NPPES file of Aug 9, 2026

James Worthen, MD

Orthopaedic Surgery Physician · Birmingham, AL

James Worthen, MD is an orthopaedic surgery physician with a practice address in Birmingham, Alabama, and NPI 1922217215, issued on May 22, 2007. Check the license (Alabama 27170, as entered in NPPES) on the Alabama 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
1922217215
Name
James Worthen
Credential
MD
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License numbers
27170 AL
MD27170 AL
Self-reported in NPPES; status is on the state search
Practice location
2700 10TH Ave S Ste 200, Birmingham, AL 35205
Phone
(205) 933-7838
Enumerated
May 22, 2007
Record last updated
Dec 29, 2023
Medicare enrollment
Enrolled (PECOS I20101008000221); accepts Medicare assignment
Medical or professional school
University Of Alabama School Of Medicine, 2004
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 2700 10TH Ave S Ste 200

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

  1. James Bowman, M.D./ PHDOrthopaedic Surgery Physician1003105719
  2. Karen Connor, PA-CSurgical Physician Assistant1104889765
  3. Reaves CrabtreeSports Medicine (Orthopaedic Surgery) Physician1790213460
  4. Jeffrey Cusmariu, MDOrthopaedic Surgery Physician1104894021
  5. Carly GaglianoAthletic Trainer1073152914
  6. Lauren Gibson, PA-CSurgical Physician Assistant1699017293

Verify James Worthen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersAlabama Board of Medical Examiners
    Search for license 27170
    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 Alabama license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.7 times the Medicare Part D claims of the average orthopaedic surgery physician in 2024

918 Medicare Part D claims for 383 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 1% of claims. 241 claims were for opioids.

  1. James Worthen918
  2. Specialty average346

Most prescribed

  1. Oxycodone-Acetaminophen141 claims
  2. Prednisone97 claims
  3. Amoxicillin86 claims
  4. Celecoxib86 claims
  5. Methocarbamol78 claims
  6. Methylprednisolone62 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): 20.5 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 score0.0
  2. Costout of 100 · 30%68.2
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

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

Industry payments in 2024: $199.00

5 payments; by number, the most common kind was food and beverage; the largest payer was DePuy Synthes Sales 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 Worthen$199
  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 2 group practices

  1. St. Vincent's Orthopedics, PCBirmingham, AL
  2. Stv Orthopedic Surgeons LLCClanton, AL

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

James Worthen among 340 orthopaedic surgery physician records in Alabama

James Worthen, MD is one of 340 orthopaedic surgery physician records with a practice address in Alabama. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 56% of them.

  • NPI issued2007 · 56% of these records are older, 34% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2004 · median 2002 among the 230 with a school on file
  • Record last updated2023 · 55% 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 Alabama 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 Alabama

There are 340 orthopaedic surgery physician records in Alabama.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. David Buggay, MDBirmingham, AL 352051134197171
  2. Andrew Cordover, MDBirmingham, AL 352051487622429
  3. Jeffrey Cusmariu, MDBirmingham, AL 352051104894021
  4. Jeffrey Davis, M. D.Birmingham, AL 352051538198189
  5. Jeffrey Dugas, MDBirmingham, AL 352051912974734
  6. Ashley Estes, MDBirmingham, AL 352051457560245
  7. Thomas Johnson, MDBirmingham, AL 352051265430557
  8. Michael Johnson, M.D.Birmingham, AL 352051275748428

Common questions

What is James Worthen, MD's NPI number?

James Worthen, MD's National Provider Identifier (NPI) is 1922217215, issued on May 22, 2007. An NPI identifies a provider in billing; it is not a license.

Where is James Worthen, MD located?

The NPPES record lists a practice address at 2700 10TH Ave S Ste 200, Birmingham, AL, 35205. Phone: (205) 933-7838. Providers update this record themselves, so call before visiting.

How can I verify James Worthen, MD's license?

NPPES lists Alabama license number 27170, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Worthen, MD prescribe under Medicare Part D?

In 2024, James Worthen, MD had 918 Medicare Part D claims for 383 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is James Worthen, MD's MIPS final score?

The 2023 MIPS final score is 20.5 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.