Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES PATRICK FLANAGAN M.D.
NPI 1992779656
Orthopaedic Surgery in Fayetteville, NC

Active since February 17, 2006PECOS Enrolled
76.49/100
CMS Quality Rating
4140 FERNCREEK DR, SUITE 801, FAYETTEVILLE, NC 28314(910) 484-2171(910) 484-4568 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Apr 8, 2026 (2 updates tracked since 2026).

About Dr. James Patrick Flanagan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES PATRICK FLANAGAN M.D. (NPI 1992779656) is an individual orthopaedic surgery provider in Fayetteville, North Carolina, licensed in North Carolina (9700950) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains a secondary practice location in Pinehurst.

NPPES Registry Identity

NPI1992779656
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES PATRICK FLANAGANCredential: M.D.
Location Address4140 FERNCREEK DR, SUITE 801Fayetteville, NC 28314-2563
Mailing Address4140 Ferncreek Dr, Suite 801Fayetteville, NC 28314-2563 · (910) 484-2171 · Fax (910) 484-4568
Fax(910) 484-4568
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1992
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
NPI 1992779656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 9700950
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4140 FERNCREEK DR, Fayetteville, NC 28314

Secondary Practice Location 1

Location 140 Aviemore DrPinehurst, NC 28374-9700 · Phone (910) 621-5700 · Fax (910) 420-8645

Other Identifiers 2

Other1075RNC · Bcbs Individual Id Number
Medicaid891075RNC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. James Patrick Flanagan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022066828
PECOS Enrollment IDI20050108000002
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 30

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
2,664 services34 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,490 services129 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
920 services175 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
702 services406 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
596 services140 patients
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
588 services236 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Cape Fear Valley Hoke Hospital

Acute Care Hospitals · Raeford, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340188
Location210 Medical Pavilion DriveRaeford, NC 28376 · Hoke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.55
Promoting Interoperability98
Improvement Activities40
Cost49.77

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
93%848 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%3,374 patients4/55-star benchmark: 100%
Falls: Plan of Care
100%99 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%1,848 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,130 patients
Patients screened: 99% · 1,130 patients
92%191 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,215 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%41 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation E0730
DME-Other DME · category DE000N
1 supplier28 claims28 services$140.75 avg. paid by Medicare
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation E0730
DME-Other DME · category DE000N
1 supplier47 claims47 services$14.19 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier26 claims26 services$75.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
4140 FERNCREEK DR, SUITE 801
FAYETTEVILLE, NC 28314
Specialist
4140 FERNCREEK DR, SUITE 802
FAYETTEVILLE, NC 28314
Home Health
4140 FERNCREEK DR, SUITE 300
FAYETTEVILLE, NC 28314
Community/Behavioral Health
4140 FERNCREEK DR, STE 300
FAYETTEVILLE, NC 28314
Orthopaedic Surgery
4140 FERNCREEK DR, SUITE 801
FAYETTEVILLE, NC 28314
Orthopaedic Surgery
4140 FERNCREEK DR, SUITE 801
FAYETTEVILLE, NC 28314
Social Worker (Clinical)
4140 FERNCREEK DR, SUITE 204
FAYETTEVILLE, NC 28314
Durable Medical Equipment & Medical Supplies
4140 FERNCREEK DR, SUITE 300
FAYETTEVILLE, NC 28314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Flanagan's NPI number?

The NPI number for James Flanagan is 1992779656. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is James Flanagan located?

James Flanagan practices at 4140 Ferncreek Dr Suite 801, Fayetteville, NC 28314. The listed phone number is (910) 484-2171.

What is James Flanagan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Flanagan enrolled in Medicare?

Yes. James Flanagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Flanagan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list James Flanagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Flanagan affiliated with any hospitals?

According to CMS data, James Flanagan is affiliated with Cape Fear Valley Medical Center and Cape Fear Valley Hoke Hospital.

When was this NPI record last updated?

The NPPES record for James Flanagan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.