2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1184717985 M.D.
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James Tozzi, M.D.

Adult Reconstructive Orthopaedic Surgery Physician in Washington, District of Columbia. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,245 in Adult Reconstructive Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
67
Medicare Part D claims · 33 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
76.6/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$169.85
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Tozzi, M.D. reported a CMS MIPS final score of 76.6/100 - below the 83.1 national average - and filed 67 Medicare Part D claims in 2023.

76.6/100
MIPS score · -7 vs avg
67
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 Tozzi, M.D.'s MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where James Tozzi, M.D. sits

This provider among adult reconstructive orthopaedic surgery physician peers

Across the 496 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Tozzi, M.D. writes more Part D claims than 9% of them and scores higher on MIPS quality than 39% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 40James Tozzi, M.D.-Part D claim volume, percentile in specialty: 9 · MIPS quality, percentile: 39
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is James Tozzi, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

James Tozzi, M.D. 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 Tozzi, M.D.?

Below national average

NPI registry status

Active

Issued 10/02/2006

NPI 1184717985

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

67 86% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

76.6/100 6.5 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among District of Columbia providers

District of Columbia providers

Largest specialties in District of Columbia (% of in-state providers)

Home Health Aide - 20.8%Home Health Aide20.8%Personal Care Attendant - 11.5%Personal Care Attendant11.5%Case Manager/Care Coordinator - 7%Case Manager/Care Coordinator7%Student in an Organized Health Care Education/Training Program - 6.4%Student in an Organized Health Care Education/Training Program6.4%Clinical Social Worker - 4%Clinical Social Worker4%Internal Medicine Physician - 2.1%Internal Medicine Physician2.1%Adult Reconstructive Orthopaedic Surgery Physician - 0%Adult Reconstructive Orthopaedic Surgery Physician0%
Largest specialties in District of Columbia (% of in-state providers)

Medicare quality performance, MIPS

James Tozzi, M.D.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
76.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 76.6/100 vs national avg 83.1

0%100%National avg83%76.6%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 76.6/100 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 Tozzi, M.D. appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding M.D. credentials at 106 IRVING ST NW, Washington, DC, 20010, with a listed phone of (202) 291-9266. NPI 1184717985 was issued on 10/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Tozzi 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 67 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 16.4%. 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 76.6/100 for the 2023 performance year (Quality 63.2, Cost 55.9), 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

106 IRVING ST NW
Washington, DC 20010

Provider Details

NPI 1184717985
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 10/02/2006

CMS Quality Score (MIPS)

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

76.555
Final Score
Avg: 83.1
63.1616
Quality
55.9413
Cost
100
Promoting Interoperability

Reporting: Group practice

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

Total received

$170

Largest payer

DePuy Synthes Sales 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.

67
Total Claims
$1K
Total Drug Cost
33
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
69
Total Day Supply
1,573
Brand Drug Cost
$0
Generic Drug Cost
$1K
Opioid Claims
11 (16.4% rate)

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.47
Gender Split
67% female / 33% 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
Diclofenac Sodium
16
Celecoxib
11

* 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 Tozzi, M.D. 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 Tozzi, M.D.'s 67 claims are below the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Tozzi.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the District of Columbia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Reconstructive Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is James Tozzi, M.D.'s specialty?
James Tozzi, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Washington, District of Columbia. Credentials: M.D..
How much does James Tozzi, M.D. prescribe under Medicare Part D?
In 2023, James Tozzi, M.D. wrote 67 Medicare Part D claims totaling $1K in drug costs for 33 beneficiaries.
What is James Tozzi, M.D.'s Medicare quality score?
James Tozzi, M.D. has a CMS MIPS Final Score of 76.6/100 (Quality: 63.2, Cost: 55.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Tozzi, M.D. located?
James Tozzi, M.D. is located at 106 IRVING ST NW, Washington, DC, 20010. Phone: (202) 291-9266.
What is James Tozzi, M.D.'s NPI number?
James Tozzi, M.D.'s National Provider Identifier (NPI) is 1184717985, issued on 10/02/2006.
Does James Tozzi, M.D. prescribe opioids?
Yes, James Tozzi, M.D. had 11 opioid claims in 2023 with an opioid prescribing rate of 16.4%.
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 Tozzi, M.D. prescribe most often?
Based on 2023 Medicare Part D data, James Tozzi, M.D.'s most frequently prescribed drugs include Diclofenac Sodium, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Tozzi, M.D. accept Medicare?
James Tozzi, M.D. appears in CMS Medicare data with 67 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Tozzi, M.D.'s credentials?
James Tozzi, M.D.'s NPI is 1184717985 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.
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

Compiled from official public sources by the PlainDoctor editorial team.