NPPES file of Aug 9, 2026

James E. Tovey, MD

Orthopaedic Surgery Physician · Hillsborough, NJ

James E. Tovey, MD is an orthopaedic surgery physician with a practice address in Hillsborough, New Jersey, and NPI 1053315986, issued on Jun 9, 2005. Check the license (New Jersey 25MA051332, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053315986
Name
James E. Tovey
Credential
MD
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
25MA051332 NJ
Self-reported in NPPES; status is on the state search
Practice location
751 Route 206, Hillsborough, NJ 08844
Phone
(908) 314-4187
Enumerated
Jun 9, 2005
Record last updated
Mar 13, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(732) 463-6061
Medicaid ID
8120803 NJ
Medicare enrollment
Enrolled (PECOS I20100820000683); accepts Medicare assignment
Medical or professional school
Rutgers New Jersey Medical School, 1986
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 751 Route 206

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Jacobi, PA-CSurgical Physician Assistant1972910693

Verify James E. Tovey in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA051332
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

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36% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024

220 Medicare Part D claims for 92 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 18 claims were for opioids.

  1. James Tovey220
  2. Specialty average346

Most prescribed

  1. Celecoxib60 claims
  2. Meloxicam52 claims
  3. Methylprednisolone33 claims
  4. Diclofenac Sodium20 claims
  5. Tramadol Hcl16 claims
  6. Naproxen12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 93.7 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score77.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $89.87

3 payments; by number, the most common kind was food and beverage; the largest payer was Globus Medical, Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Tovey$90
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Barnabas Health Medical Group PCSomerville, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James E. Tovey among 690 orthopaedic surgery physician records in New Jersey

James E. Tovey, MD is one of 690 orthopaedic surgery physician records with a practice address in New Jersey. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 88% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated1986 · median 2001 among the 444 with a school on file
  • Record last updated2017 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in New Jersey

There are 690 orthopaedic surgery physician records in New Jersey.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Jeffrey Charen, MDEdison, NJ 088371891777942
  2. Imtiaz Chaudhary, M.D.Edison, NJ 088371508933094
  3. Franklin Chen, M.D.Edison, NJ 088371245387554
  4. Matthew Garfinkel, M.D.Edison, NJ 088371497802649
  5. Joseph Lombardi, M.D.Edison, NJ 088371801943998
  6. Robert Lombardi, M.D.Edison, NJ 088371396892485
  7. Nilesh Patel, M.D.Edison, NJ 088371649327826
  8. James Patti, M.D.Edison, NJ 088371336296441

Common questions

What is James E. Tovey, MD's NPI number?

James E. Tovey, MD's National Provider Identifier (NPI) is 1053315986, issued on Jun 9, 2005. An NPI identifies a provider in billing; it is not a license.

Where is James E. Tovey, MD located?

The NPPES record lists a practice address at 751 Route 206, Hillsborough, NJ, 08844. Phone: (908) 314-4187. Providers update this record themselves, so call before visiting.

How can I verify James E. Tovey, MD's license?

NPPES lists New Jersey license number 25MA051332, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James E. Tovey, MD prescribe under Medicare Part D?

In 2024, James E. Tovey, MD had 220 Medicare Part D claims for 92 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is James E. Tovey, MD's MIPS final score?

The 2023 MIPS final score is 93.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.