2026 NPPES data Orthopaedic Surgery Physician NPI 1538428859 MD
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ADAM WEGNER, MD

Orthopaedic Surgery Physician in ARLINGTON, Virginia. 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
276
Medicare Part D claims · 168 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
67.4193/100
▼ 16 pts below national avg 83.1 · [object Object]

What the federal data shows

ADAM WEGNER, MD reported a CMS MIPS final score of 67.4193/100 — below the 83.1 national average — and filed 276 Medicare Part D claims in 2023.

67.4193/100
MIPS score · -16 vs avg
276
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 WEGNER, MD's MIPS score vs every scored U.S. clinician

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

67 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 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 WEGNER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 WEGNER, MD?

Below national average

NPI registry status

Active

Issued 05/07/2012

NPI 1538428859

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

276 15% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

67.4193/100 15.680699999999987% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Virginia

How Orthopaedic Surgery Physician compares to other specialties among Virginia providers

Virginia providers

Orthopaedic Surgery Physician share within Virginia

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Virginia

Medicare quality performance — MIPS

ADAM WEGNER, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
67.4193/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 67.4193/100 vs national avg 83.1

0%100%National avg83%67.4%
MIPS final score (Orthopaedic Surgery Physician) — 67.4193/100 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 WEGNER, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 1635 N GEORGE MASON DRIVE, ARLINGTON, VA, 22205, with a listed phone of (703) 810-5215. NPI 1538428859 was issued on 05/07/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WEGNER 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 276 prescription claims written by this provider, covering 168 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 4.7%. 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 67.4193/100 for the 2023 performance year (Quality 33.3333, Cost 83.0644), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

1635 N GEORGE MASON DRIVE
ARLINGTON, VA 22205

Provider Details

NPI 1538428859
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 05/07/2012

CMS Quality Score (MIPS)

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

67.4193
Final Score
Avg: 83.1
33.3333
Quality
83.0644
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ADAM WEGNER, 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.

ORTHOVIRGINIA INC
ARLINGTON, VA
SELECT PHYSICAL THERAPY HOLDINGS INC
LORTON, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

276
Total Claims
$3K
Total Drug Cost
168
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
292
Total Day Supply
6,639
Generic Drug Cost
$3K
Opioid Claims
13 (4.7% rate)

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.17
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What ADAM WEGNER, 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
Gabapentin
100
Meloxicam
36
Diclofenac Sodium
33
Cyclobenzaprine Hcl
24
Methylprednisolone
17
Pregabalin
17

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

Orthopaedic Surgery Physician Overview

How ADAM WEGNER, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

ADAM WEGNER, MD's 276 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Virginia

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

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADAM WEGNER, MD's specialty?
ADAM WEGNER, MD specializes in Orthopaedic Surgery Physician and practices in ARLINGTON, Virginia. Credentials: MD.
How much does ADAM WEGNER, MD prescribe under Medicare Part D?
In 2023, ADAM WEGNER, MD wrote 276 Medicare Part D claims totaling $3K in drug costs for 168 beneficiaries.
What is ADAM WEGNER, MD's Medicare quality score?
ADAM WEGNER, MD has a CMS MIPS Final Score of 67.4193/100 (Quality: 33.3333, Cost: 83.0644). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADAM WEGNER, MD located?
ADAM WEGNER, MD is located at 1635 N GEORGE MASON DRIVE, ARLINGTON, VA, 22205. Phone: (703) 810-5215.
What is ADAM WEGNER, MD's NPI number?
ADAM WEGNER, MD's National Provider Identifier (NPI) is 1538428859, issued on 05/07/2012.
Does ADAM WEGNER, MD prescribe opioids?
Yes, ADAM WEGNER, MD had 13 opioid claims in 2023 with an opioid prescribing rate of 4.7%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does ADAM WEGNER, MD prescribe most often?
Based on 2023 Medicare Part D data, ADAM WEGNER, MD's most frequently prescribed drugs include Gabapentin, Meloxicam, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADAM WEGNER, MD accept Medicare?
ADAM WEGNER, MD appears in CMS Medicare data with 276 Part D claims and 168 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM WEGNER, MD's credentials?
ADAM WEGNER, MD's NPI is 1538428859 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