NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1215988613 MD
Verify on CMS → Anthony Sanchez, MD
Orthopaedic Surgery Physician in Spartanburg, South Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,775 in Orthopaedic Surgery 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
7K
Medicare Part D claims · 1K beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
>99%
generic claims · <1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68/100
▼ 15 pts below national avg 83.1 · Mid-tier
Industry payments
$169.34
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Anthony Sanchez, MD reported a CMS MIPS final score of 68/100 - below the 83.1 national average - and filed 6,984 Medicare Part D claims in 2023.
- 68/100
- MIPS score · -15 vs avg
- 7K
- Part D claims, 2023
- >99%
- 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.
Anthony Sanchez, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
68 7th percentile higher than 7% 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 Anthony Sanchez, MD sits
This provider among orthopaedic surgery physician peers
Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anthony Sanchez, MD writes more Part D claims than 100% of them and scores higher on MIPS quality than 13% - placing this provider in the high-volume, lower-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 orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Anthony Sanchez, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Anthony Sanchez, 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 Anthony Sanchez, MD?
Below national averagePrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
6,984 22× vs specialty avg
MIPS final score
68/100 15.1 pts vs avg
Specialty distribution in South Carolina
How Orthopaedic Surgery Physician compares to other specialties among South Carolina providers
Medicare quality performance, MIPS
Anthony Sanchez, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average
- MIPS Final Score
- 68/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Surgery Physician) - 68/100 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).
Anthony Sanchez, MD appears in the CMS NPPES registry as an Orthopaedic Surgery Physician provider holding MD credentials at 303 E WOOD ST, Spartanburg, SC, 29303, with a listed phone of (864) 208-8800. NPI 1215988613 was issued on 05/12/2006.
Medicare Part D records for calendar year 2023 show 6,984 prescription claims written by this provider, covering 1,466 Medicare beneficiaries and totaling roughly $113K in drug spend, split <1% brand-name and >99% generic by claim count, with an opioid prescribing rate of 31.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 68/100 for the 2023 performance year (Quality 68.5, Cost 24.7), compared with the national average of 83.1.
Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,775 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
Provider Details
| NPI | 1215988613 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
67.9523
Final Score
Avg: 83.1
68.4627
Quality
24.7115
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Anthony Sanchez, 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.
Spartanburg Medical Center
★★☆☆☆ 2/5
Spartanburg, SC
Acute Care Hospitals
CMS CCN: 420007
Cora Health Services Inc
The Villages, FL
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 Anthony Sanchez, MD. Source: openpaymentsdata.cms.gov.
Total received
$169
Largest payer
Anika Therapeutics, 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.
Brand vs generic prescribing mix · Generic-heavy
Anthony Sanchez, MD - brand share 1.0%
Orthopaedic Surgery Physician average
<1% brand-name claims vs >99% generic, on 6,984 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.
6,984
Total Claims
$113K
Total Drug Cost
1,466
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,550
- Total Day Supply
- 148,732
- Brand vs Generic
- <1% brand / >99% generic
- Brand Drug Cost
- $26K
- Generic Drug Cost
- $87K
- Opioid Claims
- 2,210 (31.6% rate)
- Antibiotic Claims
- 302
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.24
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 231, 65-74: 696, 75-84: 445, 85+: 94
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Anthony Sanchez, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Meloxicam
Meloxicam
820 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
739 claims
- Oxycodone Hcl
Oxycodone Hcl
681 claims
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
548 claims
- Tramadol Hcl
Tramadol Hcl
530 claims
- Nabumetone
Nabumetone
425 claims
- Gabapentin
Gabapentin
421 claims
- Tizanidine Hcl
Tizanidine Hcl
420 claims
| Drug | Claims |
|---|---|
| Meloxicam | 820 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 739 |
| Oxycodone Hcl | 681 |
| Cyclobenzaprine Hcl | 548 |
| Tramadol Hcl | 530 |
| Nabumetone | 425 |
| Gabapentin | 421 |
| Tizanidine Hcl | 420 |
| Diclofenac Sodium | 404 |
| Celecoxib | 401 |
* 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 Anthony Sanchez, MD fits within the Orthopaedic Surgery Physician landscape nationally.
25,775
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider
Anthony Sanchez, MD's 6,984 claims are above the specialty average of 324.
Nearby Orthopaedic Surgery Physician Providers in South Carolina
Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as Sanchez.
Dr. John Adams
M.D.
Greenville, SC
Dr. Nathanael Adams
MD
Greer, SC
Dr. David Ajibade
MD
Orangeburg, SC
Dr. John Allen
MD, MSCR
Charleston, SC
Dr. William Allen
MD
Charleston, SC
Compare Orthopaedic Surgery 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 South Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery 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.
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Frequently Asked Questions
What is Anthony Sanchez, MD's specialty? ▼
Anthony Sanchez, MD specializes in Orthopaedic Surgery Physician and practices in Spartanburg, South Carolina. Credentials: MD.
How much does Anthony Sanchez, MD prescribe under Medicare Part D? ▼
In 2023, Anthony Sanchez, MD wrote 6,984 Medicare Part D claims totaling $113K in drug costs for 1,466 beneficiaries.
What is Anthony Sanchez, MD's Medicare quality score? ▼
Anthony Sanchez, MD has a CMS MIPS Final Score of 68/100 (Quality: 68.5, Cost: 24.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Anthony Sanchez, MD located? ▼
Anthony Sanchez, MD is located at 303 E WOOD ST, Spartanburg, SC, 29303. Phone: (864) 208-8800.
What is Anthony Sanchez, MD's NPI number? ▼
Anthony Sanchez, MD's National Provider Identifier (NPI) is 1215988613, issued on 05/12/2006.
Does Anthony Sanchez, MD prescribe more brand-name or generic drugs? ▼
Anthony Sanchez, MD's prescribing is <1% brand-name and >99% generic drugs by claim count, with $26K in brand drug costs.
Does Anthony Sanchez, MD prescribe opioids? ▼
Yes, Anthony Sanchez, MD had 2,210 opioid claims in 2023 with an opioid prescribing rate of 31.6%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 25,775 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 Anthony Sanchez, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Anthony Sanchez, MD's most frequently prescribed drugs include Meloxicam, Hydrocodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anthony Sanchez, MD accept Medicare? ▼
Anthony Sanchez, MD appears in CMS Medicare data with 6,984 Part D claims and 1,466 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Sanchez, MD's credentials? ▼
Anthony Sanchez, MD's NPI is 1215988613 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.
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 May 2026.