2026 NPPES data Orthopaedic Surgery Physician NPI 1295841278 M.D.
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JOSEPH TOBIN, M.D.

Orthopaedic Surgery Physician in HILTON HEAD, South Carolina. 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
274
Medicare Part D claims · 140 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$630.37
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSEPH TOBIN, M.D. is a Orthopaedic Surgery Physician ([object Object]) practicing in HILTON HEAD, South Carolina with a Medicare Part D prescribing footprint of 274 claims across 140 beneficiaries . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $630.37 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

JOSEPH TOBIN, M.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 274 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
274
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.

JOSEPH TOBIN, 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

100 Top 7% higher than 93% 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)

JOSEPH TOBIN, M.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).

JOSEPH TOBIN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/22/2006

NPI 1295841278

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

274 15% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Carolina

How Orthopaedic Surgery Physician compares to other specialties among South Carolina providers

South Carolina providers

Orthopaedic Surgery Physician share within South Carolina

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within South Carolina

Medicare quality performance — MIPS

JOSEPH TOBIN, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Orthopaedic Surgery Physician) — 100/100 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).

JOSEPH TOBIN, M.D. is a Orthopaedic Surgery Physician provider practicing in HILTON HEAD, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295841278. 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.

JOSEPH TOBIN, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 12 LAFAYETTE PL, HILTON HEAD, SC, 29926, with a listed phone of (843) 342-9100. NPI 1295841278 was issued on 08/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOBIN 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 274 prescription claims written by this provider, covering 140 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 26.3%. 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

12 LAFAYETTE PL
HILTON HEAD, SC 29926

Provider Details

NPI 1295841278
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 08/22/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where JOSEPH TOBIN, 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.

EFFINGHAM REHAB SERVICES, LLC
POOLER, GA

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 JOSEPH TOBIN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$630

Largest payer

Stryker Corporation

Most common payment type

Travel and Lodging

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.

274
Total Claims
$2K
Total Drug Cost
140
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
381
Total Day Supply
9,338
Generic Drug Cost
$2K
Opioid Claims
72 (26.3% rate)
Antibiotic Claims
23

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
0.86
Gender Split
50% female / 50% 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
134
Tramadol Hcl
39
Prednisone
35
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
32

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

Orthopaedic Surgery Physician Overview

How JOSEPH TOBIN, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

JOSEPH TOBIN, M.D.'s 274 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as TOBIN.

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

Frequently Asked Questions

What is JOSEPH TOBIN, M.D.'s specialty?
JOSEPH TOBIN, M.D. specializes in Orthopaedic Surgery Physician and practices in HILTON HEAD, South Carolina. Credentials: M.D..
How much does JOSEPH TOBIN, M.D. prescribe under Medicare Part D?
In 2023, JOSEPH TOBIN, M.D. wrote 274 Medicare Part D claims totaling $2K in drug costs for 140 beneficiaries.
What is JOSEPH TOBIN, M.D.'s Medicare quality score?
JOSEPH TOBIN, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH TOBIN, M.D. located?
JOSEPH TOBIN, M.D. is located at 12 LAFAYETTE PL, HILTON HEAD, SC, 29926. Phone: (843) 342-9100.
What is JOSEPH TOBIN, M.D.'s NPI number?
JOSEPH TOBIN, M.D.'s National Provider Identifier (NPI) is 1295841278, issued on 08/22/2006.
Does JOSEPH TOBIN, M.D. prescribe opioids?
Yes, JOSEPH TOBIN, M.D. had 72 opioid claims in 2023 with an opioid prescribing rate of 26.3%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does JOSEPH TOBIN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH TOBIN, M.D.'s most frequently prescribed drugs include Meloxicam, Tramadol Hcl, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH TOBIN, M.D. accept Medicare?
JOSEPH TOBIN, M.D. appears in CMS Medicare data with 274 Part D claims and 140 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH TOBIN, M.D.'s credentials?
JOSEPH TOBIN, M.D.'s NPI is 1295841278 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