NPI registry status
Active
2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1538157359 M.D.
Verify on CMS → Mark Coggins, M.D.
Orthopaedic Surgery of the Spine Physician in Roanoke, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,825 in Orthopaedic Surgery of the Spine 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
2K
Medicare Part D claims · 380 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 380
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Mark Coggins, M.D. filed 1,648 Medicare Part D claims in 2024 as an Orthopaedic Surgery of the Spine Physician in Roanoke, Virginia, prescribing 98% generic.
- 2K
- Part D claims, 2024
- 98%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥81st
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Mark Coggins, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1538157359), first enumerated 10/06/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,648 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1538157359 · Orthopaedic Surgery of the Spine Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1538157359
- ENUM-LEGACY 2005
- TAX-NARROW 1,825
- RX-MID 1,648
- BOOK-THIN 43 in Virginia
- PHOTO-ENUM Michael Roh, M.D. · 2005
Mark Coggins, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,648 ≥ 81st percentile 81% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Mark Coggins, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations - 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 Mark Coggins, M.D.?
Quality data not reportedPrimary specialty
Orthopaedic Surgery of the Spine Physician
Medicare Part D claims
1,648 334% vs specialty avg
Specialty distribution in Virginia
How Orthopaedic Surgery of the Spine Physician compares to other specialties among Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Orthopaedic Surgery of the Spine Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1538157359 |
|---|---|
| Specialty | Orthopaedic Surgery of the Spine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 10/06/2005 |
Hospital and facility affiliations
Facilities where Mark Coggins, 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.
According to CMS billing records, Mark Coggins, M.D. is affiliated with 3 Medicare-billing facilities, 1 of which carry a CMS Hospital overall star rating.
Carilion Medical Center
★★★☆☆ 3/5
Roanoke, VA
Acute Care Hospitals
CMS CCN: 490024
Carilion Healthcare Corporation
Christiansburg, VA
Oandw Enterprises
Stanleytown, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Mark Coggins, M.D. - brand share 2.0%
Orthopaedic Surgery of the Spine Physician average
2% brand-name claims vs 98% generic, on 1,648 2024 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 2024.
1,648
Total Claims
$23K
Total Drug Cost
380
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,839.967
- Total Day Supply
- 41,452
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $20K
- Opioid Claims
- 328 (19.9% rate)
Patient Demographics
- Average Patient Age
- 69.9 years
- Avg HCC Risk Score
- 1.23
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 77, 65-74: 179, 75-84: 107, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mark Coggins, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Pregabalin
Pregabalin
406 claims
- Gabapentin
Gabapentin
378 claims
- Meloxicam 161
Meloxicam
161 claims
- Oxycodone Hcl 158
Oxycodone Hcl
158 claims
- Methocarbamol 83
Methocarbamol
83 claims
- Tramadol Hcl 62
Tramadol Hcl
62 claims
- Hydrocodone-Acetam… 58
Hydrocodone-Acetaminophen
58 claims
- Diclofenac Sodium 49
Diclofenac Sodium
49 claims
| Drug | Claims |
|---|---|
| Pregabalin | 406 |
| Gabapentin | 378 |
| Meloxicam | 161 |
| Oxycodone Hcl | 158 |
| Methocarbamol | 83 |
| Tramadol Hcl | 62 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 58 |
| Diclofenac Sodium | 49 |
| Cyclobenzaprine Hcl | 48 |
| Prednisone | 39 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Orthopaedic Surgery of the Spine Physician in VA →
All providers in Virginia →
Compare specialties →
Orthopaedic Surgery of the Spine Physician Overview
How Mark Coggins, M.D. fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.
1,825
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
380
Avg Claims per Provider
Mark Coggins, M.D.'s 1,648 claims are above the specialty average of 380.
Nationwide Orthopaedic Surgery of the Spine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Coggins, both outside Virginia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Orthopaedic Surgery of the Spine Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Coggins.
One of 43 Orthopaedic Surgery of the Spine Physician providers enrolled in Virginia, 5 are shown here.
Dr. Wahid Baqaie
MD
Culpeper, VA
Dr. Timothy Budorick
MD
Virginia Beach, VA
Dr. Jonathan Carmouche
MD
Roanoke, VA
Dr. Adam Crowl
MD
Richmond, VA
Dr. John Ergener
MD
Mc Lean, VA
Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mark Coggins, M.D.'s specialty? ▼
Mark Coggins, M.D. specializes in Orthopaedic Surgery of the Spine Physician and practices in Roanoke, Virginia. Credentials: M.D..
How much does Mark Coggins, M.D. prescribe under Medicare Part D? ▼
In 2024, Mark Coggins, M.D. wrote 1,648 Medicare Part D claims totaling $23K in drug costs for 380 beneficiaries.
Where is Mark Coggins, M.D. located? ▼
Mark Coggins, M.D. is located at 2331 FRANKLIN RD SW, Roanoke, VA, 24014. Phone: (540) 510-6200.
What is Mark Coggins, M.D.'s NPI number? ▼
Mark Coggins, M.D.'s National Provider Identifier (NPI) is 1538157359, issued on 10/06/2005.
Does Mark Coggins, M.D. prescribe more brand-name or generic drugs? ▼
Mark Coggins, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $2K in brand drug costs.
Does Mark Coggins, M.D. prescribe opioids? ▼
Yes, Mark Coggins, M.D. had 328 opioid claims in 2024 with an opioid prescribing rate of 19.9%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US? ▼
There are 1,825 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 380 Medicare Part D claims per year.
What drugs does Mark Coggins, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Mark Coggins, M.D.'s most frequently prescribed drugs include Pregabalin, Gabapentin, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Coggins, M.D. accept Medicare? ▼
Mark Coggins, M.D. appears in CMS Medicare data with 1,648 Part D claims and 380 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Coggins, M.D.'s credentials? ▼
Mark Coggins, M.D.'s NPI is 1538157359 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.