2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1588641138 M.D.
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MARC VALLEY, M.D.

Pain Medicine (Anesthesiology) Physician in JOHNSON CITY, Tennessee. 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
213
Medicare Part D claims · 20 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MARC VALLEY, M.D. filed 213 Medicare Part D claims in 2023 as a Pain Medicine (Anesthesiology) Physician in JOHNSON CITY, Tennessee, prescribing 93% generic.

213
Part D claims, 2023
93%
generic prescribing

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.

MARC VALLEY, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

213 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

MARC VALLEY, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MARC VALLEY, M.D.?

Quality data not reported

NPI registry status

Active

Issued 12/26/2005

NPI 1588641138

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

213 87% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

Specialty distribution in Tennessee

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Tennessee providers

Tennessee providers

Pain Medicine (Anesthesiology) Physician share within Tennessee

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

Specialty board-certification context

Estimated specialty board-certified rate — Pain Medicine (Anesthesiology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pain Medicine (Anesthesiology) Physician ABMS/AOA estimate

Est. board-certified rate (Pain Medicine (Anesthesiology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pain Medicine (Anesthesiology) Physician) — ABMS / AOA estimate

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).

MARC VALLEY, M.D. appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding M.D. credentials at 926 W OAKLAND AVE, JOHNSON CITY, TN, 37604, with a listed phone of (423) 282-3379. NPI 1588641138 was issued on 12/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VALLEY 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 213 prescription claims written by this provider, covering 20 Medicare beneficiaries and totaling roughly $26K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 54.9%. 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.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

926 W OAKLAND AVE
JOHNSON CITY, TN 37604

Provider Details

NPI 1588641138
Specialty Pain Medicine (Anesthesiology) Physician
Credentials M.D.
Gender Male
NPI Issued 12/26/2005

Brand vs generic prescribing mix · Generic-heavy

MARC VALLEY, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 213 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.

213
Total Claims
$26K
Total Drug Cost
20
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
213
Total Day Supply
5,860
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$16K
Generic Drug Cost
$9K
Opioid Claims
117 (54.9% rate)

Patient Demographics

Average Patient Age
65.1 years
Avg HCC Risk Score
1.18

Top Prescribed Drugs (Medicare Part D)

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

What MARC VALLEY, 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
Oxycodone Hcl
91
Gabapentin
33
Tizanidine Hcl
20
Xtampza Er
Oxycodone Myristate
14
Baclofen
12
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
12

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

Pain Medicine (Anesthesiology) Physician Overview

How MARC VALLEY, M.D. fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

MARC VALLEY, M.D.'s 213 claims are below the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Tennessee

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

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARC VALLEY, M.D.'s specialty?
MARC VALLEY, M.D. specializes in Pain Medicine (Anesthesiology) Physician and practices in JOHNSON CITY, Tennessee. Credentials: M.D..
How much does MARC VALLEY, M.D. prescribe under Medicare Part D?
In 2023, MARC VALLEY, M.D. wrote 213 Medicare Part D claims totaling $26K in drug costs for 20 beneficiaries.
Where is MARC VALLEY, M.D. located?
MARC VALLEY, M.D. is located at 926 W OAKLAND AVE, JOHNSON CITY, TN, 37604. Phone: (423) 282-3379.
What is MARC VALLEY, M.D.'s NPI number?
MARC VALLEY, M.D.'s National Provider Identifier (NPI) is 1588641138, issued on 12/26/2005.
Does MARC VALLEY, M.D. prescribe more brand-name or generic drugs?
MARC VALLEY, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $16K in brand drug costs.
Does MARC VALLEY, M.D. prescribe opioids?
Yes, MARC VALLEY, M.D. had 117 opioid claims in 2023 with an opioid prescribing rate of 54.9%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does MARC VALLEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARC VALLEY, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARC VALLEY, M.D. accept Medicare?
MARC VALLEY, M.D. appears in CMS Medicare data with 213 Part D claims and 20 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARC VALLEY, M.D.'s credentials?
MARC VALLEY, M.D.'s NPI is 1588641138 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.
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