2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1194891069 M.D.
Verify on CMS →

EDWIN ROGUSKY, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in STATE COLLEGE, Pennsylvania. 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
605
Medicare Part D claims · 224 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
93.0027/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$132.44
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDWIN ROGUSKY, M.D. reported a CMS MIPS final score of 93.0027/100 — above the 83.1 national average — and filed 605 Medicare Part D claims in 2023.

93.0027/100
MIPS score · +10 vs avg
605
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.

EDWIN ROGUSKY, 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

93 Top 29% higher than 71% 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)

EDWIN ROGUSKY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 EDWIN ROGUSKY, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 11/24/2006

NPI 1194891069

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

605 118% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

93.0027/100 9.90270000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Sports Medicine (Orthopaedic Surgery) Physician share within Pennsylvania

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

Medicare quality performance — MIPS

EDWIN ROGUSKY, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

High performer (top quartile)
MIPS Final Score
93.0027/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 93.0027/100 vs national avg 83.1

0%100%National avg83%93%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 93.0027/100 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).

EDWIN ROGUSKY, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician provider practicing in STATE COLLEGE, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1194891069. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

EDWIN ROGUSKY, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 101 REGENT CT, STATE COLLEGE, PA, 16801, with a listed phone of (814) 231-2101. NPI 1194891069 was issued on 11/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROGUSKY 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 605 prescription claims written by this provider, covering 224 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 25.3%. 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 93.0027/100 for the 2023 performance year (Quality 88.3686), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 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

101 REGENT CT
STATE COLLEGE, PA 16801

Provider Details

NPI 1194891069
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 11/24/2006

CMS Quality Score (MIPS)

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

93.0027
Final Score
Avg: 83.1
88.3686
Quality
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where EDWIN ROGUSKY, 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.

PHOENIX REHABILITATION AND HEALTH SERVICES INC
CRANBERRY TOWNSHIP, PA
PROCARE PT LP
ALTOONA, PA
UNIVERSITY ORTHOPEDICS CENTER, LTD
STATE COLLEGE, PA

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 ROGUSKY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$132

Largest payer

Stryker Corporation

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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to EDWIN ROGUSKY, M.D.. To verify EDWIN ROGUSKY, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

605
Total Claims
$7K
Total Drug Cost
224
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
678
Total Day Supply
13,773
Generic Drug Cost
$7K
Opioid Claims
153 (25.3% rate)
Antibiotic Claims
82

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
0.83
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Celecoxib
153
Meloxicam
133
Oxycodone Hcl
60
Amoxicillin
36
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
31
Tramadol Hcl
31
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
27
Clindamycin Hcl
16
Prednisone
13
Gabapentin
12

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How EDWIN ROGUSKY, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

EDWIN ROGUSKY, M.D.'s 605 claims are above the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is EDWIN ROGUSKY, M.D.'s specialty?
EDWIN ROGUSKY, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in STATE COLLEGE, Pennsylvania. Credentials: M.D..
How much does EDWIN ROGUSKY, M.D. prescribe under Medicare Part D?
In 2023, EDWIN ROGUSKY, M.D. wrote 605 Medicare Part D claims totaling $7K in drug costs for 224 beneficiaries.
What is EDWIN ROGUSKY, M.D.'s Medicare quality score?
EDWIN ROGUSKY, M.D. has a CMS MIPS Final Score of 93.0027/100 (Quality: 88.3686). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWIN ROGUSKY, M.D. located?
EDWIN ROGUSKY, M.D. is located at 101 REGENT CT, STATE COLLEGE, PA, 16801. Phone: (814) 231-2101.
What is EDWIN ROGUSKY, M.D.'s NPI number?
EDWIN ROGUSKY, M.D.'s National Provider Identifier (NPI) is 1194891069, issued on 11/24/2006.
Does EDWIN ROGUSKY, M.D. prescribe opioids?
Yes, EDWIN ROGUSKY, M.D. had 153 opioid claims in 2023 with an opioid prescribing rate of 25.3%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 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 ROGUSKY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDWIN ROGUSKY, M.D.'s most frequently prescribed drugs include Celecoxib, Meloxicam, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWIN ROGUSKY, M.D. accept Medicare?
EDWIN ROGUSKY, M.D. appears in CMS Medicare data with 605 Part D claims and 224 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWIN ROGUSKY, M.D.'s credentials?
EDWIN ROGUSKY, M.D.'s NPI is 1194891069 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