NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1457595258 DO
Verify on CMS → Benjamin Mwanika, DO
Sports Medicine (Family Medicine) Physician in Harrisonburg, Virginia.
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
631
Medicare Part D claims · 399 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
MIPS score
95.1/100
▲ 12 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Benjamin Mwanika, DO reported a CMS MIPS final score of 95.1/100 - above the 83.1 national average - and filed 631 Medicare Part D claims in 2023.
- 95.1/100
- MIPS score · +12 vs avg
- 631
- 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.
Benjamin Mwanika, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 21% higher than 79% 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 Benjamin Mwanika, DO 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, Benjamin Mwanika, DO writes more Part D claims than 70% of them and scores higher on MIPS quality than 80% - placing this provider in the high-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 Benjamin Mwanika, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Benjamin Mwanika, DO 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 Benjamin Mwanika, DO?
High performer (top quartile)Primary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
631 49% vs specialty avg
MIPS final score
95.1/100 12 pts vs avg
Specialty distribution in Virginia
How Sports Medicine (Family Medicine) Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Benjamin Mwanika, DO's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 95.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Family Medicine) Physician) - 95.1/100 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).
Benjamin Mwanika, DO appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding DO credentials at 2509 PLEASANT RUN DR, Harrisonburg, VA, 22801, with a listed phone of (540) 689-5500. NPI 1457595258 was issued on 04/23/2009.
Medicare Part D records for calendar year 2023 show 631 prescription claims written by this provider, covering 399 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 12.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.1/100 for the 2023 performance year (Quality 86.3), 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 | 1457595258 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 04/23/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.1126
Final Score
Avg: 83.1
86.3184
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Benjamin Mwanika, DO 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.
Kelsey-Seybold Medical Group, PLLC
Shenandoah, 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).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
631
Total Claims
$5K
Total Drug Cost
399
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 650
- Total Day Supply
- 13,773
- Generic Drug Cost
- $5K
- Opioid Claims
- 77 (12.2% rate)
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 1.24
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 26, 65-74: 239, 75-84: 112, 85+: 22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Benjamin Mwanika, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Diclofenac Sodium
Diclofenac Sodium
314 claims
- Methylprednisolone 106
Methylprednisolone
106 claims
- Prednisone 55
Prednisone
55 claims
- Meloxicam 45
Meloxicam
45 claims
- Tramadol Hcl 33
Tramadol Hcl
33 claims
- Acetaminophen-Code… 26
Acetaminophen-Codeine
26 claims
- Hydrocodone-Acetam… 15
Hydrocodone-Acetaminophen
15 claims
- Vitamin D2 14
Vitamin D2
14 claims
| Drug | Claims |
|---|---|
| Diclofenac Sodium | 314 |
| Methylprednisolone | 106 |
| Prednisone | 55 |
| Meloxicam | 45 |
| Tramadol Hcl | 33 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 26 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 15 |
| Vitamin D2 Ergocalciferol (Vitamin D2) | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in VA →
All providers in Virginia →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Benjamin Mwanika, DO 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
Benjamin Mwanika, DO's 631 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Mwanika.
Dr. William Adams
M.D.
Quantico, VA
Dr. Jonathan Bailey
M.D.
Fort Belvoir, VA
Dr. John Barley
D.O.
Newport News, VA
Dr. Gregory Bentz
MD
Portsmouth, VA
Dr. Darrell Blackwell
DO
Norton, VA
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 Virginia 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.
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Medical Specialties Explained
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Frequently Asked Questions
What is Benjamin Mwanika, DO's specialty? ▼
Benjamin Mwanika, DO specializes in Sports Medicine (Family Medicine) Physician and practices in Harrisonburg, Virginia. Credentials: DO.
How much does Benjamin Mwanika, DO prescribe under Medicare Part D? ▼
In 2023, Benjamin Mwanika, DO wrote 631 Medicare Part D claims totaling $5K in drug costs for 399 beneficiaries.
What is Benjamin Mwanika, DO's Medicare quality score? ▼
Benjamin Mwanika, DO has a CMS MIPS Final Score of 95.1/100 (Quality: 86.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Benjamin Mwanika, DO located? ▼
Benjamin Mwanika, DO is located at 2509 PLEASANT RUN DR, Harrisonburg, VA, 22801. Phone: (540) 689-5500.
What is Benjamin Mwanika, DO's NPI number? ▼
Benjamin Mwanika, DO's National Provider Identifier (NPI) is 1457595258, issued on 04/23/2009.
Does Benjamin Mwanika, DO prescribe opioids? ▼
Yes, Benjamin Mwanika, DO had 77 opioid claims in 2023 with an opioid prescribing rate of 12.2%.
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.
What drugs does Benjamin Mwanika, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Benjamin Mwanika, DO's most frequently prescribed drugs include Diclofenac Sodium, Methylprednisolone, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Benjamin Mwanika, DO accept Medicare? ▼
Benjamin Mwanika, DO appears in CMS Medicare data with 631 Part D claims and 399 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Benjamin Mwanika, DO's credentials? ▼
Benjamin Mwanika, DO's NPI is 1457595258 with credentials DO. 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.