2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1780619916 M.D.
Verify on CMS →

JON MARK GALBRAITH, M.D.

Sports Medicine (Family Medicine) Physician in MISSION VIEJO, California. 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
4K
Medicare Part D claims · 381 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.7722/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$216.33
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JON MARK GALBRAITH, M.D. reported a CMS MIPS final score of 95.7722/100 — above the 83.1 national average — and filed 4,498 Medicare Part D claims in 2023.

95.7722/100
MIPS score · +13 vs avg
4K
Part D claims, 2023
88%
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.

JON MARK GALBRAITH, 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

96 Top 21% higher than 79% 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)

JON MARK GALBRAITH, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 JON MARK GALBRAITH, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/12/2006

NPI 1780619916

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

4,498 262% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

MIPS final score

95.7722/100 12.672200000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Sports Medicine (Family Medicine) Physician compares to other specialties among California providers

California providers

Sports Medicine (Family Medicine) Physician share within California

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

Medicare quality performance — MIPS

JON MARK GALBRAITH, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
95.7722/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Family Medicine) Physician) — 95.7722/100 vs national avg 83.1

0%100%National avg83%95.8%
MIPS final score (Sports Medicine (Family Medicine) Physician) — 95.7722/100 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).

JON MARK GALBRAITH, M.D. appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding M.D. credentials at 26732 CROWN VALLEY PKWY STE 511, MISSION VIEJO, CA, 92691, with a listed phone of (949) 360-6009. NPI 1780619916 was issued on 07/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GALBRAITH 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 4,498 prescription claims written by this provider, covering 381 Medicare beneficiaries and totaling roughly $531K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.6%. 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 95.7722/100 for the 2023 performance year (Quality 84.3375), compared with the national average of 83.1.

Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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

26732 CROWN VALLEY PKWY STE 511
MISSION VIEJO, CA 92691

Provider Details

NPI 1780619916
Specialty Sports Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 07/12/2006

CMS Quality Score (MIPS)

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

95.7722
Final Score
Avg: 83.1
84.3375
Quality
99
Promoting Interoperability

Reporting: Alternative Payment Model

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 JON MARK GALBRAITH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$216

Largest payer

Lilly USA, LLC

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to JON MARK GALBRAITH, M.D.. To verify JON MARK GALBRAITH, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JON MARK GALBRAITH, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 4,498 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.

4,498
Total Claims
$531K
Total Drug Cost
381
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,661
Total Day Supply
277,682
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$443K
Generic Drug Cost
$86K
Opioid Claims
70 (1.6% rate)
Antibiotic Claims
257

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
0.85
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

What JON MARK GALBRAITH, 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
Atorvastatin Calcium
310
Rosuvastatin Calcium
309
Levothyroxine Sodium
228
Mounjaro
Tirzepatide
195
Zolpidem Tartrate
145
Losartan Potassium
141
Alprazolam
129
Meloxicam
114
Metoprolol Succinate
114
Pantoprazole Sodium
108

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

Sports Medicine (Family Medicine) Physician Overview

How JON MARK GALBRAITH, M.D. fits within the Sports Medicine (Family Medicine) Physician landscape nationally.

2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider

JON MARK GALBRAITH, M.D.'s 4,498 claims are above the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in California

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

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

Frequently Asked Questions

What is JON MARK GALBRAITH, M.D.'s specialty?
JON MARK GALBRAITH, M.D. specializes in Sports Medicine (Family Medicine) Physician and practices in MISSION VIEJO, California. Credentials: M.D..
How much does JON MARK GALBRAITH, M.D. prescribe under Medicare Part D?
In 2023, JON MARK GALBRAITH, M.D. wrote 4,498 Medicare Part D claims totaling $531K in drug costs for 381 beneficiaries.
What is JON MARK GALBRAITH, M.D.'s Medicare quality score?
JON MARK GALBRAITH, M.D. has a CMS MIPS Final Score of 95.7722/100 (Quality: 84.3375). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JON MARK GALBRAITH, M.D. located?
JON MARK GALBRAITH, M.D. is located at 26732 CROWN VALLEY PKWY STE 511, MISSION VIEJO, CA, 92691. Phone: (949) 360-6009.
What is JON MARK GALBRAITH, M.D.'s NPI number?
JON MARK GALBRAITH, M.D.'s National Provider Identifier (NPI) is 1780619916, issued on 07/12/2006.
Does JON MARK GALBRAITH, M.D. prescribe more brand-name or generic drugs?
JON MARK GALBRAITH, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $443K in brand drug costs.
Does JON MARK GALBRAITH, M.D. prescribe opioids?
Yes, JON MARK GALBRAITH, M.D. had 70 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Sports Medicine (Family Medicine) Physician providers are there in the US?
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does JON MARK GALBRAITH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JON MARK GALBRAITH, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JON MARK GALBRAITH, M.D. accept Medicare?
JON MARK GALBRAITH, M.D. appears in CMS Medicare data with 4,498 Part D claims and 381 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JON MARK GALBRAITH, M.D.'s credentials?
JON MARK GALBRAITH, M.D.'s NPI is 1780619916 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