Medicare Enrolled
Dr. James Flanagan, M.D.
Orthopedic Surgery · Fayetteville, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Flanagan 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. Flanagan
Dr. James Flanagan is an orthopedic surgery specialist in Fayetteville, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Flanagan performed 12,093 Medicare services across 3,059 unique beneficiaries.
Between the years covered by Open Payments, Dr. Flanagan received a total of $5,599 from 32 pharmaceutical and/or device companies across 108 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Flanagan 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 2% volume in NC
$5,599 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,093
Medicare services
Top 2% in NC for orthopedic surgery
3,059
Unique beneficiaries
$23
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~605 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
2,453 | $0 | $2 |
| Hymovis intra-articular injection An injection of Hymovis, a hyaluronan derivative, administered directly into a joint space. |
2,256 | $13 | $33 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
1,488 | $16 | $60 |
| Functional capacity test, per 15 minutes A test or measurement to assess functional capacity. The service is billed for each 15-minute increment. |
968 | $19 | $98 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
958 | $25 | $65 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
909 | $19 | $65 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
784 | $61 | $145 |
| Blood vessel compression device application Application of a device to compress blood vessels. |
463 | $6 | $40 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
277 | $52 | $172 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
245 | $1 | $4 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
192 | $28 | $126 |
| Manual therapy (hands-on treatment), per 15 min | 183 | $15 | $60 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
134 | $90 | $207 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
107 | $70 | $175 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
80 | $25 | $86 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
60 | $72 | $210 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
59 | $31 | $128 |
| Application of whirlpool therapy | 57 | $9 | $60 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
45 | $23 | $110 |
| Evaluation for physical therapy, typically 20 minutes | 42 | $75 | $120 |
| Total knee replacement | 41 | $960 | $2,861 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
41 | $26 | $88 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
41 | $5 | $10 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
28 | $28 | $92 |
| Evaluation for physical therapy, typically 30 minutes | 28 | $72 | $140 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
22 | $27 | $130 |
| Nerve conduction studies, 13 or more A diagnostic test that measures how well nerves send electrical signals. This code applies when 13 or more individual nerve studies are performed. |
21 | $206 | $630 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
16 | $41 | $106 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
16 | $32 | $90 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
14 | $207 | $1,156 |
| X-ray of both hips, 2 views An X-ray imaging test that captures two views of both hip joints to evaluate bone structure and alignment. |
14 | $31 | $155 |
| Hand nerve release or relocation A surgical procedure to release or reposition a nerve in the hand. |
13 | $275 | $902 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
13 | $26 | $115 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
13 | $26 | $115 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
12 | $27 | $180 |
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.
0.3% high complexity
43.8% medium
55.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,599
Total received (2018-2024)
Avg $800/year across 7 years
Top 44% in NC for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
108
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
$5,599 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$169
2023
$63
2022
$660
2021
$266
2020
$298
2019
$3,375
2018
$770
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Anika Therapeutics, Inc.
$125
Smith+Nephew, Inc.
$29
Amgen Inc.
$14
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Smith+Nephew, Inc.
$2,267
Stryker Corporation
$1,298
Smith & Nephew, Inc.
$338
Amgen Inc.
$207
Boston Scientific Corporation
$169
Radius Health, Inc.
$150
Zimmer Biomet Holdings, Inc.
$128
Anika Therapeutics, Inc.
$125
Orthofix Medical, Inc.
$106
Ferring Pharmaceuticals Inc.
$98
ERMI Inc.
$96
Arthrosurface Incorporated
$71
Bioventus LLC
$65
Medtronic USA, Inc.
$55
Flexion Therapeutics, Inc.
$55
DePuy Synthes Sales Inc.
$41
Mallinckrodt LLC
$33
Ethicon US, LLC
$32
Ultragenyx Pharmaceutical Inc.
$30
Avanos Medical
$29
Daiichi Sankyo Inc.
$29
DJO, LLC
$28
FIDIA PHARMA USA INC.
$21
Acera Surgical, Inc.
$19
MEDACTA USA, INC.
$18
AcelRx Pharmaceuticals, Inc.
$15
Horizon Therapeutics plc
$15
BOSTON SCIENTIFIC CORPORATION
$14
Apria Healthcare LLC
$14
AXOGEN
$14
Next Science LLC
$12
ConvaTec Inc.
$11
Top 3 companies account for 69.7% of all-time payments
Associated products mentioned in payments ›
AMISTEM · AQUAMANTYS · AVELLE · Allograft · AxoGuard Nerve Connector · Bactisure · Bone Anchors with Arthroscopic Delivery System · CMF OL1000 · Coblation Wands · Crysvita · DSUVIA · EUFLEXXA · EVENITY · Exogen · Exogen Ultrasound Bone Healing System · GAMMA · GELSYN 3 · GRAFIX PL · Gel One · General - Pain Management · General - Therapies · HOFFMANN · Hymovis · INJECTAFER · JOURNEY · KRYSTEXXA · Legion Revision · MAKO · MONOVISC · Medela · Morphabond ER · NOVOSTITCH · OFIRMEV · ON-Q* PUMP AND ACCESSORIES · OR3O Dual Mobility · ORTHOVISC · PICO Single Use Negative Pressure Wound Therapy · Physio-Stim · Physio-Stim Osteogenesis Stimulator · PlasmaBlade · Prolia · REDAPT · REUNION · Regeneten · Restrata Wound Matrix · RevoMotion · STRATAFIX · STRAVIX · SpeedSpiral · SurgX · Tymlos · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · Zilretta
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.
Geographic Context
Orthopedic surgeons within 10 mi
31
Per 100K population
9.2
County median income
$58,780
Nearest hospital
Womack AMC (FT Bragg)
5.2 mi
5.2 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. Flanagan is a mixed practice specialist, with above-average Medicare volume (top 2% in NC), with low-engagement industry engagement, 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. Flanagan experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Flanagan performed 2,453 dexamethasone injection (steroid) 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. Flanagan receive payments from pharmaceutical companies?
Yes. Dr. Flanagan received a total of $5,599 from 32 companies across 108 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. Flanagan's costs compare to other orthopedic surgeons in Fayetteville?
Dr. Flanagan's average Medicare payment per service is $23. 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. Flanagan) 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 →
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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.
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