NPI registry status
Active
2026 NPPES data Pain Medicine Physician NPI 1316966427 MD
Verify on CMS → Martin Ton, MD
Pain Medicine Physician in Virginia Beach, 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 952 in Pain 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
810
Medicare Part D claims · 199 beneficiaries · Pain Medicine Physician avg: 2K
MIPS score
82.8/100
▼ 1 pts below national avg 83.5 · Above neutral
Industry payments
$71.94
3 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Martin Ton, MD reported a CMS MIPS final score of 82.8/100 - below the 83.5 national average - and filed 810 Medicare Part D claims in 2023.
- 82.8/100
- MIPS score · -1 vs avg
- 810
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥36th
- pct among measured MIPS (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.
CMS NPPES provider registry desk
NPI 1316966427 · Pain Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1316966427
- ENUM-LEGACY 2006
- TAX-NARROW 952
- MIPS-INLINE 82.8/100
- RX-LIGHT 810
- BOOK-THIN 23 in Virginia
- PHOTO-FINISH Mazher Hussain · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ivan Fomitchev ·…
Ivan Fomitchev
82.6 MIPS pts
- Rabinder Bhatti …
Rabinder Bhatti
82.7 MIPS pts
- Ton · this provi…
Ton · this provider
82.8 MIPS pts
- Marc Wittenberg …
Marc Wittenberg
82.8 MIPS pts
- Mazher Hussain ·…
Mazher Hussain
82.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Martin Ton, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
83 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Martin Ton, MD sits
This provider among pain medicine physician peers
Across the 247 pain medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Martin Ton, MD writes more Part D claims than 34% of them and scores higher on MIPS quality than 53% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pain medicine physician peer from a representative sample of 60; the gold marker is Martin Ton, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Martin Ton, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Martin Ton, MD?
Near national averagePrimary specialty
Pain Medicine Physician
Medicare Part D claims
810 61% vs specialty avg
MIPS final score
82.8/100 0.7 pts vs avg
Specialty distribution in Virginia
How Pain Medicine Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Martin Ton, MD's 2023 MIPS final score plotted against the Pain Medicine Physician national average
- MIPS Final Score
- 82.8/100
- vs 83.5 national avg · 2023 performance year
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 | 1316966427 |
|---|---|
| Specialty | Pain Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/19/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.7548
Final Score
Measured-score avg: 83.5
65.5095
Quality
Reporting: Individual
Hospital and facility affiliations
Facilities where Martin Ton, MD 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.
Sentara Medical Group
Virginia Bch, 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).
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 Martin Ton, MD. Source: openpaymentsdata.cms.gov.
Total received
$72
Largest payer
Avanos Medical
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
810
Total Claims
$14K
Total Drug Cost
199
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 928
- Total Day Supply
- 27,032
- Generic Drug Cost
- $13K
- Opioid Claims
- 60 (7.4% rate)
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.39
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 23, 65-74: 91, 75-84: 69, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Martin Ton, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
249 claims
- Tizanidine Hcl
Tizanidine Hcl
130 claims
- Cyclobenzaprine Hcl 83
Cyclobenzaprine Hcl
83 claims
- Pregabalin 83
Pregabalin
83 claims
- Methocarbamol 60
Methocarbamol
60 claims
- Duloxetine Hcl 48
Duloxetine Hcl
48 claims
- Hydrocodone-Acetam… 32
Hydrocodone-Acetaminophen
32 claims
- Diclofenac Sodium 20
Diclofenac Sodium
20 claims
| Drug | Claims |
|---|---|
| Gabapentin | 249 |
| Tizanidine Hcl | 130 |
| Cyclobenzaprine Hcl | 83 |
| Pregabalin | 83 |
| Methocarbamol | 60 |
| Duloxetine Hcl | 48 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 32 |
| Diclofenac Sodium | 20 |
| Meloxicam | 15 |
| Morphine Sulfate Er Morphine Sulfate | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pain Medicine Physician Overview
How Martin Ton, MD fits within the Pain Medicine Physician landscape nationally.
952
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider
Martin Ton, MD's 810 claims are below the specialty average of 2,078.
Nationwide Pain Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Ton, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (82.8 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pain Medicine Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Ton.
One of 23 Pain Medicine Physician providers enrolled in Virginia, 5 are shown here.
Vaibhav Batheja
Stafford, VA
Dr. Peter Bower
M.D.
Charlottesville, VA
Dr. Jasmit Brar
M.D.
Lansdowne, VA
Dr. Charles Brown
M.D.
Chesapeake, VA
Dr. James Dailey
M.D.
Danville, VA
Compare Pain Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Martin Ton, MD's specialty? ▼
Martin Ton, MD specializes in Pain Medicine Physician and practices in Virginia Beach, Virginia. Credentials: MD.
How much does Martin Ton, MD prescribe under Medicare Part D? ▼
In 2023, Martin Ton, MD wrote 810 Medicare Part D claims totaling $14K in drug costs for 199 beneficiaries.
What is Martin Ton, MD's Medicare quality score? ▼
Martin Ton, MD has a CMS MIPS Final Score of 82.8/100 (Quality: 65.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Martin Ton, MD located? ▼
Martin Ton, MD is located at 1080 FIRST COLONIAL RD STE 201, Virginia Beach, VA, 23454. Phone: (757) 395-6450.
What is Martin Ton, MD's NPI number? ▼
Martin Ton, MD's National Provider Identifier (NPI) is 1316966427, issued on 07/19/2006.
Does Martin Ton, MD prescribe opioids? ▼
Yes, Martin Ton, MD had 60 opioid claims in 2023 with an opioid prescribing rate of 7.4%.
How many Pain Medicine Physician providers are there in the US? ▼
There are 952 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does Martin Ton, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Martin Ton, MD's most frequently prescribed drugs include Gabapentin, Tizanidine Hcl, Cyclobenzaprine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Martin Ton, MD accept Medicare? ▼
Martin Ton, MD appears in CMS Medicare data with 810 Part D claims and 199 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Martin Ton, MD's credentials? ▼
Martin Ton, MD's NPI is 1316966427 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
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 (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
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 May 2026.