2026 NPPES data Orthopaedic Surgery Physician NPI 1649212325 M.D.
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JAMES ROTRAMEL, M.D.

Orthopaedic Surgery Physician in WASHINGTON, Missouri. 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
848
Medicare Part D claims · 266 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$227.43
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES ROTRAMEL, M.D. filed 848 Medicare Part D claims in 2023 as a Orthopaedic Surgery Physician in WASHINGTON, Missouri, prescribing 91% generic.

848
Part D claims, 2023
91%
generic prescribing
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 ROTRAMEL, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

848 Top 27% higher than 73% 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%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 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 ROTRAMEL, M.D. 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 ROTRAMEL, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/10/2006

NPI 1649212325

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

848 162% vs specialty avg

2023 prescription claims

Specialty avg: 324

Specialty distribution in Missouri

How Orthopaedic Surgery Physician compares to other specialties among Missouri providers

Missouri providers

Orthopaedic Surgery Physician share within Missouri

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

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 ROTRAMEL, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 901 PATIENTS FIRST DR, WASHINGTON, MO, 63090, with a listed phone of (636) 239-9011. NPI 1649212325 was issued on 06/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROTRAMEL 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 848 prescription claims written by this provider, covering 266 Medicare beneficiaries and totaling roughly $30K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 39.9%. 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

901 PATIENTS FIRST DR
WASHINGTON, MO 63090

Provider Details

NPI 1649212325
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/10/2006

Hospital and facility affiliations

Facilities where JAMES ROTRAMEL, M.D. 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.

MERCY CLINIC SURGICAL SPECIALISTS LLC
WASHINGTON, MO

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 ROTRAMEL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$227

Largest payer

Zimmer Biomet Holdings, 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 ROTRAMEL, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 848 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.

848
Total Claims
$30K
Total Drug Cost
266
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
854
Total Day Supply
6,919
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$21K
Generic Drug Cost
$8K
Opioid Claims
338 (39.9% rate)
Antibiotic Claims
301

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.30
Gender Split
67% female / 33% male
Age Distribution
<65: 16, 65-74: 129, 75-84: 103, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What JAMES ROTRAMEL, M.D. 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
Cephalexin
217
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
153
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
137
Eliquis
Apixaban
72
Clindamycin Hcl
65
Meloxicam
62
Tramadol Hcl
46
Naloxone Hcl
26
Cefdinir
11

* 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 ROTRAMEL, M.D. 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 ROTRAMEL, M.D.'s 848 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Missouri

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

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

Frequently Asked Questions

What is JAMES ROTRAMEL, M.D.'s specialty?
JAMES ROTRAMEL, M.D. specializes in Orthopaedic Surgery Physician and practices in WASHINGTON, Missouri. Credentials: M.D..
How much does JAMES ROTRAMEL, M.D. prescribe under Medicare Part D?
In 2023, JAMES ROTRAMEL, M.D. wrote 848 Medicare Part D claims totaling $30K in drug costs for 266 beneficiaries.
Where is JAMES ROTRAMEL, M.D. located?
JAMES ROTRAMEL, M.D. is located at 901 PATIENTS FIRST DR, WASHINGTON, MO, 63090. Phone: (636) 239-9011.
What is JAMES ROTRAMEL, M.D.'s NPI number?
JAMES ROTRAMEL, M.D.'s National Provider Identifier (NPI) is 1649212325, issued on 06/10/2006.
Does JAMES ROTRAMEL, M.D. prescribe more brand-name or generic drugs?
JAMES ROTRAMEL, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $21K in brand drug costs.
Does JAMES ROTRAMEL, M.D. prescribe opioids?
Yes, JAMES ROTRAMEL, M.D. had 338 opioid claims in 2023 with an opioid prescribing rate of 39.9%.
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 ROTRAMEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES ROTRAMEL, M.D.'s most frequently prescribed drugs include Cephalexin, Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES ROTRAMEL, M.D. accept Medicare?
JAMES ROTRAMEL, M.D. appears in CMS Medicare data with 848 Part D claims and 266 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES ROTRAMEL, M.D.'s credentials?
JAMES ROTRAMEL, M.D.'s NPI is 1649212325 with credentials M.D.. 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