James Mitchell Costner, M.D.
NPI 1841257540ActiveIndividual· Family Medicine· Kings Mountain, NC
Family Medicine (M.D.) in Kings Mountain, North Carolina, trained at Brody School of Medicine at East Carolina University (class of 1991). Their prescriptions cost Medicare Part D more than their services did: $1,622,881 for 19,614 claims, against $66,861 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 14 companies reporting payments in 2025, $786.35 in all, mostly food and beverage.
Overview
| NPI | 1841257540 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 27, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 9400760 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NC); Practitioner - Family Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 308 |
|---|---|
| Services billed | 1,639 across 43 procedure codes |
| Paid by Medicare | $66,861 |
Part D prescriptions in 2024
| Prescriptions (claims) | 19,614 · 40,487 30-day fills |
|---|---|
| Patients | 926 |
| Total drug cost | $1,622,881 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Brody School of Medicine at East Carolina University |
|---|---|
| Graduation year | 1991 |
| Medicare specialty | Family Practice |
Medical group
- Caromont Medical Group IncGastonia, NC · 424 clinicians
Hospital affiliations
- Atrium Health ClevelandShelby, NC
- Caromont Regional Medical CenterGastonia, NC
Other facilities
- Atrium Health at Home ClevelandHome health agency · Shelby, NC
- Centerwell Home HealthHome health agency · Shelby, NC
Industry payments (Open Payments)
- 2025$786.35 · 36 payments from 14 companies
- 2024$203.59 · 7 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $157.21 | 9 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $119.37 | 2 |
| Novo Nordisk Inc | $89.83 | 4 |
| Axsome Therapeutics, Inc. | $81.02 | 3 |
| Phathom Pharmaceuticals, Inc. | $57.41 | 4 |
What the 2025 payments were for
- Food and Beverage$786.35 · 36 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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