2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1316102650 M.D., PH.D.
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HIROYUKI YOSHIHARA, M.D., PH.D.

Orthopaedic Surgery of the Spine Physician in LYNCHBURG, Virginia. 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
124
Medicare Part D claims · 64 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
93.49/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$499.95
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HIROYUKI YOSHIHARA, M.D., PH.D. is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in LYNCHBURG, Virginia with a Medicare Part D prescribing footprint of 124 claims across 64 beneficiaries . Their CMS MIPS Final Score of 93.49/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $499.95 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HIROYUKI YOSHIHARA, M.D., PH.D. reported a CMS MIPS final score of 93.49 out of 100, above the 83.1 national average, and filed 124 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HIROYUKI YOSHIHARA, M.D., PH.D. 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).

HIROYUKI YOSHIHARA, M.D., PH.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/25/2008

NPI 1316102650

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

124 66% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

93.49/100 10.39% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

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

Virginia providers

Orthopaedic Surgery of the Spine Physician share within Virginia

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 Virginia

Medicare quality performance — MIPS

HIROYUKI YOSHIHARA, M.D., PH.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

High performer (top quartile)
MIPS Final Score
93.49/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 93.49/100 vs national avg 83.1

0%100%National avg83%93.5%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 93.49/100 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).

HIROYUKI YOSHIHARA, M.D., PH.D. is a Orthopaedic Surgery of the Spine Physician provider practicing in LYNCHBURG, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D., PH.D.. NPI: 1316102650. 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.

HIROYUKI YOSHIHARA, M.D., PH.D. appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding M.D., PH.D. credentials at 2405 ATHERHOLT ROAD, LYNCHBURG, VA, 24501, with a listed phone of (434) 485-8517. NPI 1316102650 was issued on 07/25/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what YOSHIHARA 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 124 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $24K in drug spend, with an opioid prescribing rate of 14.5%. 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 93.49/100 for the 2023 performance year (Quality 72.6283), 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

2405 ATHERHOLT ROAD
LYNCHBURG, VA 24501

Provider Details

NPI 1316102650
Specialty Orthopaedic Surgery of the Spine Physician
Credentials M.D., PH.D.
Gender Male
NPI Issued 07/25/2008

CMS Quality Score (MIPS)

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

93.49
Final Score
Avg: 83.1
72.6283
Quality
90.5862
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HIROYUKI YOSHIHARA, M.D., PH.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.

NORTH SHORE-LIJ MEDICAL PC
REGO PARK, 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).

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 HIROYUKI YOSHIHARA, M.D., PH.D.. Source: openpaymentsdata.cms.gov.

Total received

$500

Largest payer

Nevro Corp.

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.

124
Total Claims
$24K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
130
Total Day Supply
2,868
Generic Drug Cost
$999
Opioid Claims
18 (14.5% rate)

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.35
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.

Drug Claims
Meloxicam
46
Tizanidine Hcl
16
Tramadol Hcl
11

* 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 HIROYUKI YOSHIHARA, M.D., PH.D. 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

HIROYUKI YOSHIHARA, M.D., PH.D.'s 124 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Virginia

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

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

Frequently Asked Questions

What is HIROYUKI YOSHIHARA, M.D., PH.D.'s specialty?
HIROYUKI YOSHIHARA, M.D., PH.D. specializes in Orthopaedic Surgery of the Spine Physician and practices in LYNCHBURG, Virginia. Credentials: M.D., PH.D..
How much does HIROYUKI YOSHIHARA, M.D., PH.D. prescribe under Medicare Part D?
In 2023, HIROYUKI YOSHIHARA, M.D., PH.D. wrote 124 Medicare Part D claims totaling $24K in drug costs for 64 beneficiaries.
What is HIROYUKI YOSHIHARA, M.D., PH.D.'s Medicare quality score?
HIROYUKI YOSHIHARA, M.D., PH.D. has a CMS MIPS Final Score of 93.49/100 (Quality: 72.6283). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HIROYUKI YOSHIHARA, M.D., PH.D. located?
HIROYUKI YOSHIHARA, M.D., PH.D. is located at 2405 ATHERHOLT ROAD, LYNCHBURG, VA, 24501. Phone: (434) 485-8517.
What is HIROYUKI YOSHIHARA, M.D., PH.D.'s NPI number?
HIROYUKI YOSHIHARA, M.D., PH.D.'s National Provider Identifier (NPI) is 1316102650, issued on 07/25/2008.
Does HIROYUKI YOSHIHARA, M.D., PH.D. prescribe opioids?
Yes, HIROYUKI YOSHIHARA, M.D., PH.D. had 18 opioid claims in 2023 with an opioid prescribing rate of 14.5%.
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 HIROYUKI YOSHIHARA, M.D., PH.D. prescribe most often?
Based on 2023 Medicare Part D data, HIROYUKI YOSHIHARA, M.D., PH.D.'s most frequently prescribed drugs include Meloxicam, Tizanidine Hcl, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HIROYUKI YOSHIHARA, M.D., PH.D. accept Medicare?
HIROYUKI YOSHIHARA, M.D., PH.D. appears in CMS Medicare data with 124 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HIROYUKI YOSHIHARA, M.D., PH.D.'s credentials?
HIROYUKI YOSHIHARA, M.D., PH.D.'s NPI is 1316102650 with credentials M.D., PH.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