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2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1306941562 M.D.
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James Martin, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in State College, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,681 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
1K
Medicare Part D claims · 345 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.6/100
▼ 11 pts below national avg 83.1 · Mid-tier
Industry payments
$29.02
1 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Martin, M.D. reported a CMS MIPS final score of 72.6/100 - below the 83.1 national average - and filed 1,006 Medicare Part D claims in 2023.

72.6/100
MIPS score · -11 vs avg
1K
Part D claims, 2023
98%
generic prescribing
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.

James Martin, 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

73 10th percentile higher than 10% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where James Martin, M.D. sits

This provider among sports medicine (orthopaedic surgery) physician peers

Across the 1,085 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Martin, M.D. writes more Part D claims than 95% of them and scores higher on MIPS quality than 20% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 22James Martin, M.D.-Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 20
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 James Martin, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

James Martin, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 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 James Martin, M.D.?

Below national average

NPI registry status

Active

Issued 09/13/2006

NPI 1306941562

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

1,006 262% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

72.6/100 10.5 pts vs avg

Mid-tier 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
Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 5%Pharmacist5%Physical Therapist - 4.9%Physical Therapist4.9%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Internal Medicine Physician - 3.3%Internal Medicine Physician3.3%Professional Counselor - 3.2%Professional Counselor3.2%Sports Medicine (Orthopaedic Surgery) Physician - 0%Sports Medicine (Orthopaedic Surgery) Physician0%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

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

Below national average
MIPS Final Score
72.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 72.6/100 vs national avg 83.1

0%100%National avg83%72.6%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 72.6/100 vs national avg 83.1
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).

James Martin, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 1700 OLD GATESBURG RD STE 200, State College, PA, 16803, with a listed phone of (814) 237-4321. NPI 1306941562 was issued on 09/13/2006.

Medicare Part D records for calendar year 2023 show 1,006 prescription claims written by this provider, covering 345 Medicare beneficiaries and totaling roughly $12K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 19.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72.6/100 for the 2023 performance year (Quality 55.1, Cost 55.1), 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

1700 OLD GATESBURG RD STE 200
State College, PA 16803
(814) 237-4321

Provider Details

NPI 1306941562
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 09/13/2006

CMS Quality Score (MIPS)

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

72.5778
Final Score
Avg: 83.1
55.1249
Quality
55.1346
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Martin, 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.

According to CMS billing records, James Martin, M.D. is affiliated with 4 Medicare-billing facilities.

Keystone Rehabilitation Systems Inc
Punxsutawney, PA
Mount Nittany Medical Center Health Services Inc
State College, PA
Phoenix Rehabilitation And Health Services Inc
Cranberry Township, PA
Procare PT LP
Altoona, 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 James Martin, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$29

Largest payer

Medtronic, Inc.

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 James Martin, M.D.. To verify James Martin, 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.

Brand vs generic prescribing mix · Generic-heavy

James Martin, M.D. - brand share 2.0%
Sports Medicine (Orthopaedic Surgery) Physician average

2% brand-name claims vs 98% generic, on 1,006 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,006
Total Claims
$12K
Total Drug Cost
345
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,015
Total Day Supply
6,590
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$5K
Generic Drug Cost
$7K
Opioid Claims
196 (19.5% rate)
Antibiotic Claims
442

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
0.88
Gender Split
60% female / 40% male
Age Distribution
<65: 13, 65-74: 185, 75-84: 125, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What James Martin, M.D. 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
Amoxicillin
 233
Ondansetron Odt
Ondansetron
130
Cefadroxil
 126
Oxycodone Hcl
 114
Ketorolac Tromethamine
 67
Tramadol Hcl
 64
Ondansetron Hcl
 57
Tamsulosin Hcl
 50
Clindamycin Hcl
 41
Diclofenac Sodium
 27

* 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 PA → All providers in Pennsylvania → Compare specialties →

Sports Medicine (Orthopaedic Surgery) Physician Overview

How James Martin, 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

James Martin, M.D.'s 1,006 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 Martin.

Dr. Timothy Ackerman
D.O.
Harrisburg, PA
Dr. Paul Adams
MD
Langhorne, PA
Dr. Gregory Altman
MD
Pittsburgh, PA
Dr. Christopher Amuwa
M.D.
Hershey, PA
Dr. Ashley Anderson
MD
Malvern, PA

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

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 Pennsylvania 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 James Martin, M.D.'s specialty? ▼
James Martin, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in State College, Pennsylvania. Credentials: M.D..
How much does James Martin, M.D. prescribe under Medicare Part D? ▼
In 2023, James Martin, M.D. wrote 1,006 Medicare Part D claims totaling $12K in drug costs for 345 beneficiaries.
What is James Martin, M.D.'s Medicare quality score? ▼
James Martin, M.D. has a CMS MIPS Final Score of 72.6/100 (Quality: 55.1, Cost: 55.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Martin, M.D. located? ▼
James Martin, M.D. is located at 1700 OLD GATESBURG RD STE 200, State College, PA, 16803. Phone: (814) 237-4321.
What is James Martin, M.D.'s NPI number? ▼
James Martin, M.D.'s National Provider Identifier (NPI) is 1306941562, issued on 09/13/2006.
Does James Martin, M.D. prescribe more brand-name or generic drugs? ▼
James Martin, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $5K in brand drug costs.
Does James Martin, M.D. prescribe opioids? ▼
Yes, James Martin, M.D. had 196 opioid claims in 2023 with an opioid prescribing rate of 19.5%.
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 James Martin, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, James Martin, M.D.'s most frequently prescribed drugs include Amoxicillin, Ondansetron Odt, Cefadroxil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Martin, M.D. accept Medicare? ▼
James Martin, M.D. appears in CMS Medicare data with 1,006 Part D claims and 345 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Martin, M.D.'s credentials? ▼
James Martin, M.D.'s NPI is 1306941562 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

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

Compiled from official public sources by the PlainDoctor editorial team.