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 951 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
▼ 0 pts below national avg 83.1 · Above neutral
Industry payments
$71.94
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Martin Ton, MD reported a CMS MIPS final score of 82.8/100 — below the 83.1 national average — and filed 810 Medicare Part D claims in 2023.

82.8/100
MIPS score · 0 vs avg
810
Part D claims, 2023
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.

Martin Ton, MD's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Where Martin Ton, MD sits

This provider among pain medicine physician peers

Across the 286 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 60% — placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 18Martin Ton, MD — Part D claim volume — percentile in specialty: 34 · MIPS quality — percentile: 60
Part D claim volume vs MIPS quality, by specialty percentile

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 average

NPI registry status

Active

Issued 07/19/2006

NPI 1316966427

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

810 61% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

MIPS final score

82.8/100 0.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Pain Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Largest specialties in Virginia (% of in-state providers)

Behavior Technician — 5.2%Behavior Technician5.2%Clinical Social Worker — 5.1%Clinical Social Worker5.1%Student in an Organized Health Care Education/Training Program — 4.7%Student in an Organized Health Care Education/Training Program4.7%Physical Therapist — 4.6%Physical Therapist4.6%Pharmacist — 4.5%Pharmacist4.5%Professional Counselor — 4%Professional Counselor4%Pain Medicine Physician — 0%Pain Medicine Physician0%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance — MIPS

Martin Ton, MD's 2023 MIPS final score plotted against the Pain Medicine Physician national average

Near national average
MIPS Final Score
82.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine Physician) — 82.8/100 vs national avg 83.1

0%100%National avg83%82.8%
MIPS final score (Pain Medicine Physician) — 82.8/100 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).

Martin Ton, MD appears in the CMS NPPES registry as a Pain Medicine Physician provider holding MD credentials at 1080 FIRST COLONIAL RD STE 201, Virginia Beach, VA, 23454, with a listed phone of (757) 395-6450. NPI 1316966427 was issued on 07/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Ton 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 810 prescription claims written by this provider, covering 199 Medicare beneficiaries and totaling roughly $14K in drug spend, with an opioid prescribing rate of 7.4%. 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 82.8/100 for the 2023 performance year (Quality 65.5), compared with the national average of 83.1.

Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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

1080 FIRST COLONIAL RD STE 201
Virginia Beach, VA 23454

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
Avg: 83.1
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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

951
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.

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.

Compare Pain Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pain Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

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 national average MIPS Final Score is 83.1. 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 951 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

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

Compiled from official public sources by the PlainDoctor editorial team.