Dr. James H Carson , MD
Orthopaedic Surgery โข Lancaster, PA
170 N Pointe Blvd
Lancaster, PA 176014132
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. James Carson is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on March 24, 2006; this date does not establish years in practice.
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Published CMS data list 4,603 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J7318 โ Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg: 1,620 service units.
- A9575 โ Injection, gadoterate meglumine, 0.1 ml: 1,610 service units.
- 99213 โ Established patient outpatient office visit: 350 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 20 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 104 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl โ 25 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 17 prescription fills, including refills.
- Celecoxib โ 17 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 6 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Orthopaedic Surgery in Lancaster, PA (2024, 33 clinicians with data). Median for this group: 1,562. Middle half: 821 to 2,713.
More Medicare Part B services than 75% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: 1,409. Middle half: 423 to 3,828.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,915 in 2020 to 4,603 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
170 N Pointe Blvd
Lancaster, PA 176014132
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 3 distinct additional practice-address records in Lebanon, PA; Manheim, PA; Willow Street, PA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Johns Hopkins University School Of Medicine
1987
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
475 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $106,577 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $79,256 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
105 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,053 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $113.67 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
Years since graduation
39 years (graduated 1987)
CMS Doctors and Clinicians data list 1987 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Carson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Carson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lancaster and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Orthopaedic Surgery in Lancaster, PA (2024, 33 clinicians with data). Median for this group: 1,562. Middle half: 821 to 2,713.
More Medicare Part B services than 75% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: 1,409. Middle half: 423 to 3,828.
Medicare-allowed amount
Close to the middle for clinicians listed under Orthopaedic Surgery in Lancaster, PA (2024, 33 clinicians with data). Median for this group: $95,092. Middle half: $66,383 to $159,883.
Close to the middle for clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: $79,921. Middle half: $29,713 to $179,136.
Paid by Medicare
Close to the middle for clinicians listed under Orthopaedic Surgery in Lancaster, PA (2024, 33 clinicians with data). Median for this group: $72,126. Middle half: $48,164 to $122,709.
Close to the middle for clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: $59,301. Middle half: $21,954 to $135,040.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Orthopaedic Surgery in Lancaster, PA (2024, 27 clinicians with data). Median for this group: 178. Middle half: 82 to 315.
Fewer Part D prescriptions than 60% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 670 clinicians with data). Median for this group: 160. Middle half: 61 to 411.
Part D drug cost
Close to the middle for clinicians listed under Orthopaedic Surgery in Lancaster, PA (2024, 27 clinicians with data). Median for this group: $996. Middle half: $239 to $1,786.
Close to the middle for clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 670 clinicians with data). Median for this group: $1,010. Middle half: $302 to $2,838.
48 active clinicians are listed under Orthopaedic Surgery with a practice address in Lancaster, PA (1,254 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lancaster
0% of these 48 clinicians have the CMS telehealth indicator.
64.6% of these 48 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 140% from 1,915 in 2020 to 4,603 in 2024.
- 2020: 1,915
- 2021: 2,634
- 2022: 3,300
- 2023: 3,009
- 2024: 4,603
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Medicare-allowed amount
Medicare-allowed amount increased 34% from $79,507 in 2020 to $106,577 in 2024.
- 2020: $79,507
- 2021: $102,851
- 2022: $116,065
- 2023: $95,642
- 2024: $106,577
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Paid by Medicare
Paid by Medicare increased 36% from $58,234 in 2020 to $79,256 in 2024.
- 2020: $58,234
- 2021: $77,435
- 2022: $85,912
- 2023: $69,445
- 2024: $79,256
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 110 in 2020 and 104 in 2024.
- 2020: 110
- 2021: 135
- 2022: 112
- 2023: 109
- 2024: 104
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30-day fills
30-day fills varied from year to year: 111 in 2020 and 105 in 2024.
