2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1083192140 MPAS PA-C
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GARIN SMITH, MPAS PA-C

Orthopaedic Surgery of the Spine Physician in ROCHESTER, New York. 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
165
Medicare Part D claims · 108 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
80.5906/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

GARIN SMITH, MPAS PA-C reported a CMS MIPS final score of 80.5906/100 — below the 83.1 national average — and filed 165 Medicare Part D claims in 2023.

80.5906/100
MIPS score · -3 vs avg
165
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.

GARIN SMITH, MPAS PA-C's MIPS score vs every scored U.S. clinician

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

81 33rd percentile higher than 33% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

GARIN SMITH, MPAS PA-C 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 GARIN SMITH, MPAS PA-C?

Near national average

NPI registry status

Active

Issued 08/01/2018

NPI 1083192140

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

165 54% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

80.5906/100 2.5093999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Orthopaedic Surgery of the Spine Physician compares to other specialties among New York providers

New York providers

Orthopaedic Surgery of the Spine Physician share within New York

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within New York

Medicare quality performance — MIPS

GARIN SMITH, MPAS PA-C's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Near national average
MIPS Final Score
80.5906/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 80.5906/100 vs national avg 83.1

0%100%National avg83%80.6%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 80.5906/100 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).

GARIN SMITH, MPAS PA-C appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MPAS PA-C credentials at 4901 LAC DE VILLE BLVD BUILDING D, ROCHESTER, NY, 14642, with a listed phone of (585) 341-7851. NPI 1083192140 was issued on 08/01/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH 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 165 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 9.1%. 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 80.5906/100 for the 2023 performance year (Quality 68.9078, Cost 55.0335), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

4901 LAC DE VILLE BLVD BUILDING D
ROCHESTER, NY 14642

Provider Details

NPI 1083192140
Specialty Orthopaedic Surgery of the Spine Physician
Credentials MPAS PA-C
Gender Male
NPI Issued 08/01/2018

CMS Quality Score (MIPS)

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

80.5906
Final Score
Avg: 83.1
68.9078
Quality
55.0335
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GARIN SMITH, MPAS PA-C 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.

UNIVERSITY OF ROCHESTER ORTHOPAEDIC ONCOLOGY DIVISION
ROCHESTER, NY
UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER
ROCHESTER, NY

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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to GARIN SMITH, MPAS PA-C. To verify GARIN SMITH, MPAS PA-C's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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.

165
Total Claims
$4K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
172
Total Day Supply
3,126
Brand Drug Cost
$0
Generic Drug Cost
$4K
Opioid Claims
15 (9.1% rate)

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.03
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

What GARIN SMITH, MPAS PA-C 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
80
Naproxen
35
Meloxicam
21
Tramadol Hcl
12

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

Orthopaedic Surgery of the Spine Physician Overview

How GARIN SMITH, MPAS PA-C fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

GARIN SMITH, MPAS PA-C's 165 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as SMITH.

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GARIN SMITH, MPAS PA-C's specialty?
GARIN SMITH, MPAS PA-C specializes in Orthopaedic Surgery of the Spine Physician and practices in ROCHESTER, New York. Credentials: MPAS PA-C.
How much does GARIN SMITH, MPAS PA-C prescribe under Medicare Part D?
In 2023, GARIN SMITH, MPAS PA-C wrote 165 Medicare Part D claims totaling $4K in drug costs for 108 beneficiaries.
What is GARIN SMITH, MPAS PA-C's Medicare quality score?
GARIN SMITH, MPAS PA-C has a CMS MIPS Final Score of 80.5906/100 (Quality: 68.9078, Cost: 55.0335). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GARIN SMITH, MPAS PA-C located?
GARIN SMITH, MPAS PA-C is located at 4901 LAC DE VILLE BLVD BUILDING D, ROCHESTER, NY, 14642. Phone: (585) 341-7851.
What is GARIN SMITH, MPAS PA-C's NPI number?
GARIN SMITH, MPAS PA-C's National Provider Identifier (NPI) is 1083192140, issued on 08/01/2018.
Does GARIN SMITH, MPAS PA-C prescribe opioids?
Yes, GARIN SMITH, MPAS PA-C had 15 opioid claims in 2023 with an opioid prescribing rate of 9.1%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does GARIN SMITH, MPAS PA-C prescribe most often?
Based on 2023 Medicare Part D data, GARIN SMITH, MPAS PA-C's most frequently prescribed drugs include Diclofenac Sodium, Naproxen, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GARIN SMITH, MPAS PA-C accept Medicare?
GARIN SMITH, MPAS PA-C appears in CMS Medicare data with 165 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GARIN SMITH, MPAS PA-C's credentials?
GARIN SMITH, MPAS PA-C's NPI is 1083192140 with credentials MPAS PA-C. 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