2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1952481004 MD
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MICHAEL J FITZPATRICK, MD

Sports Medicine (Orthopaedic Surgery) Physician in MISSION VIEJO, California. 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
213
Medicare Part D claims · 103 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
52.6067/100
▼ 30 pts below national avg 83.1 · [object Object]
Industry payments
$606.62
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL J FITZPATRICK, MD is a Sports Medicine (Orthopaedic Surgery) Physician ([object Object]) practicing in MISSION VIEJO, California with a Medicare Part D prescribing footprint of 213 claims across 103 beneficiaries . Their CMS MIPS Final Score of 52.6067/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $606.62 across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL J FITZPATRICK, MD reported a CMS MIPS final score of 52.6067 out of 100, below the 83.1 national average, and filed 213 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)

MICHAEL J FITZPATRICK, 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).

MICHAEL J FITZPATRICK, MD at a glance

Below national average

NPI registry status

Active

Issued 10/16/2006

NPI 1952481004

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

213 23% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

52.6067/100 30.493299999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

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

California providers

Sports Medicine (Orthopaedic Surgery) Physician share within California

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

Medicare quality performance — MIPS

MICHAEL J FITZPATRICK, MD's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

Below national average
MIPS Final Score
52.6067/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 52.6067/100 vs national avg 83.1

0%100%National avg83%52.6%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 52.6067/100 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).

MICHAEL J FITZPATRICK, MD is a Sports Medicine (Orthopaedic Surgery) Physician provider practicing in MISSION VIEJO, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1952481004. 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.

MICHAEL J FITZPATRICK, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 26730 CROWN VALLEY PKWY STE 200, MISSION VIEJO, CA, 92691, with a listed phone of (949) 364-2154. NPI 1952481004 was issued on 10/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FITZPATRICK 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 213 prescription claims written by this provider, covering 103 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 51.2%. 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 52.6067/100 for the 2023 performance year (Quality 38.4628, Cost 54.8405), 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

26730 CROWN VALLEY PKWY STE 200
MISSION VIEJO, CA 92691

Provider Details

NPI 1952481004
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials MD
Gender Male
NPI Issued 10/16/2006

CMS Quality Score (MIPS)

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

52.6067
Final Score
Avg: 83.1
38.4628
Quality
54.8405
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL J FITZPATRICK, 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.

ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY
MISSION VIEJO, 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 J FITZPATRICK, MD. Source: openpaymentsdata.cms.gov.

Total received

$607

Largest payer

Stryker Corporation

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 J FITZPATRICK, MD. To verify MICHAEL J FITZPATRICK, 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.

213
Total Claims
$2K
Total Drug Cost
103
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
213
Total Day Supply
1,687
Brand Drug Cost
$0
Generic Drug Cost
$2K
Opioid Claims
109 (51.2% rate)
Antibiotic Claims
22

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
0.91
Gender Split
63% female / 37% 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
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
57
Ondansetron Odt
Ondansetron
54
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
24
Tramadol Hcl
23

* 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 MICHAEL J FITZPATRICK, 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 J FITZPATRICK, MD's 213 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 FITZPATRICK.

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

Frequently Asked Questions

What is MICHAEL J FITZPATRICK, MD's specialty?
MICHAEL J FITZPATRICK, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in MISSION VIEJO, California. Credentials: MD.
How much does MICHAEL J FITZPATRICK, MD prescribe under Medicare Part D?
In 2023, MICHAEL J FITZPATRICK, MD wrote 213 Medicare Part D claims totaling $2K in drug costs for 103 beneficiaries.
What is MICHAEL J FITZPATRICK, MD's Medicare quality score?
MICHAEL J FITZPATRICK, MD has a CMS MIPS Final Score of 52.6067/100 (Quality: 38.4628, Cost: 54.8405). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL J FITZPATRICK, MD located?
MICHAEL J FITZPATRICK, MD is located at 26730 CROWN VALLEY PKWY STE 200, MISSION VIEJO, CA, 92691. Phone: (949) 364-2154.
What is MICHAEL J FITZPATRICK, MD's NPI number?
MICHAEL J FITZPATRICK, MD's National Provider Identifier (NPI) is 1952481004, issued on 10/16/2006.
Does MICHAEL J FITZPATRICK, MD prescribe opioids?
Yes, MICHAEL J FITZPATRICK, MD had 109 opioid claims in 2023 with an opioid prescribing rate of 51.2%.
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 MICHAEL J FITZPATRICK, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL J FITZPATRICK, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Ondansetron Odt, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL J FITZPATRICK, MD accept Medicare?
MICHAEL J FITZPATRICK, MD appears in CMS Medicare data with 213 Part D claims and 103 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL J FITZPATRICK, MD's credentials?
MICHAEL J FITZPATRICK, MD's NPI is 1952481004 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