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2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1508928938 MD
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Jon Toussaint, MD

Adult Reconstructive Orthopaedic Surgery Physician in Albany, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 1,245 in Adult Reconstructive 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
184
Medicare Part D claims · 75 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
85.2/100
▲ 2 pts above national avg 83.1 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Jon Toussaint, MD reported a CMS MIPS final score of 85.2/100 — above the 83.1 national average — and filed 184 Medicare Part D claims in 2023.

85.2/100
MIPS score · +2 vs avg
184
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.

Jon Toussaint, MD's MIPS score vs every scored U.S. clinician

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

85 49th percentile higher than 49% 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

Where Jon Toussaint, MD sits

This provider among adult reconstructive orthopaedic surgery physician peers

Across the 496 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jon Toussaint, MD writes more Part D claims than 27% of them and scores higher on MIPS quality than 63% — placing this provider in the lower-volume, high-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 quality0255075100024.949.974.899.8Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 38Jon Toussaint, MD — Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 63
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Jon Toussaint, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic — not verified)

Jon Toussaint, MD 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 Toussaint, MD?

High performer (top quartile)

NPI registry status

Active

Issued 12/14/2006

NPI 1508928938

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

184 63% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

85.2/100 2.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program — 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse — 5.2%Registered Nurse5.2%Clinical Social Worker — 4.9%Clinical Social Worker4.9%Social Worker — 4.5%Social Worker4.5%Speech-Language Pathologist — 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse — 4.3%Licensed Practical Nurse4.3%Adult Reconstructive Orthopaedic Surgery Physician — 0%Adult Reconstructive Orthopaedic Surgery Physician0%
Largest specialties in New York (% of in-state providers)

Medicare quality performance — MIPS

Jon Toussaint, MD's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
85.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 85.2/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 85.2/100 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 Toussaint, MD appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding MD credentials at 1367 WASHINGTON AVE, Albany, NY, 12206, with a listed phone of (518) 489-2666. NPI 1508928938 was issued on 12/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Toussaint 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 184 prescription claims written by this provider, covering 75 Medicare beneficiaries and totaling roughly $2K in drug spend. 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 85.2/100 for the 2023 performance year (Quality 64, Cost 86.7), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

1367 WASHINGTON AVE
Albany, NY 12206
(518) 489-2666

Provider Details

NPI 1508928938
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 12/14/2006

CMS Quality Score (MIPS)

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

85.21
Final Score
Avg: 83.1
64.0187
Quality
86.6814
Cost
100
Promoting Interoperability

Reporting: Group practice

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 Jon Toussaint, MD. To verify Jon Toussaint, MD'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.

184
Total Claims
$2K
Total Drug Cost
75
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
227
Total Day Supply
6,121
Generic Drug Cost
$2K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
0.87
Gender Split
64% female / 36% 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 Toussaint, MD 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
Cyclobenzaprine Hcl
 69
Diclofenac Sodium
 42
Meloxicam
 13
Methylprednisolone
 12

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

More Adult Reconstructive Orthopaedic Surgery Physician in NY → All providers in New York → Compare specialties →

Adult Reconstructive Orthopaedic Surgery Physician Overview

How Jon Toussaint, MD fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

Jon Toussaint, MD's 184 claims are below the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in New York

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

Dr. Imran Akhtar
DO
Latham, NY
Alex Anatone
New York, NY
Dr. Eric Aronowitz
MD
Schenectady, NY
Dr. Mohammad Athar
MD
Stony Brook, NY
Dr. Matthew Austin
M.D.
New York, NY

Compare Adult Reconstructive 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 New York medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Reconstructive 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 Jon Toussaint, MD's specialty? ▼
Jon Toussaint, MD specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Albany, New York. Credentials: MD.
How much does Jon Toussaint, MD prescribe under Medicare Part D? ▼
In 2023, Jon Toussaint, MD wrote 184 Medicare Part D claims totaling $2K in drug costs for 75 beneficiaries.
What is Jon Toussaint, MD's Medicare quality score? ▼
Jon Toussaint, MD has a CMS MIPS Final Score of 85.2/100 (Quality: 64, Cost: 86.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jon Toussaint, MD located? ▼
Jon Toussaint, MD is located at 1367 WASHINGTON AVE, Albany, NY, 12206. Phone: (518) 489-2666.
What is Jon Toussaint, MD's NPI number? ▼
Jon Toussaint, MD's National Provider Identifier (NPI) is 1508928938, issued on 12/14/2006.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US? ▼
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does Jon Toussaint, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Jon Toussaint, MD's most frequently prescribed drugs include Cyclobenzaprine Hcl, Diclofenac Sodium, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jon Toussaint, MD accept Medicare? ▼
Jon Toussaint, MD appears in CMS Medicare data with 184 Part D claims and 75 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jon Toussaint, MD's credentials? ▼
Jon Toussaint, MD's NPI is 1508928938 with credentials MD. 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

Compiled from official public sources by the PlainDoctor editorial team.