2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1942650700 MD, PHD
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JAMES ST CLAIR, MD, PHD

Orthopaedic Surgery of the Spine Physician in MUNSTER, Indiana. 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
441
Medicare Part D claims · 158 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Industry payments
$2.3K
22 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES ST CLAIR, MD, PHD is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in MUNSTER, Indiana with a Medicare Part D prescribing footprint of 441 claims across 158 beneficiaries . Industry payments of $2.3K across 22 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES ST CLAIR, MD, PHD filed 441 Medicare Part D claims in 2023 across MUNSTER, Indiana. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES ST CLAIR, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES ST CLAIR, MD, PHD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/13/2016

NPI 1942650700

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

441 22% vs specialty avg

2023 prescription claims

Specialty avg: 362

Specialty distribution in Indiana

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Indiana providers

Indiana providers

Orthopaedic Surgery of the Spine Physician share within Indiana

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Indiana

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Orthopaedic Surgery of the Spine 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 ST CLAIR, MD, PHD is a Orthopaedic Surgery of the Spine Physician provider practicing in MUNSTER, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD, PHD. NPI: 1942650700. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES ST CLAIR, MD, PHD appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD, PHD credentials at 9445 CALUMET AVE, MUNSTER, IN, 46321, with a listed phone of (219) 836-1060. NPI 1942650700 was issued on 06/13/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ST CLAIR 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 441 prescription claims written by this provider, covering 158 Medicare beneficiaries and totaling roughly $30K in drug spend, with an opioid prescribing rate of 7.9%. 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 of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

9445 CALUMET AVE
MUNSTER, IN 46321

Provider Details

NPI 1942650700
Specialty Orthopaedic Surgery of the Spine Physician
Credentials MD, PHD
Gender Male
NPI Issued 06/13/2016

Hospital and facility affiliations

Facilities where JAMES ST CLAIR, MD, PHD 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.

COMMUNITY CARE NETWORK INC
HOBART, IN
NORTH POINT ORTHOPEDICS LLC
MUNSTER, IN
RCI (WRS) LLC
PORTAGE, IN

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 ST CLAIR, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

ZIMVIE 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.

Medicare Part D Prescribing Data

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

441
Total Claims
$30K
Total Drug Cost
158
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
474
Total Day Supply
10,048
Generic Drug Cost
$4K
Opioid Claims
35 (7.9% rate)

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.36
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
108
Gabapentin
98
Tizanidine Hcl
74
Methylprednisolone
39
Methocarbamol
29
Oxycodone Hcl
29
Cyclobenzaprine Hcl
16

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

Orthopaedic Surgery of the Spine Physician Overview

How JAMES ST CLAIR, MD, PHD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

JAMES ST CLAIR, MD, PHD's 441 claims are above the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Indiana

Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as ST CLAIR.

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

Frequently Asked Questions

What is JAMES ST CLAIR, MD, PHD's specialty?
JAMES ST CLAIR, MD, PHD specializes in Orthopaedic Surgery of the Spine Physician and practices in MUNSTER, Indiana. Credentials: MD, PHD.
How much does JAMES ST CLAIR, MD, PHD prescribe under Medicare Part D?
In 2023, JAMES ST CLAIR, MD, PHD wrote 441 Medicare Part D claims totaling $30K in drug costs for 158 beneficiaries.
Where is JAMES ST CLAIR, MD, PHD located?
JAMES ST CLAIR, MD, PHD is located at 9445 CALUMET AVE, MUNSTER, IN, 46321. Phone: (219) 836-1060.
What is JAMES ST CLAIR, MD, PHD's NPI number?
JAMES ST CLAIR, MD, PHD's National Provider Identifier (NPI) is 1942650700, issued on 06/13/2016.
Does JAMES ST CLAIR, MD, PHD prescribe opioids?
Yes, JAMES ST CLAIR, MD, PHD had 35 opioid claims in 2023 with an opioid prescribing rate of 7.9%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does JAMES ST CLAIR, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, JAMES ST CLAIR, MD, PHD's most frequently prescribed drugs include Meloxicam, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES ST CLAIR, MD, PHD accept Medicare?
JAMES ST CLAIR, MD, PHD appears in CMS Medicare data with 441 Part D claims and 158 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES ST CLAIR, MD, PHD's credentials?
JAMES ST CLAIR, MD, PHD's NPI is 1942650700 with credentials MD, PHD. 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