2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1265851232 MD
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ADAM SPJUTE, MD

Pain Medicine (Anesthesiology) Physician in WACO, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
7K
Medicare Part D claims · 1K beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.8751/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$5.4K
75 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ADAM SPJUTE, MD reported a CMS MIPS final score of 72.8751/100 — below the 83.1 national average — and filed 6,513 Medicare Part D claims in 2023.

72.8751/100
MIPS score · -10 vs avg
7K
Part D claims, 2023
98%
generic prescribing
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 SPJUTE, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

73 10th percentile higher than 10% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

ADAM SPJUTE, 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 SPJUTE, MD?

Below national average

NPI registry status

Active

Issued 04/07/2014

NPI 1265851232

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

6,513 293% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

MIPS final score

72.8751/100 10.224899999999991% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Texas providers

Texas providers

Pain Medicine (Anesthesiology) Physician share within Texas

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within Texas

Medicare quality performance — MIPS

ADAM SPJUTE, MD's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

Below national average
MIPS Final Score
72.8751/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 72.8751/100 vs national avg 83.1

0%100%National avg83%72.9%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 72.8751/100 vs national avg 83.1

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 SPJUTE, MD appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding MD credentials at 3500 HILLCREST DR STE 1, WACO, TX, 76708, with a listed phone of (254) 741-6641. NPI 1265851232 was issued on 04/07/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPJUTE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 6,513 prescription claims written by this provider, covering 1,006 Medicare beneficiaries and totaling roughly $269K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 89.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72.8751/100 for the 2023 performance year (Quality 55.4552), compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

3500 HILLCREST DR STE 1
WACO, TX 76708

Provider Details

NPI 1265851232
Specialty Pain Medicine (Anesthesiology) Physician
Credentials MD
Gender Male
NPI Issued 04/07/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

72.8751
Final Score
Avg: 83.1
55.4552
Quality
87
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where ADAM SPJUTE, 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.

MARK MALONE MD PA
BASTROP, TX

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 SPJUTE, MD. Source: openpaymentsdata.cms.gov.

Total received

$5.4K

Largest payer

Abbott Laboratories

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to ADAM SPJUTE, MD. To verify ADAM SPJUTE, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ADAM SPJUTE, MD — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 6,513 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

6,513
Total Claims
$269K
Total Drug Cost
1,006
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,585
Total Day Supply
189,169
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$60K
Generic Drug Cost
$209K
Opioid Claims
5,797 (89.0% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
66.8 years
Avg HCC Risk Score
1.80
Gender Split
64% female / 36% male
Age Distribution
<65: 361, 65-74: 410, 75-84: 206, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ADAM SPJUTE, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
4,228
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
493
Morphine Sulfate Er
Morphine Sulfate
454
Gabapentin
170
Oxycodone Hcl
121
Tramadol Hcl
114
Pregabalin
101
Tizanidine Hcl
84
Hydromorphone Hcl
65
Fentanyl
58

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pain Medicine (Anesthesiology) Physician Overview

How ADAM SPJUTE, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

ADAM SPJUTE, MD's 6,513 claims are above the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as SPJUTE.

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADAM SPJUTE, MD's specialty?
ADAM SPJUTE, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in WACO, Texas. Credentials: MD.
How much does ADAM SPJUTE, MD prescribe under Medicare Part D?
In 2023, ADAM SPJUTE, MD wrote 6,513 Medicare Part D claims totaling $269K in drug costs for 1,006 beneficiaries.
What is ADAM SPJUTE, MD's Medicare quality score?
ADAM SPJUTE, MD has a CMS MIPS Final Score of 72.8751/100 (Quality: 55.4552). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADAM SPJUTE, MD located?
ADAM SPJUTE, MD is located at 3500 HILLCREST DR STE 1, WACO, TX, 76708. Phone: (254) 741-6641.
What is ADAM SPJUTE, MD's NPI number?
ADAM SPJUTE, MD's National Provider Identifier (NPI) is 1265851232, issued on 04/07/2014.
Does ADAM SPJUTE, MD prescribe more brand-name or generic drugs?
ADAM SPJUTE, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $60K in brand drug costs.
Does ADAM SPJUTE, MD prescribe opioids?
Yes, ADAM SPJUTE, MD had 5,797 opioid claims in 2023 with an opioid prescribing rate of 89.0%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does ADAM SPJUTE, MD prescribe most often?
Based on 2023 Medicare Part D data, ADAM SPJUTE, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Morphine Sulfate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADAM SPJUTE, MD accept Medicare?
ADAM SPJUTE, MD appears in CMS Medicare data with 6,513 Part D claims and 1,006 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM SPJUTE, MD's credentials?
ADAM SPJUTE, MD's NPI is 1265851232 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

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