- 2020: 111
- 2021: 141
- 2022: 114
- 2023: 109
- 2024: 105
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Part D drug cost
Part D drug cost went from $648 in 2020 to $1,053 in 2024.
- 2020: $648
- 2021: $1,260
- 2022: $573
- 2023: $1,190
- 2024: $1,053
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $768.15 in 2019 to $113.67 in 2023.
- 2019: $768.15
- 2021: $238.25
- 2022: $187.29
- 2023: $113.67
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $113.67.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| OMNIlife science, Inc |
Food and Beverage
Cash or cash equivalent
|
Absolut Hip System | General | $113.67 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J7318
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
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1,620 | 20 | $50.21 | $6.45 |
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A9575
Injection, gadoterate meglumine, 0.1 ml
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1,610 | 12 | $0.56 | $0.12 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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350 | 232 | $197.00 | $85.83 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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324 | 59 | $4.65 | $0.98 |
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73560
X-ray of knee, 1-2 views
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149 | 101 | $84.00 | $31.45 |
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20610
Aspiration and/or injection of fluid from large joint
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142 | 87 | $241.50 | $68.79 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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73 | 64 | $117.00 | $52.62 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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55 | 55 | $295.00 | $104.77 |
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73502
X-ray of hip, 2-3 views
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42 | 41 | $120.00 | $38.31 |
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73030
X-ray of shoulder, minimum of 2 views
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34 | 30 | $86.00 | $28.51 |
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72100
X-ray of lower and sacral spine, 2-3 views
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33 | 32 | $113.00 | $32.64 |
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73562
X-ray of knee, 3 views
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24 | 23 | $100.00 | $29.88 |
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73721
Mri scan of leg joint without contrast
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24 | 23 | $1218.00 | $133.98 |
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73610
X-ray of ankle, minimum of 3 views
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23 | 18 | $90.00 | $30.05 |
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27447
Replacement of knee joint, both sides of knee
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21 | 21 | $4489.00 | $1215.85 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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19 | 19 | $295.00 | $121.58 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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19 | 19 | $308.95 | $78.24 |
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72148
Mri scan of lower spinal canal without contrast
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17 | 17 | $1237.00 | $120.70 |
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73630
X-ray of foot, minimum of 3 views
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13 | 12 | $89.00 | $26.95 |
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73221
Mri scan of arm joint without contrast
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11 | 11 | $1217.00 | $137.09 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 25 | 148 | $74.56 | 22 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 17 | 68 | $83.60 | 13 |
| Celecoxib | Celecoxib | 17 | 483 | $309.08 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 17 | 37 | $42.58 | โ |
| Tramadol Hcl | Tramadol Hcl | 14 | 98 | $27.97 | โ |
| Dexamethasone Sodium Phosphate | Dexamethasone Sodium Phosphate | 14 | 292 | $515.26 | 13 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-02-12NUCC Taxonomy Code: 207X00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20100928000620
PA
1052390200
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
1701 Cornwall Rd Ste 200
Lebanon, PA 170427480
Phone: 7172994871
2913 Spooky Nook Rd Ste 100
Manheim, PA 175459149
Phone: 7172994871
212 Willow Valley Lakes Dr Ste 201
Willow Street, PA 175849668
Phone: 7172994871
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physical Therapist
Physician Assistant
Physician Assistant
Physical Therapist
Physical Therapist
Orthopaedic Surgery - Hand Surgery
Doctor of Medicine (M.D.)
Occupational Therapist
Occupational Therapist
Career & Practice History
NPI enumerated March 24, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Lancaster
- Dr. Edward Vresilovic, MD, PhD
- Dr. David Hughes, MD
- Dr. Corey Troxell, DO
- Dr. Young Jee, MD
- Dr. Raymond Dragann, DO
- Dr. Brian Brislin, MD
Mailing Address
170 N Pointe Blvd
Lancaster, PA 176014132
Phone: 7172994871