NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1427321900 PA
Verify on CMS → Edwin Mwangi, PA
Sports Medicine (Orthopaedic Surgery) Physician in Joplin, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,694 in Sports Medicine (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
117
Medicare Part D claims · 58 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
64.7/100
▼ 19 pts below national avg 83.5 · Mid-tier
Industry payments
$18.82
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Edwin Mwangi, PA reported a CMS MIPS final score of 64.7/100 - below the 83.5 national average - and filed 117 Medicare Part D claims in 2023.
- 64.7/100
- MIPS score · -19 vs avg
- 117
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥7th
- 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.
Edwin Mwangi, PA'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.
65 ≥ 7th percentile 7% 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 Edwin Mwangi, PA sits
This provider among sports medicine (orthopaedic surgery) physician peers
Across the 924 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Edwin Mwangi, PA writes more Part D claims than 34% of them and scores higher on MIPS quality than 14% - placing this provider in the lower-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 sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is Edwin Mwangi, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Edwin Mwangi, PA 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 Edwin Mwangi, PA?
Below national averagePrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
117 58% vs specialty avg
MIPS final score
64.7/100 18.8 pts vs avg
Specialty distribution in Missouri
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Edwin Mwangi, PA's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average
- MIPS Final Score
- 64.7/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 64.7/100 vs national avg 83.5
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).
Edwin Mwangi, PA appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding PA credentials at 3105 MCCLELLAND BLVD, Joplin, MO, 64804, with a listed phone of (417) 781-2807. NPI 1427321900 was issued on 02/15/2012.
Medicare Part D records for calendar year 2023 show 117 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $1,000 in drug spend, with an opioid prescribing rate of 53.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 64.7/100 for the 2023 performance year (Quality 58.6, Cost 58.5), compared with the 83.5 average among clinicians with a measured score.
Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,694 enrolled providers across 53 states and an average of 278 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 | 1427321900 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | PA |
| Gender | Male |
| NPI Issued | 02/15/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
64.7437
Final Score
Measured-score avg: 83.5
58.555
Quality
58.4614
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Edwin Mwangi, PA 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.
Freeman-Oak Hill Health System
Joplin, MO
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 Edwin Mwangi, PA. Source: openpaymentsdata.cms.gov.
Total received
$19
Largest payer
Titan Surgical Group, Llc
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
117
Total Claims
$1,000
Total Drug Cost
58
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 123
- Total Day Supply
- 1,626
- Generic Drug Cost
- $986
- Opioid Claims
- 63 (53.8% rate)
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 1.30
- Gender Split
- 67% female / 33% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Edwin Mwangi, PA prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
37 claims
- Tramadol Hcl
Tramadol Hcl
26 claims
- Meloxicam 13
Meloxicam
13 claims
- Gabapentin 12
Gabapentin
12 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 37 |
| Tramadol Hcl | 26 |
| Meloxicam | 13 |
| Gabapentin | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in MO →
All providers in Missouri →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Edwin Mwangi, PA fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,694
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider
Edwin Mwangi, PA's 117 claims are below the specialty average of 278.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Mwangi.
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 Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (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 Edwin Mwangi, PA's specialty? ▼
Edwin Mwangi, PA specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Joplin, Missouri. Credentials: PA.
How much does Edwin Mwangi, PA prescribe under Medicare Part D? ▼
In 2023, Edwin Mwangi, PA wrote 117 Medicare Part D claims totaling $1,000 in drug costs for 58 beneficiaries.
What is Edwin Mwangi, PA's Medicare quality score? ▼
Edwin Mwangi, PA has a CMS MIPS Final Score of 64.7/100 (Quality: 58.6, Cost: 58.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Edwin Mwangi, PA located? ▼
Edwin Mwangi, PA is located at 3105 MCCLELLAND BLVD, Joplin, MO, 64804. Phone: (417) 781-2807.
What is Edwin Mwangi, PA's NPI number? ▼
Edwin Mwangi, PA's National Provider Identifier (NPI) is 1427321900, issued on 02/15/2012.
Does Edwin Mwangi, PA prescribe opioids? ▼
Yes, Edwin Mwangi, PA had 63 opioid claims in 2023 with an opioid prescribing rate of 53.8%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,694 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does Edwin Mwangi, PA prescribe most often? ▼
Based on 2023 Medicare Part D data, Edwin Mwangi, PA's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Tramadol Hcl, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edwin Mwangi, PA accept Medicare? ▼
Edwin Mwangi, PA appears in CMS Medicare data with 117 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edwin Mwangi, PA's credentials? ▼
Edwin Mwangi, PA's NPI is 1427321900 with credentials PA. 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
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.