2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1497056154 M.D.
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CALVIN DUFFAUT, M.D.

Sports Medicine (Family Medicine) Physician in SANTA MONICA, California. 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
227
Medicare Part D claims · 61 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
MIPS score
97.2437/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

CALVIN DUFFAUT, M.D. reported a CMS MIPS final score of 97.2437/100 — above the 83.1 national average — and filed 227 Medicare Part D claims in 2023.

97.2437/100
MIPS score · +14 vs avg
227
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.

CALVIN DUFFAUT, M.D.'s MIPS score vs every scored U.S. clinician

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

97 Top 15% higher than 85% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

CALVIN DUFFAUT, M.D. 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 CALVIN DUFFAUT, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 11/11/2010

NPI 1497056154

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

227 82% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

MIPS final score

97.2437/100 14.14370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Sports Medicine (Family Medicine) Physician compares to other specialties among California providers

California providers

Sports Medicine (Family Medicine) Physician share within California

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

Medicare quality performance — MIPS

CALVIN DUFFAUT, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
97.2437/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Family Medicine) Physician) — 97.2437/100 vs national avg 83.1

0%100%National avg83%97.2%
MIPS final score (Sports Medicine (Family Medicine) Physician) — 97.2437/100 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).

CALVIN DUFFAUT, M.D. appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding M.D. credentials at 1920 COLORADO AVE, SANTA MONICA, CA, 90404, with a listed phone of (310) 319-4700. NPI 1497056154 was issued on 11/11/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DUFFAUT 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 227 prescription claims written by this provider, covering 61 Medicare beneficiaries and totaling roughly $9K in drug spend. 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 97.2437/100 for the 2023 performance year (Quality 95.9492, Cost 64.7029), 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

1920 COLORADO AVE
SANTA MONICA, CA 90404

Provider Details

NPI 1497056154
Specialty Sports Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 11/11/2010

CMS Quality Score (MIPS)

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

97.2437
Final Score
Avg: 83.1
95.9492
Quality
64.7029
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CALVIN DUFFAUT, M.D. 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.

REGENTS OF THE UNIVERSITY OF CALIFORNIA
SANTA MONICA, CA
UC REGENTS
SANTA MONICA, CA

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

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to CALVIN DUFFAUT, M.D.. To verify CALVIN DUFFAUT, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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 2023.

227
Total Claims
$9K
Total Drug Cost
61
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
505
Total Day Supply
14,748
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.00
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

What CALVIN DUFFAUT, M.D. 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
Diclofenac Sodium
47
Atorvastatin Calcium
27
Nitroglycerin Patch
Nitroglycerin
14
Benazepril Hcl
11

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

Sports Medicine (Family Medicine) Physician Overview

How CALVIN DUFFAUT, M.D. 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

CALVIN DUFFAUT, M.D.'s 227 claims are below the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in California

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

Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CALVIN DUFFAUT, M.D.'s specialty?
CALVIN DUFFAUT, M.D. specializes in Sports Medicine (Family Medicine) Physician and practices in SANTA MONICA, California. Credentials: M.D..
How much does CALVIN DUFFAUT, M.D. prescribe under Medicare Part D?
In 2023, CALVIN DUFFAUT, M.D. wrote 227 Medicare Part D claims totaling $9K in drug costs for 61 beneficiaries.
What is CALVIN DUFFAUT, M.D.'s Medicare quality score?
CALVIN DUFFAUT, M.D. has a CMS MIPS Final Score of 97.2437/100 (Quality: 95.9492, Cost: 64.7029). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CALVIN DUFFAUT, M.D. located?
CALVIN DUFFAUT, M.D. is located at 1920 COLORADO AVE, SANTA MONICA, CA, 90404. Phone: (310) 319-4700.
What is CALVIN DUFFAUT, M.D.'s NPI number?
CALVIN DUFFAUT, M.D.'s National Provider Identifier (NPI) is 1497056154, issued on 11/11/2010.
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 CALVIN DUFFAUT, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CALVIN DUFFAUT, M.D.'s most frequently prescribed drugs include Diclofenac Sodium, Atorvastatin Calcium, Nitroglycerin Patch. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CALVIN DUFFAUT, M.D. accept Medicare?
CALVIN DUFFAUT, M.D. appears in CMS Medicare data with 227 Part D claims and 61 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CALVIN DUFFAUT, M.D.'s credentials?
CALVIN DUFFAUT, M.D.'s NPI is 1497056154 with credentials M.D.. 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