NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1558497982 MD
Verify on CMS → Michael Banffy, MD
Sports Medicine (Orthopaedic Surgery) Physician in Los Angeles, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,681 in Sports Medicine (Orthopaedic Surgery) 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
16
Medicare Part D claims · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
85.7/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$69.4K
86 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michael Banffy, MD reported a CMS MIPS final score of 85.7/100 - above the 83.1 national average - and filed 16 Medicare Part D claims in 2023.
- 85.7/100
- MIPS score · +3 vs avg
- 16
- 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.
Michael Banffy, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% of 477,587 scored providers
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 Michael Banffy, MD sits
This provider among sports medicine (orthopaedic surgery) physician peers
Across the 1,085 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Banffy, MD writes more Part D claims than 2% of them and scores higher on MIPS quality than 67% - 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
Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is Michael Banffy, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michael Banffy, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Michael Banffy, MD?
High performer (top quartile)Primary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
16 94% vs specialty avg
MIPS final score
85.7/100 2.6 pts vs avg
Specialty distribution in California
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Michael Banffy, MD's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average
- MIPS Final Score
- 85.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 85.7/100 vs national avg 83.1
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).
Michael Banffy, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 6801 PARK TER STE 400, Los Angeles, CA, 90045, with a listed phone of (310) 665-7227. NPI 1558497982 was issued on 02/27/2007.
Medicare Part D records for calendar year 2023 show 16 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $371 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.7/100 for the 2023 performance year (Quality 85.7, Cost 61.5), 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
Provider Details
| NPI | 1558497982 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/27/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.7185
Final Score
Avg: 83.1
85.6751
Quality
61.479
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michael Banffy, 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.
Cedars-Sinai Medical Center
★★★★★ 5/5
Los Angeles, CA
Acute Care Hospitals
CMS CCN: 050625
Cedars-Sinai Medical Care Foundation
Los Angeles, CA
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 Michael Banffy, MD. Source: openpaymentsdata.cms.gov.
Total received
$69.4K
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.
License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Michael Banffy, MD. To verify Michael Banffy, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
16
Total Claims
$371
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 16
- Total Day Supply
- 372
- Generic Drug Cost
- $366
Patient Demographics
- Average Patient Age
- 69.9 years
- Avg HCC Risk Score
- 0.45
More Sports Medicine (Orthopaedic Surgery) Physician in CA →
All providers in California →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Michael Banffy, MD 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
Michael Banffy, MD's 16 claims are below the specialty average of 278.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Banffy.
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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Orthopaedic Surgery) 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.
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Frequently Asked Questions
What is Michael Banffy, MD's specialty? ▼
Michael Banffy, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Los Angeles, California. Credentials: MD.
How much does Michael Banffy, MD prescribe under Medicare Part D? ▼
In 2023, Michael Banffy, MD wrote 16 Medicare Part D claims totaling $371 in drug costs for N/A beneficiaries.
What is Michael Banffy, MD's Medicare quality score? ▼
Michael Banffy, MD has a CMS MIPS Final Score of 85.7/100 (Quality: 85.7, Cost: 61.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Banffy, MD located? ▼
Michael Banffy, MD is located at 6801 PARK TER STE 400, Los Angeles, CA, 90045. Phone: (310) 665-7227.
What is Michael Banffy, MD's NPI number? ▼
Michael Banffy, MD's National Provider Identifier (NPI) is 1558497982, issued on 02/27/2007.
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.
Does Michael Banffy, MD accept Medicare? ▼
Michael Banffy, MD appears in CMS Medicare data with 16 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Banffy, MD's credentials? ▼
Michael Banffy, MD's NPI is 1558497982 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
Compiled from official public sources by the PlainDoctor editorial team.