Medicare Enrolled
Dr. James McAvoy, MD
Family Medicine · Elberton, GA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. McAvoy from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. McAvoy
Dr. James McAvoy is a family medicine specialist in Elberton, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. McAvoy performed 767 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. McAvoy received a total of $4,482 from 39 pharmaceutical and/or device companies across 248 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. McAvoy is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 42% volume in GA
$4,482 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗767
Medicare services
Top 42% in GA for family medicine
Not available
Unique patients (not deduplicated)
$33
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
196 | $56 | $118 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
146 | $4 | $39 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
101 | $2 | $25 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
64 | $60 | $184 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
59 | $14 | $75 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
32 | $99 | $290 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
29 | $8 | $60 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
27 | $61 | $165 |
| Red blood cell concentration measurement A laboratory test that measures the concentration of red blood cells in the blood. |
26 | $2 | $22 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
25 | $4 | $58 |
| Multiplex PCR test for SARS-CoV-2 and influenza A and B A laboratory test that uses a multiplex amplified probe technique to detect the presence of SARS-CoV-2 (COVID-19) and influenza virus types A and B in a single sample. |
18 | $69 | $70 |
| Nursing facility discharge management, 30 minutes or less This service covers the management of a patient's discharge from a nursing facility. It applies when the total time spent on discharge activities is 30 minutes or less. |
17 | $58 | $140 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
16 | $8 | $47 |
| Initial nursing facility care, moderate complexity Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes. |
11 | $101 | $223 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$4,482
Total received (2018-2024)
Avg $640/year across 7 years
Top 16% in GA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
248
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$771
2023
$796
2022
$734
2021
$1,406
2020
$263
2019
$180
2018
$332
Payments by company (2024)
SHIELD THERAPEUTICS INC
$195
ABBVIE INC.
$138
Astellas Pharma US Inc
$104
Novo Nordisk Inc
$95
GlaxoSmithKline, LLC.
$36
Lilly USA, LLC
$34
Amgen Inc.
$24
PFIZER INC.
$24
Otsuka America Pharmaceutical, Inc.
$23
Novartis Pharmaceuticals Corporation
$23
Abbott Laboratories
$22
Exact Sciences Corporation
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
Mylan Specialty L.P.
$14
Top 3 companies account for 56.6% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$733
ABBVIE INC.
$556
Novo Nordisk Inc
$527
Novartis Pharmaceuticals Corporation
$419
Shield Therapeutics Inc
$213
GlaxoSmithKline, LLC.
$197
SHIELD THERAPEUTICS INC
$195
PFIZER INC.
$194
AbbVie Inc.
$170
Astellas Pharma US Inc
$168
Lilly USA, LLC
$134
Boehringer Ingelheim Pharmaceuticals, Inc.
$129
Merck Sharp & Dohme LLC
$86
Amgen Inc.
$67
Janssen Pharmaceuticals, Inc
$66
Nestle HealthCare Nutrition Inc.
$66
AstraZeneca Pharmaceuticals LP
$54
Biogen, Inc.
$45
Teva Pharmaceuticals USA, Inc.
$42
Merck Sharp & Dohme Corporation
$37
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$34
SANOFI-AVENTIS U.S. LLC
$34
Sunovion Pharmaceuticals Inc.
$25
Hikma Pharmaceuticals USA
$23
Eyevance Pharmaceuticals LLC
$23
Lundbeck LLC
$23
Otsuka America Pharmaceutical, Inc.
$23
Abbott Laboratories
$22
Genentech USA, Inc.
$21
Exact Sciences Corporation
$21
BOSTON SCIENTIFIC CORPORATION
$19
Synergy Pharmaceuticals Inc
$18
E.R. Squibb & Sons, L.L.C.
$18
Scilex Pharmaceuticals Inc.
$18
DEXCOM, INC.
$16
Mylan Specialty L.P.
$14
Kowa Pharmaceuticals America, Inc.
$14
Bayer HealthCare Pharmaceuticals Inc.
$14
Sumitomo Pharma America, Inc.
$1
Top 3 companies account for 40.5% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADUHELM · AJOVY · ANORO · APTIOM · Aimovig · BELSOMRA · BREZTRI · CHANTIX · COMIRNATY · Cologuard Collection Kit · DALVANCE · DEXCOM G6 TRANSMITTER · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FREESTYLE LIBRE 3 · GARDASIL 9 · GEMTESA · GENERAL PAIN MANAGEMENT · HUMIRA · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Mitigare · Myrbetriq · NURTEC ODT · Otezla · Ozempic · PREMARIN · PREVNAR - 13 · QULIPTA · REXULTI · RYBELSUS · Rybelsus · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · Saxenda · TRELEGY ELLIPTA · TRULICITY · Tobradex ST · Trulance · UBRELVY · VRAYLAR · Veozah · WATCHMAN · WATCHMAN Access System · Wegovy · XARELTO · XIFAXAN · Xofluza · YUPELRI · ZENPEP · ZEPBOUND
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Family medicine physicians in nearby ZIP areas
49
County median income
$49,727
Nearest hospital to ZIP centroid (approximate)
ELBERT MEMORIAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. McAvoy is a mixed practice specialist, with moderate Medicare volume, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. McAvoy experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. McAvoy performed 196 nursing facility visit, low complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. McAvoy receive payments from pharmaceutical companies?
Yes. Dr. McAvoy received a total of $4,482 from 39 companies across 248 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. McAvoy's costs compare to other family medicine physicians in Elberton?
Dr. McAvoy's average Medicare payment per service is $33. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. McAvoy) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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