2026 NPPES data Surgery Physician NPI 1720269616 M.D.
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JAMES VANWINKLE, M.D.

Surgery Physician in MANCHESTER, Tennessee. 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
2K
Medicare Part D claims · 400 beneficiaries · Surgery Physician avg: 169
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.6268/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$40.23
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES VANWINKLE, M.D. reported a CMS MIPS final score of 88.6268/100 — above the 83.1 national average — and filed 1,523 Medicare Part D claims in 2023.

88.6268/100
MIPS score · +6 vs avg
2K
Part D claims, 2023
87%
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 VANWINKLE, 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

89 Top 44% higher than 56% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 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

Board certification likely (heuristic — not verified)

JAMES VANWINKLE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 VANWINKLE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 11/19/2007

NPI 1720269616

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

1,523 801% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

88.6268/100 5.526800000000009% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Surgery Physician compares to other specialties among Tennessee providers

Tennessee providers

Surgery Physician share within Tennessee

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

Medicare quality performance — MIPS

JAMES VANWINKLE, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
88.6268/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 88.6268/100 vs national avg 83.1

0%100%National avg83%88.6%
MIPS final score (Surgery Physician) — 88.6268/100 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 VANWINKLE, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 1030 MCARTHUR ST, MANCHESTER, TN, 37355, with a listed phone of (931) 954-5125. NPI 1720269616 was issued on 11/19/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VANWINKLE 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 1,523 prescription claims written by this provider, covering 400 Medicare beneficiaries and totaling roughly $47K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 5.9%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.6268/100 for the 2023 performance year (Quality 74.6265), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

1030 MCARTHUR ST
MANCHESTER, TN 37355

Provider Details

NPI 1720269616
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 11/19/2007

CMS Quality Score (MIPS)

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

88.6268
Final Score
Avg: 83.1
74.6265
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where JAMES VANWINKLE, 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.

COFFEE COUNTY HOSPITAL GROUP INC
MANCHESTER, TN
COFFEE MEDICAL GROUP LLC
MANCHESTER, TN

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

Total received

$40

Largest payer

Lundbeck LLC

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 · Typical

JAMES VANWINKLE, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 1,523 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.

1,523
Total Claims
$47K
Total Drug Cost
400
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,120
Total Day Supply
52,544
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$24K
Generic Drug Cost
$23K
Opioid Claims
90 (5.9% rate)
Antibiotic Claims
69

Patient Demographics

Average Patient Age
67.5 years
Avg HCC Risk Score
1.38
Gender Split
53% female / 47% male
Age Distribution
<65: 123, 65-74: 174, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What JAMES VANWINKLE, 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
Famotidine
365
Pantoprazole Sodium
245
Omeprazole
183
Sucralfate
104
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
54
Ondansetron Hcl
46
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
38
Levothyroxine Sodium
33
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
32
Colestipol Hcl
22

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

Surgery Physician Overview

How JAMES VANWINKLE, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

JAMES VANWINKLE, M.D.'s 1,523 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is JAMES VANWINKLE, M.D.'s specialty?
JAMES VANWINKLE, M.D. specializes in Surgery Physician and practices in MANCHESTER, Tennessee. Credentials: M.D..
How much does JAMES VANWINKLE, M.D. prescribe under Medicare Part D?
In 2023, JAMES VANWINKLE, M.D. wrote 1,523 Medicare Part D claims totaling $47K in drug costs for 400 beneficiaries.
What is JAMES VANWINKLE, M.D.'s Medicare quality score?
JAMES VANWINKLE, M.D. has a CMS MIPS Final Score of 88.6268/100 (Quality: 74.6265). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES VANWINKLE, M.D. located?
JAMES VANWINKLE, M.D. is located at 1030 MCARTHUR ST, MANCHESTER, TN, 37355. Phone: (931) 954-5125.
What is JAMES VANWINKLE, M.D.'s NPI number?
JAMES VANWINKLE, M.D.'s National Provider Identifier (NPI) is 1720269616, issued on 11/19/2007.
Does JAMES VANWINKLE, M.D. prescribe more brand-name or generic drugs?
JAMES VANWINKLE, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $24K in brand drug costs.
Does JAMES VANWINKLE, M.D. prescribe opioids?
Yes, JAMES VANWINKLE, M.D. had 90 opioid claims in 2023 with an opioid prescribing rate of 5.9%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does JAMES VANWINKLE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES VANWINKLE, M.D.'s most frequently prescribed drugs include Famotidine, Pantoprazole Sodium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES VANWINKLE, M.D. accept Medicare?
JAMES VANWINKLE, M.D. appears in CMS Medicare data with 1,523 Part D claims and 400 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES VANWINKLE, M.D.'s credentials?
JAMES VANWINKLE, M.D.'s NPI is 1720269616 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