Medicare Enrolled

Dr. James McAvoy, MD

Family Medicine · Elberton, GA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
109 COLLEGE AVE, Elberton, GA 30635
7062833315
In practice since 2006 (20 years)
NPI: 1215917901 verify on NPPES ↗
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 across 383 unique beneficiaries.

Between the years covered by Open Payments, Dr. McAvoy received a total of $4,482 from 39 pharmaceutical and/or device companies across 248 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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 in practice ▲ Top 42% volume in GA $4,482 industry payments

Medicare Practice Summary

Medicare Utilization ↗
767
Medicare services
Top 42% in GA for family medicine
383
Unique beneficiaries
$33
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~38 Medicare services per year of practice

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. A higher procedure volume generally indicates more experience with that procedure.

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
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,481 (100.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1 (0.0%)

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)

Consulting
Speaking
Meals & Travel
Research
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? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a family medicine specialist in Elberton?
Compare family medicine physicians in the Elberton area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
49
Per 100K population
248.4
County median income
$49,727
Nearest hospital
ELBERT MEMORIAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public 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 low-engagement industry engagement in the top 16% of GA peers, 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. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. McAvoy receive payments from pharmaceutical companies?
Yes. Dr. McAvoy received a total of $4,482 from 39 companies across 248 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →