2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1417039801 M.D.
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MARC WAHLQUIST, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in CINCINNATI, Ohio. 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
793
Medicare Part D claims · 224 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$636.76
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARC WAHLQUIST, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician ([object Object]) practicing in CINCINNATI, Ohio with a Medicare Part D prescribing footprint of 793 claims across 224 beneficiaries . Their CMS MIPS Final Score of 90.3837/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $636.76 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARC WAHLQUIST, M.D. reported a CMS MIPS final score of 90.3837 out of 100, above the 83.1 national average, and filed 793 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARC WAHLQUIST, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARC WAHLQUIST, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/19/2006

NPI 1417039801

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

793 185% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Ohio providers

Ohio providers

Sports Medicine (Orthopaedic Surgery) Physician share within Ohio

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

Medicare quality performance — MIPS

MARC WAHLQUIST, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 90.3837/100 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).

MARC WAHLQUIST, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician provider practicing in CINCINNATI, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1417039801. 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.

MARC WAHLQUIST, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 7794 5 MILE RD, CINCINNATI, OH, 45230, with a listed phone of (513) 354-3700. NPI 1417039801 was issued on 10/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WAHLQUIST 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 793 prescription claims written by this provider, covering 224 Medicare beneficiaries and totaling roughly $9K in drug spend, with an opioid prescribing rate of 18.4%. 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 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

7794 5 MILE RD
CINCINNATI, OH 45230

Provider Details

NPI 1417039801
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 10/19/2006

CMS Quality Score (MIPS)

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

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MARC WAHLQUIST, 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.

BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD
WEST CHESTER, OH
OXFORD PHYSICAL THERAPY AND REHABILITATION
MASON, OH

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 MARC WAHLQUIST, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$637

Largest payer

Zimmer Biomet Holdings, Inc.

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to MARC WAHLQUIST, M.D.. To verify MARC WAHLQUIST, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio 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.

793
Total Claims
$9K
Total Drug Cost
224
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
803
Total Day Supply
11,871
Generic Drug Cost
$7K
Opioid Claims
146 (18.4% rate)
Antibiotic Claims
109

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
0.88
Gender Split
69% female / 31% male
Age Distribution
<65: 14, 65-74: 129, 75-84: 69, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ibuprofen
136
Oxycodone Hcl
114
Promethazine Hcl
88
Amoxicillin
83
Dexamethasone
62
Meloxicam
56
Methocarbamol
52
Diclofenac Sodium
35
Prednisone
31
Celecoxib
27

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How MARC WAHLQUIST, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

MARC WAHLQUIST, M.D.'s 793 claims are above the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Ohio

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

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

Frequently Asked Questions

What is MARC WAHLQUIST, M.D.'s specialty?
MARC WAHLQUIST, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in CINCINNATI, Ohio. Credentials: M.D..
How much does MARC WAHLQUIST, M.D. prescribe under Medicare Part D?
In 2023, MARC WAHLQUIST, M.D. wrote 793 Medicare Part D claims totaling $9K in drug costs for 224 beneficiaries.
What is MARC WAHLQUIST, M.D.'s Medicare quality score?
MARC WAHLQUIST, M.D. has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARC WAHLQUIST, M.D. located?
MARC WAHLQUIST, M.D. is located at 7794 5 MILE RD, CINCINNATI, OH, 45230. Phone: (513) 354-3700.
What is MARC WAHLQUIST, M.D.'s NPI number?
MARC WAHLQUIST, M.D.'s National Provider Identifier (NPI) is 1417039801, issued on 10/19/2006.
Does MARC WAHLQUIST, M.D. prescribe opioids?
Yes, MARC WAHLQUIST, M.D. had 146 opioid claims in 2023 with an opioid prescribing rate of 18.4%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does MARC WAHLQUIST, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARC WAHLQUIST, M.D.'s most frequently prescribed drugs include Ibuprofen, Oxycodone Hcl, Promethazine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARC WAHLQUIST, M.D. accept Medicare?
MARC WAHLQUIST, M.D. appears in CMS Medicare data with 793 Part D claims and 224 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARC WAHLQUIST, M.D.'s credentials?
MARC WAHLQUIST, M.D.'s NPI is 1417039801 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