2026 NPPES data Orthopaedic Surgery Physician NPI 1093135907 M.D.
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JAMES STEFANSKI, M.D.

Orthopaedic Surgery Physician in CINCINNATI, Ohio. 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
459
Medicare Part D claims · 168 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$902.21
10 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES STEFANSKI, M.D. filed 459 Medicare Part D claims in 2023 as a Orthopaedic Surgery Physician in CINCINNATI, Ohio, prescribing 97% generic.

459
Part D claims, 2023
97%
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 STEFANSKI, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

459 Top 38% higher than 62% 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%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 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 STEFANSKI, M.D. 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).

What does the federal data show about JAMES STEFANSKI, M.D.?

Quality data not reported

NPI registry status

Active

Issued 04/17/2014

NPI 1093135907

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

459 42% vs specialty avg

2023 prescription claims

Specialty avg: 324

Specialty distribution in Ohio

How Orthopaedic Surgery Physician compares to other specialties among Ohio providers

Ohio providers

Orthopaedic Surgery Physician share within Ohio

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

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 STEFANSKI, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 4625 RED BANK RD STE 101, CINCINNATI, OH, 45227, with a listed phone of (513) 525-1234. NPI 1093135907 was issued on 04/17/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STEFANSKI 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 459 prescription claims written by this provider, covering 168 Medicare beneficiaries and totaling roughly $10K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 30.7%. 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

4625 RED BANK RD STE 101
CINCINNATI, OH 45227

Provider Details

NPI 1093135907
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 04/17/2014

Hospital and facility affiliations

Facilities where JAMES STEFANSKI, 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.

ADENA MEDICAL GROUP LLC
CHILLICOTHE, OH
APPALACHIAN REGIONAL HEALTHCARE INC
HARLAN, KY
OXFORD PHYSICAL THERAPY AND REHABILITATION
MASON, OH

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

Total received

$902

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.

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to JAMES STEFANSKI, M.D.. To verify JAMES STEFANSKI, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JAMES STEFANSKI, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 459 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.

459
Total Claims
$10K
Total Drug Cost
168
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
471
Total Day Supply
7,816
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$6K
Generic Drug Cost
$5K
Opioid Claims
141 (30.7% rate)
Antibiotic Claims
84

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.29
Gender Split
62% female / 38% male
Age Distribution
<65: 20, 65-74: 95, 75-84: 36, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What JAMES STEFANSKI, 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
Diclofenac Sodium
99
Oxycodone Hcl
93
Cefadroxil
54
Meloxicam
44
Methylprednisolone
27
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
18
Tramadol Hcl
17
Gabapentin
14
Tizanidine Hcl
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 STEFANSKI, 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 STEFANSKI, M.D.'s 459 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Ohio

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

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

Frequently Asked Questions

What is JAMES STEFANSKI, M.D.'s specialty?
JAMES STEFANSKI, M.D. specializes in Orthopaedic Surgery Physician and practices in CINCINNATI, Ohio. Credentials: M.D..
How much does JAMES STEFANSKI, M.D. prescribe under Medicare Part D?
In 2023, JAMES STEFANSKI, M.D. wrote 459 Medicare Part D claims totaling $10K in drug costs for 168 beneficiaries.
Where is JAMES STEFANSKI, M.D. located?
JAMES STEFANSKI, M.D. is located at 4625 RED BANK RD STE 101, CINCINNATI, OH, 45227. Phone: (513) 525-1234.
What is JAMES STEFANSKI, M.D.'s NPI number?
JAMES STEFANSKI, M.D.'s National Provider Identifier (NPI) is 1093135907, issued on 04/17/2014.
Does JAMES STEFANSKI, M.D. prescribe more brand-name or generic drugs?
JAMES STEFANSKI, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $6K in brand drug costs.
Does JAMES STEFANSKI, M.D. prescribe opioids?
Yes, JAMES STEFANSKI, M.D. had 141 opioid claims in 2023 with an opioid prescribing rate of 30.7%.
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 STEFANSKI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES STEFANSKI, M.D.'s most frequently prescribed drugs include Diclofenac Sodium, Oxycodone Hcl, Cefadroxil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES STEFANSKI, M.D. accept Medicare?
JAMES STEFANSKI, M.D. appears in CMS Medicare data with 459 Part D claims and 168 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES STEFANSKI, M.D.'s credentials?
JAMES STEFANSKI, M.D.'s NPI is 1093135907 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