Addisu Mesfin, MD
Orthopaedic Surgery of the Spine Physician in Rochester, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,825 in Orthopaedic Surgery of the Spine 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.
What the federal data shows
Addisu Mesfin, MD reported a CMS MIPS final score of 76.6/100 - below the 83.5 national average - and filed 572 Medicare Part D claims in 2024.
- 76.6/100
- MIPS score · -7 vs avg
- 572
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥17th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Addisu Mesfin, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1154468833), first enumerated 01/31/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 572 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 76.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$7.0K in reported industry payments (26 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Addisu Mesfin, MD's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1154468833 · Orthopaedic Surgery of the Spine Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1154468833
- ENUM-MID 2007
- TAX-NARROW 1,825
- MIPS-BELOW 76.6/100
- RX-LIGHT 572
- BOOK-THIN 132 in New York
- PHOTO-FINISH Joseph Ferguson, M.D. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Mesfin · this pr…
Mesfin · this provider
76.6 MIPS pts
- Oliver Tannous, …
Oliver Tannous, M.D.
76.6 MIPS pts
- Joseph Ferguson,…
Joseph Ferguson, M.D.
76.6 MIPS pts
- Fred Mo, MD · near
Fred Mo, MD
76.6 MIPS pts
- Andrew Mo, MD · …
Andrew Mo, MD
76.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Addisu Mesfin, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Addisu Mesfin, MD sits
This provider among orthopaedic surgery of the spine physician peers
Across the 562 orthopaedic surgery of the spine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Addisu Mesfin, MD writes more Part D claims than 77% of them and scores higher on MIPS quality than 33% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one orthopaedic surgery of the spine physician peer from a representative sample of 60; the gold marker is Addisu Mesfin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Addisu Mesfin, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Addisu Mesfin, MD?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New York
How Orthopaedic Surgery of the Spine Physician compares to other specialties among New York providers
Orthopaedic Surgery of the Spine Physician ranks #188 among New York's specialties (0% of in-state providers)
Each bar is a specialty's share of the New York provider total, by primary NUCC taxonomy. The highlighted bar is Orthopaedic Surgery of the Spine Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Addisu Mesfin, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average
- MIPS Final Score
- 76.6/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Orthopaedic Surgery of the Spine Physician US NPIs
76.6/100 MIPS final score - 6.9 pts below the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Orthopaedic Surgery of the Spine Physician. Quality dim: 63.2. Cost dim: 55.9.
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).
Practice Address
Provider Details
| NPI | 1154468833 |
|---|---|
| Specialty | Orthopaedic Surgery of the Spine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/31/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Addisu Mesfin, MD's current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1154468833 is the unique 10-digit identifier CMS uses to link Mesfin across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Addisu Mesfin, 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.
According to CMS billing records, Addisu Mesfin, MD is affiliated with 3 Medicare-billing facilities across 2 states.
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 Addisu Mesfin, MD. Source: openpaymentsdata.cms.gov.
Total received
$7.0K
Largest payer
Alphatec Spine, 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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Addisu Mesfin, MD. To verify Addisu Mesfin, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
NYSBPMC 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 New York 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 2024.
Prescribing Breakdown
- 30-Day Fills
- 627.4
- Total Day Supply
- 16,214
- Generic Drug Cost
- $7K
- Opioid Claims
- 52 (9.1% rate)
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 1.85
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 29, 65-74: 95, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Addisu Mesfin, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Gabapentin
Gabapentin
145 claims
- Meloxicam
Meloxicam
137 claims
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
79 claims
- Pregabalin 56
Pregabalin
56 claims
- Tramadol Hcl 25
Tramadol Hcl
25 claims
- Oxycodone Hcl 24
Oxycodone Hcl
24 claims
- Methylprednisolone 22
Methylprednisolone
22 claims
- Methocarbamol 17
Methocarbamol
17 claims
| Drug | Claims |
|---|---|
| Gabapentin | 145 |
| Meloxicam | 137 |
| Cyclobenzaprine Hcl | 79 |
| Pregabalin | 56 |
| Tramadol Hcl | 25 |
| Oxycodone Hcl | 24 |
| Methylprednisolone | 22 |
| Methocarbamol | 17 |
| Diclofenac Sodium | 16 |
| Ibuprofen | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery of the Spine Physician Overview
How Addisu Mesfin, MD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.
Addisu Mesfin, MD's 572 claims are above the specialty average of 380.
Nationwide Orthopaedic Surgery of the Spine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Mesfin, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76.6 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Orthopaedic Surgery of the Spine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Mesfin.
One of 132 Orthopaedic Surgery of the Spine Physician providers enrolled in New York, 5 are shown here.
Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Addisu Mesfin, MD's specialty? ▼
How much does Addisu Mesfin, MD prescribe under Medicare Part D? ▼
What is Addisu Mesfin, MD's Medicare quality score? ▼
Where is Addisu Mesfin, MD located? ▼
What is Addisu Mesfin, MD's NPI number? ▼
Does Addisu Mesfin, MD prescribe opioids? ▼
How many Orthopaedic Surgery of the Spine Physician providers are there in the US? ▼
What drugs does Addisu Mesfin, MD prescribe most often? ▼
Does Addisu Mesfin, MD accept Medicare? ▼
How can I verify Addisu Mesfin, MD's credentials? ▼
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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.
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