic Drug Cost
$513

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
0.84

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Methylprednisolone
16
Ibuprofen
13

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How JAMES HENRY, DO PC AOAOS fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

JAMES HENRY, DO PC AOAOS's 53 claims are below the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as HENRY.

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

Frequently Asked Questions

What is JAMES HENRY, DO PC AOAOS's specialty?
JAMES HENRY, DO PC AOAOS specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in FAR ROCKAWAY, New York. Credentials: DO PC AOAOS.
How much does JAMES HENRY, DO PC AOAOS prescribe under Medicare Part D?
In 2023, JAMES HENRY, DO PC AOAOS wrote 53 Medicare Part D claims totaling $513 in drug costs for 32 beneficiaries.
What is JAMES HENRY, DO PC AOAOS's Medicare quality score?
JAMES HENRY, DO PC AOAOS has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES HENRY, DO PC AOAOS located?
JAMES HENRY, DO PC AOAOS is located at 347 BEACH 19TH STREET, FAR ROCKAWAY, NY, 11691. Phone: (718) 869-8888.
What is JAMES HENRY, DO PC AOAOS's NPI number?
JAMES HENRY, DO PC AOAOS's National Provider Identifier (NPI) is 1366550691, issued on 08/28/2006.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does JAMES HENRY, DO PC AOAOS prescribe most often?
Based on 2023 Medicare Part D data, JAMES HENRY, DO PC AOAOS's most frequently prescribed drugs include Methylprednisolone, Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES HENRY, DO PC AOAOS accept Medicare?
JAMES HENRY, DO PC AOAOS appears in CMS Medicare data with 53 Part D claims and 32 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES HENRY, DO PC AOAOS's credentials?
JAMES HENRY, DO PC AOAOS's NPI is 1366550691 with credentials DO PC AOAOS. 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.
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