⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

James MccoyAPRN, BC

Nurse Practitioner · Knoxville, TN 37922

NPI: 1063426286

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50

🔴 High Risk

Risk Flags

Extreme opioid rate vs specialty peers99th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

2,122

Total Claims

$116K

Drug Cost

832

Beneficiaries

$139

Cost/Patient

Risk Score Breakdown 50/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+15
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1779%

Opioid rate vs peers

71.1% vs 3.8% avg

-88%

Cost per patient vs peers

$139 vs $1,174 avg

-12%

Brand preference vs peers

7.8% vs 8.9% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

71.1%

Opioid Rate

1,508

Opioid Claims

$93K

Opioid Cost

22.4%

Long-Acting Rate

This provider's opioid prescribing rate of 71.1% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

92% generic

Brand: 165 claims · $59K

Generic: 1,957 claims · $56K

Patient Profile

68

Avg Age

57%

Female

1.80

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About