2026 NPPES data Orthopaedic Surgery Physician NPI 1316981020 MD
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MARLEN STREFLING, MD

Orthopaedic Surgery Physician in BROWNWOOD, Texas. 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
2K
Medicare Part D claims · 329 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
3.275/100
▼ 80 pts below national avg 83.1 · [object Object]
Industry payments
$371.56
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARLEN STREFLING, MD reported a CMS MIPS final score of 3.275/100 — below the 83.1 national average — and filed 1,707 Medicare Part D claims in 2023.

3.275/100
MIPS score · -80 vs avg
2K
Part D claims, 2023
98%
generic prescribing
Likely
board-certified (heuristic)

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.

MARLEN STREFLING, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

3 1st percentile higher than 1% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

MARLEN STREFLING, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 MARLEN STREFLING, MD?

Below national average

NPI registry status

Active

Issued 06/15/2006

NPI 1316981020

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

1,707 427% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

3.275/100 79.82499999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Orthopaedic Surgery Physician compares to other specialties among Texas providers

Texas providers

Orthopaedic Surgery Physician share within Texas

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Texas

Medicare quality performance — MIPS

MARLEN STREFLING, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
3.275/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 3.275/100 vs national avg 83.1

0%100%National avg83%3.3%
MIPS final score (Orthopaedic Surgery Physician) — 3.275/100 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).

MARLEN STREFLING, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 125 SOUTH PARK DRIVE, BROWNWOOD, TX, 76801, with a listed phone of (325) 643-5445. NPI 1316981020 was issued on 06/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STREFLING 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 1,707 prescription claims written by this provider, covering 329 Medicare beneficiaries and totaling roughly $18K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 26.1%. 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 3.275/100 for the 2023 performance year (Quality 6.55), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

125 SOUTH PARK DRIVE
BROWNWOOD, TX 76801

Provider Details

NPI 1316981020
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 06/15/2006

CMS Quality Score (MIPS)

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

3.275
Final Score
Avg: 83.1
6.55
Quality

Reporting: Individual

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 MARLEN STREFLING, MD. Source: openpaymentsdata.cms.gov.

Total received

$372

Largest payer

Salix Pharmaceuticals, a division of Bausch Health US, LLC

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to MARLEN STREFLING, MD. To verify MARLEN STREFLING, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

MARLEN STREFLING, MD — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 1,707 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.

1,707
Total Claims
$18K
Total Drug Cost
329
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,777
Total Day Supply
27,115
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$5K
Generic Drug Cost
$12K
Opioid Claims
445 (26.1% rate)
Antibiotic Claims
174

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.22
Gender Split
61% female / 39% male
Age Distribution
<65: 41, 65-74: 113, 75-84: 128, 85+: 47

Top Prescribed Drugs (Medicare Part D)

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

What MARLEN STREFLING, MD 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
Prednisone
443
Acetaminophen-Codeine
Acetaminophen With Codeine
253
Tramadol Hcl
192
Gabapentin
155
Methylprednisolone
124
Cephalexin
110
Baclofen
107
Meloxicam
105
Ciprofloxacin Hcl
35
Methocarbamol
19

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

Orthopaedic Surgery Physician Overview

How MARLEN STREFLING, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

MARLEN STREFLING, MD's 1,707 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Texas

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

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARLEN STREFLING, MD's specialty?
MARLEN STREFLING, MD specializes in Orthopaedic Surgery Physician and practices in BROWNWOOD, Texas. Credentials: MD.
How much does MARLEN STREFLING, MD prescribe under Medicare Part D?
In 2023, MARLEN STREFLING, MD wrote 1,707 Medicare Part D claims totaling $18K in drug costs for 329 beneficiaries.
What is MARLEN STREFLING, MD's Medicare quality score?
MARLEN STREFLING, MD has a CMS MIPS Final Score of 3.275/100 (Quality: 6.55). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARLEN STREFLING, MD located?
MARLEN STREFLING, MD is located at 125 SOUTH PARK DRIVE, BROWNWOOD, TX, 76801. Phone: (325) 643-5445.
What is MARLEN STREFLING, MD's NPI number?
MARLEN STREFLING, MD's National Provider Identifier (NPI) is 1316981020, issued on 06/15/2006.
Does MARLEN STREFLING, MD prescribe more brand-name or generic drugs?
MARLEN STREFLING, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $5K in brand drug costs.
Does MARLEN STREFLING, MD prescribe opioids?
Yes, MARLEN STREFLING, MD had 445 opioid claims in 2023 with an opioid prescribing rate of 26.1%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does MARLEN STREFLING, MD prescribe most often?
Based on 2023 Medicare Part D data, MARLEN STREFLING, MD's most frequently prescribed drugs include Prednisone, Acetaminophen-Codeine, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARLEN STREFLING, MD accept Medicare?
MARLEN STREFLING, MD appears in CMS Medicare data with 1,707 Part D claims and 329 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARLEN STREFLING, MD's credentials?
MARLEN STREFLING, MD's NPI is 1316981020 with credentials MD. 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