PROVIDER PROFILE · NPI 1609869676

James McdonaldMD

PRACTICEORTHOCAROLINA, PASee all providers at this practice →

Orthopedic SurgeryMooresville, NCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,153

Unique beneficiaries

—

Total services

4,336

Distinct HCPCS

Medicare payment

$100K

Peer benchmark

Total Medicare services vs. 770 Orthopedic Surgery providers in NC — top quintile (cohort median 1,323).

PRESCRIBING · PART D · 2024

Total Rx claims

624

Beneficiaries

—

Total drug cost

$3K

Distinct drugs

Brand share

4.3%

Top prescribed drugs

Meloxicam350 claims

Oxycodone Hcl65 claims

Cephalexin44 claims

Ondansetron Hcl40 claims

Methylprednisolone39 claims

QUALITY · MIPS · 2024

Final MIPS score

94.0

Quality

81.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.80%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Mcdonald's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 12 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC	138	595
TOOTHMAN, DONALD	25	100
Richard Arriviello Emergency Medicine · Monroe, NC	18	73
Piedmont Pathology Associates Inc Clinical Laboratory · Hickory, NC	16	38
HASER, THOMAS	14	65
Kevin Carroll Diagnostic Radiology · Charlotte, NC	14	31
SCOVILL, DAVID	14	65
Thomas Gross Family Practice · Mooresville, NC	13	140
John Black Diagnostic Radiology · Charlotte, NC	13	45
Robert Quarles Diagnostic Radiology · Charlotte, NC	12	32
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC	12	47
IREDELL MEMORIAL HOSPITAL, INCORPORATED	11	22

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history