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.
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
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
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 reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Tennessee
How Pain Medicine (Anesthesiology) Physician compares to other specialties among Tennessee providers
Pain Medicine (Anesthesiology) Physician share within Tennessee
Pain Medicine (Anesthesiology) Physician is one of the more visible NUCC categories in Tennessee
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Pain Medicine (Anesthesiology) Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Pain Medicine (Anesthesiology) Physician ABMS/AOA estimate
Est. board-certified rate (Pain Medicine (Anesthesiology) Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Pain Medicine (Anesthesiology) Physician US NPIs
Specialty board-certified rate — Pain Medicine (Anesthesiology) Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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
Provider Details
| NPI | 1588641138 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 12/26/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MARC VALLEY, M.D.'s current license status, disciplinary history, and board certifications with the Tennessee Board of Medical Examiners in Tennessee before relying on this page for a clinical or care decision.
How we sourced this profile
Brand vs generic prescribing mix · Generic-heavy
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.
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
- Oxycodone Hcl
Oxycodone Hcl
91 claims
- Gabapentin 33
Gabapentin
33 claims
- Tizanidine Hcl 20
Tizanidine Hcl
20 claims
- Xtampza Er 14
Xtampza Er
14 claims
- Baclofen 12
Baclofen
12 claims
- Pramipexole Dihydr… 12
Pramipexole Dihydrochloride
12 claims
| 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.
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 →
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Frequently Asked Questions
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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