Physician

James Richard Phelps, M.D.

According to 2025 Medicare claims, James Phelps, M.D. (NPI: 1376751131) practices hand surgery in the Greensboro-High Point, NC market, with the plurality of this provider's patient population coming from Guilford, NC. This provider's primary affiliated billing organization is WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI: 1003803032; TIN: 223849199) and primary practice location at 27262-4300. Phelps is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Mission Health Partners, LLC (ACO ID: A2591), participating under the MSSP model.

Phelps' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 184 traditional Medicare patients, billed 1,055 HCPCS/CPT codes, and received $51,074 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 265 prescription claims across 160 beneficiaries totaling $47,573 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). 2020 DME data shows 16 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $66,871 and ending at $51,074. Concurrently, Part D prescription costs have risen steadily, from $1,123 to $47,573. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $4,055 to $0.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	298	1,287	$66,871
2016	225	1,066	$57,992
2017	277	1,403	$67,911
2018	328	1,402	$67,021
2019	157	744	$35,240
2020	187	1,241	$52,142
2021	211	1,369	$73,361
2022	202	1,133	$65,853
2023	180	1,110	$52,753
2024	184	1,055	$51,074

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	52	83	$1,123
2016	52	82	$960
2017	50	83	$1,341
2018	49	62	$821
2019	72	110	$2,722
2020	118	193	$24,643
2021	129	207	$42,390
2022	132	217	$13,832
2023	146	243	$52,381
2024	160	265	$47,573

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	72	83	$13,026
2016	26	38	$1,392
2017	47	60	$3,949
2018	42	45	$2,077
2019	13	14	$555
2020	14	16	$711
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	105	$82
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$74
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	63	91	$62
73140	X-ray of finger, minimum of 2 views	42	60	$23
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	362	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	48	185	$181
Gabapentin	Gabapentin	31	975	$130
Meloxicam	Meloxicam	46	1,364	$100
Tramadol Hcl	Tramadol Hcl	47	143	$86
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	18	75	$75

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for James Richard Phelps, M.D.?

Tedicare shows public-source Medicare data for James Richard Phelps, M.D. (NPI 1376751131), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James Richard Phelps, M.D. have ACO affiliation data?

James Richard Phelps, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Mission Health Partners, LLC (MSSP, ACO ID A2591).

What billing organization is linked to James Richard Phelps, M.D.?

James Richard Phelps, M.D. is linked to WAKE FOREST UNIVERSITY HEALTH SCIENCES (billing NPI 1003803032) in the available physician profile data.

Does James Richard Phelps, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.