What is James Malcolm's specialty?

James Malcolm (NPI 1740283431) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Marietta, GA.

Where does James Malcolm practice?

James Malcolm practices in Marietta, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1740283431.

How much does Medicare pay James Malcolm?

James Malcolm (NPI 1740283431) received approximately $94K in total Medicare Part B payments, serving 94 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1740283431

James MalcolmM.D.

PRACTICEPINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS LLCSee all providers at this practice →

Orthopedic SurgeryMarietta, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

251

Unique beneficiaries

—

Total services

394

Distinct HCPCS

Medicare payment

$20K

Peer benchmark

Total Medicare services vs. 640 Orthopedic Surgery providers in GA — bottom quintile (cohort median 2,020).

PRESCRIBING · PART D · 2024

Total Rx claims

384

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

20.8%

Top prescribed drugs

Celecoxib139 claims

Gabapentin88 claims

Hydrocodone/Acetaminophen34 claims

Promethazine Hcl25 claims

Tramadol Hcl23 claims

QUALITY · MIPS · 2024

Final MIPS score

73.3

Quality

52.3

Cost

74.7

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

-0.20%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$27K

Payment records

By payment type

Consulting Fee$21K

Food and Beverage$3K

Travel and Lodging$3K

Royalty or License$298

Top paying entities

Consulting Fee$21K

Food and Beverage$3K

Travel and Lodging$3K

Royalty or License$298

REFERRAL NETWORK

Where James Malcolm'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). 13 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	31	70
NORTHSIDE HOSPITAL, INC.	22	38
Richard Woodcock Diagnostic Radiology · Atlanta, GA	22	48
COBB HOSPITAL, INC	17	47
Brian Gordon Diagnostic Radiology · Marietta, GA	15	33
Pinnacle Orthopaedics Surgery Center Woodstock, Llc Ambulatory Surgical Center · Woostock, GA	14	27
Stuart Resnick Diagnostic Radiology · Marietta, GA	14	43
Scott Wottrich Diagnostic Radiology · Marietta, GA	14	55
Matthew Grabowski Anesthesiology · Charleston, SC	12	48
NORTHSIDE HOSPITAL, INC.	11	16
Robert Pham Diagnostic Radiology · Marietta, GA	11	25
Thomas Hinz Diagnostic Radiology · Marietta, GA	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