2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1346413648 M.D.
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MATHEW POMBO, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in DULUTH, Georgia. 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
212
Medicare Part D claims · 82 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$636.85
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MATHEW POMBO, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician ([object Object]) practicing in DULUTH, Georgia with a Medicare Part D prescribing footprint of 212 claims across 82 beneficiaries . Their CMS MIPS Final Score of 92.2614/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $636.85 across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MATHEW POMBO, M.D. reported a CMS MIPS final score of 92.2614 out of 100, above the 83.1 national average, and filed 212 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MATHEW POMBO, M.D. 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).

MATHEW POMBO, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/08/2008

NPI 1346413648

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

212 24% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Georgia providers

Georgia providers

Sports Medicine (Orthopaedic Surgery) Physician share within Georgia

1. Sports Medicine (Orthopaedic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Orthopaedic Surgery) Physician share within Georgia

Medicare quality performance — MIPS

MATHEW POMBO, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 92.2614/100 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).

MATHEW POMBO, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician provider practicing in DULUTH, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1346413648. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MATHEW POMBO, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 3855 PLEASANT HILL RD STE 470, DULUTH, GA, 30096, with a listed phone of (770) 813-8888. NPI 1346413648 was issued on 04/08/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what POMBO 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 212 prescription claims written by this provider, covering 82 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 15.1%. 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096

Provider Details

NPI 1346413648
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 04/08/2008

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MATHEW POMBO, 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.

NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
ATLANTA, GA

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 MATHEW POMBO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$637

Largest payer

Smith+Nephew, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

212
Total Claims
$3K
Total Drug Cost
82
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
226
Total Day Supply
4,814
Generic Drug Cost
$3K
Opioid Claims
32 (15.1% rate)

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
0.79
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
77
Celecoxib
30
Diclofenac Sodium
29
Tramadol Hcl
16
Ondansetron Hcl
13

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How MATHEW POMBO, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

MATHEW POMBO, M.D.'s 212 claims are below the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Georgia

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

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATHEW POMBO, M.D.'s specialty?
MATHEW POMBO, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in DULUTH, Georgia. Credentials: M.D..
How much does MATHEW POMBO, M.D. prescribe under Medicare Part D?
In 2023, MATHEW POMBO, M.D. wrote 212 Medicare Part D claims totaling $3K in drug costs for 82 beneficiaries.
What is MATHEW POMBO, M.D.'s Medicare quality score?
MATHEW POMBO, M.D. has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATHEW POMBO, M.D. located?
MATHEW POMBO, M.D. is located at 3855 PLEASANT HILL RD STE 470, DULUTH, GA, 30096. Phone: (770) 813-8888.
What is MATHEW POMBO, M.D.'s NPI number?
MATHEW POMBO, M.D.'s National Provider Identifier (NPI) is 1346413648, issued on 04/08/2008.
Does MATHEW POMBO, M.D. prescribe opioids?
Yes, MATHEW POMBO, M.D. had 32 opioid claims in 2023 with an opioid prescribing rate of 15.1%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does MATHEW POMBO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MATHEW POMBO, M.D.'s most frequently prescribed drugs include Meloxicam, Celecoxib, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATHEW POMBO, M.D. accept Medicare?
MATHEW POMBO, M.D. appears in CMS Medicare data with 212 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATHEW POMBO, M.D.'s credentials?
MATHEW POMBO, M.D.'s NPI is 1346413648 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

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