NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1043571458 DO
Verify on CMS → Mark Himes, DO
Sports Medicine (Family Medicine) Physician in Farmington, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,236 in Sports Medicine (Family Medicine) 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
5K
Medicare Part D claims · 338 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$586.66
31 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Mark Himes, DO filed 5,348 Medicare Part D claims in 2024 as a Sports Medicine (Family Medicine) Physician in Farmington, New Mexico, prescribing 85% generic.
- 5K
- Part D claims, 2024
- 85%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥94th
- 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 Himes, DO
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 1043571458), first enumerated 06/01/2012.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 5,348 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
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$586.66 in reported industry payments (31 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1043571458 · Sports Medicine (Family Medicine) Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1043571458
- ENUM-MID 2012
- TAX-NARROW 2,236
- RX-MID 5,348
- BOOK-THIN 8 in New Mexico
- PHOTO-ENUM Marie Schaefer · 2012
Mark Himes, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
5,348 ≥ 94th percentile 94% 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 Himes, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Himes, DO?
Quality data not reportedPrimary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
5,348 312% vs specialty avg
Specialty distribution in New Mexico
How Sports Medicine (Family Medicine) Physician compares to other specialties among New Mexico 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 Sports Medicine (Family Medicine) 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 | 1043571458 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 06/01/2012 |
Hospital and facility affiliations
Facilities where Mark Himes, DO 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.
San Juan Medical Group PC
Farmington, NM
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 Mark Himes, DO. Source: openpaymentsdata.cms.gov.
Total received
$587
Largest payer
Astellas Pharma US 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.
Brand vs generic prescribing mix · Typical
Mark Himes, DO - brand share 15.0%
Sports Medicine (Family Medicine) Physician average
15% brand-name claims vs 85% generic, on 5,348 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.
5,348
Total Claims
$545K
Total Drug Cost
338
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,153.3
- Total Day Supply
- 289,854
- Brand vs Generic
- 15% brand / 85% generic
- Brand Drug Cost
- $476K
- Generic Drug Cost
- $67K
- Opioid Claims
- 242 (4.5% rate)
- Antibiotic Claims
- 139
Patient Demographics
- Average Patient Age
- 72.4 years
- Avg HCC Risk Score
- 0.95
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 34, 65-74: 173, 75-84: 93, 85+: 38
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mark Himes, DO prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
283 claims
- Lisinopril
Lisinopril
233 claims
- Levothyroxine Sodium
Levothyroxine Sodium
192 claims
- Amlodipine Besylate
Amlodipine Besylate
154 claims
- Pantoprazole Sodium
Pantoprazole Sodium
153 claims
- Losartan Potassium
Losartan Potassium
132 claims
- Metoprolol Succinate
Metoprolol Succinate
128 claims
- Gabapentin
Gabapentin
127 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 283 |
| Lisinopril | 233 |
| Levothyroxine Sodium | 192 |
| Amlodipine Besylate | 154 |
| Pantoprazole Sodium | 153 |
| Losartan Potassium | 132 |
| Metoprolol Succinate | 128 |
| Gabapentin | 127 |
| Metformin Hcl | 110 |
| Omeprazole | 95 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in NM →
All providers in New Mexico →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Mark Himes, DO fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,236
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,299
Avg Claims per Provider
Mark Himes, DO's 5,348 claims are above the specialty average of 1,299.
Nationwide Sports Medicine (Family Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Himes, both outside New Mexico so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2012)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sports Medicine (Family Medicine) Physician Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Himes.
One of 8 Sports Medicine (Family Medicine) Physician providers enrolled in New Mexico, 5 are shown here.
Dr. Gloria Cohen
M.D.
Albuquerque, NM
Dr. Delayna Garcia
DO
Albuquerque, NM
Dr. David Macias
M.D.
Santa Fe, NM
Dr. Devak Patel
DO, MBA
Santa Fe, NM
Dr. David Phelps
MD
Albuquerque, NM
Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mark Himes, DO's specialty? ▼
Mark Himes, DO specializes in Sports Medicine (Family Medicine) Physician and practices in Farmington, New Mexico. Credentials: DO.
How much does Mark Himes, DO prescribe under Medicare Part D? ▼
In 2024, Mark Himes, DO wrote 5,348 Medicare Part D claims totaling $545K in drug costs for 338 beneficiaries.
Where is Mark Himes, DO located? ▼
Mark Himes, DO is located at 622 W MAPLE ST, Farmington, NM, 87401. Phone: (505) 327-4867.
What is Mark Himes, DO's NPI number? ▼
Mark Himes, DO's National Provider Identifier (NPI) is 1043571458, issued on 06/01/2012.
Does Mark Himes, DO prescribe more brand-name or generic drugs? ▼
Mark Himes, DO's prescribing is 15% brand-name and 85% generic drugs by claim count, with $476K in brand drug costs.
Does Mark Himes, DO prescribe opioids? ▼
Yes, Mark Himes, DO had 242 opioid claims in 2024 with an opioid prescribing rate of 4.5%.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,236 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,299 Medicare Part D claims per year.
What drugs does Mark Himes, DO prescribe most often? ▼
Based on 2024 Medicare Part D data, Mark Himes, DO's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Himes, DO accept Medicare? ▼
Mark Himes, DO appears in CMS Medicare data with 5,348 Part D claims and 338 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Himes, DO's credentials? ▼
Mark Himes, DO's NPI is 1043571458 with credentials DO. 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.