NPPES file of Aug 9, 2026

Darren Andrew Frank, M.D.

Sports Medicine (Orthopaedic Surgery) Physician · Pittsburgh, PA

Darren Andrew Frank, M.D. is a sports medicine (orthopaedic surgery) physician with a practice address in Pittsburgh, Pennsylvania, and NPI 1396946398, issued on May 29, 2007. Check the license (Pennsylvania MD425543, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1396946398
Name
Darren Andrew Frank
Credential
M.D.
Primary taxonomy
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
License number
MD425543 PA
Self-reported in NPPES; status is on the state search
Practice location
1307 Federal St, Pittsburgh, PA 15212
Phone
(877) 660-6777
Enumerated
May 29, 2007
Record last updated
Apr 17, 2024
Fax
(412) 359-8055
Medicaid IDs
2780996 OH
3810009242 WV
1019313260001 PA
Medicare enrollment
Enrolled (PECOS I20070724000467); accepts Medicare assignment
Medical or professional school
Hahnemann University College Of Medicine, 2001
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1307 Federal St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Heitham Abdul-Baki, M.D.Gastroenterology Physician1790978542
  2. Radheshyam Agrawal, MDGastroenterology Physician1518966670
  3. Margaret Alexander, PA-CPhysician Assistant1336274687
  4. Lanasia Alston, CCHWCommunity Health Worker1154268654
  5. Daniel Altman, MDOrthopaedic Surgery Physician1184623167
  6. Alexandra Andromalos, PA-CSurgical Physician Assistant1033516133

Verify Darren Andrew Frank in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD425543
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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81% fewer Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024

54 Medicare Part D claims for 45 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Darren Frank54
  2. Specialty average288

Most prescribed

  1. Meloxicam24 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 93.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $7,619.86

11 payments; by number, the most common kind was travel and lodging; the largest payer was Arthrex, Inc. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Darren Frank$7,620
  2. Specialty average$19,779

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 4 group practices

  1. Allegheny ClinicPittsburgh, PA
  2. Mrs Physical TherapyErie, PA
  3. Novacare Outpatient Rehabilitation East, Inc.Meadville, PA
  4. Phoenix Rehabilitation And Health Services IncCranberry Twp, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Darren Andrew Frank among 111 sports medicine (orthopaedic surgery) physician records in Pennsylvania

Darren Andrew Frank, M.D. is one of 111 sports medicine (orthopaedic surgery) physician records with a practice address in Pennsylvania. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 44% of them.

  • NPI issued2007 · 44% of these records are older, 45% newer
  • In a Medicare fileYes · 92% of these records are
  • In the CMS Doctors and Clinicians fileYes · 82% of these records are
  • Graduated2001 · median 2004 among the 91 with a school on file
  • Record last updated2024 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Orthopaedic Surgery) Physician providers in Pennsylvania

There are 111 sports medicine (orthopaedic surgery) physician records in Pennsylvania.

The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes

  1. Sam Akhavan, MDPittsburgh, PA 152121801074711
  2. Gregory Altman, MDPittsburgh, PA 152121285633123
  3. Todd Franco, DOPittsburgh, PA 152121467642629
  4. Dennis Phillips, MDPittsburgh, PA 152121356342463
  5. Justin Arner, MDPittsburgh, PA 152151871932467
  6. Justin Hicks, MDPittsburgh, PA 152191063907939
  7. Guang-Ting CongPittsburgh, PA 152031831620947
  8. Darren De Sa, MD, FRCSCPittsburgh, PA 152031871019349

Common questions

What is Darren Andrew Frank, M.D.'s NPI number?

Darren Andrew Frank, M.D.'s National Provider Identifier (NPI) is 1396946398, issued on May 29, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Darren Andrew Frank, M.D. located?

The NPPES record lists a practice address at 1307 Federal St, Pittsburgh, PA, 15212. Phone: (877) 660-6777. Providers update this record themselves, so call before visiting.

How can I verify Darren Andrew Frank, M.D.'s license?

NPPES lists Pennsylvania license number MD425543, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Darren Andrew Frank, M.D. prescribe under Medicare Part D?

In 2024, Darren Andrew Frank, M.D. had 54 Medicare Part D claims for 45 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.

What is Darren Andrew Frank, M.D.'s MIPS final score?

The 2023 MIPS final score is 93.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.