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. 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
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
72.5778/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$29.02
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES MARTIN, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician ([object Object]) practicing in STATE COLLEGE, Pennsylvania with a Medicare Part D prescribing footprint of 1K claims across 345 beneficiaries — 2% brand-name prescribing . Their CMS MIPS Final Score of 72.5778/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $29.02 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES MARTIN, M.D. reported a CMS MIPS final score of 72.5778 out of 100, below the 83.1 national average, and filed 1,006 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)

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).

JAMES MARTIN, M.D. at a glance

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

72.5778/100 10.522199999999998% pts

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

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

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
72.5778/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 72.5778/100 vs national avg 83.1

0%100%National avg83%72.6%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 72.5778/100 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).

JAMES MARTIN, 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: 1306941562. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARTIN 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 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%. 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 72.5778/100 for the 2023 performance year (Quality 55.1249, Cost 55.1346), 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

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.

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%
Specialty average (est.)

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.

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.

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.

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

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 72.5778/100 (Quality: 55.1249, Cost: 55.1346). 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

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