NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1326508383 MD
Verify on CMS → Adam Ridley, MD
Sports Medicine (Family Medicine) Physician in Worcester, Massachusetts.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
47
Medicare Part D claims · 17 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
MIPS score
97/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$22.58
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Adam Ridley, MD reported a CMS MIPS final score of 97/100 - above the 83.1 national average - and filed 47 Medicare Part D claims in 2023.
- 97/100
- MIPS score · +14 vs avg
- 47
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Adam Ridley, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 15% higher than 85% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Adam Ridley, MD sits
This provider among sports medicine (family medicine) physician peers
Across the 571 sports medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Adam Ridley, MD writes more Part D claims than 11% of them and scores higher on MIPS quality than 87% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one sports medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Adam Ridley, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Adam Ridley, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Adam Ridley, MD?
High performer (top quartile)Primary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
47 96% vs specialty avg
MIPS final score
97/100 13.9 pts vs avg
Specialty distribution in Massachusetts
How Sports Medicine (Family Medicine) Physician compares to other specialties among Massachusetts providers
Medicare quality performance, MIPS
Adam Ridley, MD's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 97/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Family Medicine) Physician) - 97/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Adam Ridley, MD appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding MD credentials at 279 LINCOLN ST, Worcester, MA, 01605, with a listed phone of (508) 334-1352. NPI 1326508383 was issued on 03/24/2019.
Medicare Part D records for calendar year 2023 show 47 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $2K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97/100 for the 2023 performance year (Quality 78.1), compared with the national average of 83.1.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1326508383 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/24/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Adam Ridley, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Umass Memorial Medical Group Inc
Worcester, MA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Adam Ridley, MD. Source: openpaymentsdata.cms.gov.
Total received
$23
Largest payer
DePuy Synthes Sales Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Massachusetts BORIM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Adam Ridley, MD. To verify Adam Ridley, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases
BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
47
Total Claims
$2K
Total Drug Cost
17
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 105
- Total Day Supply
- 3,131
- Generic Drug Cost
- $840
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 1.21
More Sports Medicine (Family Medicine) Physician in MA →
All providers in Massachusetts →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Adam Ridley, MD fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
Adam Ridley, MD's 47 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Ridley.
Dr. Carla Basadre Quiroz
M.D.
Methuen, MA
Dr. Chad Beattie
M.D.
Dartmouth, MA
Dr. Miguel Concepcion
M.D.
Swampscott, MA
Dr. Deanna Corey
MD
Boston, MA
Dr. Amy Costa
M.D.
Milford, MA
Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Massachusetts medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Massachusetts
Frequently Asked Questions
What is Adam Ridley, MD's specialty? ▼
Adam Ridley, MD specializes in Sports Medicine (Family Medicine) Physician and practices in Worcester, Massachusetts. Credentials: MD.
How much does Adam Ridley, MD prescribe under Medicare Part D? ▼
In 2023, Adam Ridley, MD wrote 47 Medicare Part D claims totaling $2K in drug costs for 17 beneficiaries.
What is Adam Ridley, MD's Medicare quality score? ▼
Adam Ridley, MD has a CMS MIPS Final Score of 97/100 (Quality: 78.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Adam Ridley, MD located? ▼
Adam Ridley, MD is located at 279 LINCOLN ST, Worcester, MA, 01605. Phone: (508) 334-1352.
What is Adam Ridley, MD's NPI number? ▼
Adam Ridley, MD's National Provider Identifier (NPI) is 1326508383, issued on 03/24/2019.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
Does Adam Ridley, MD accept Medicare? ▼
Adam Ridley, MD appears in CMS Medicare data with 47 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Adam Ridley, MD's credentials? ▼
Adam Ridley, MD's NPI is 1326508383 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.