NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1225534654 DO
Verify on CMS → Nathan Hensler, DO
Sports Medicine (Family Medicine) Physician in Hammond, Louisiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family 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
263
Medicare Part D claims · 131 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
MIPS score
62.1/100
▼ 21 pts below national avg 83.1 · Mid-tier
Industry payments
$27.77
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nathan Hensler, DO reported a CMS MIPS final score of 62.1/100 - below the 83.1 national average - and filed 263 Medicare Part D claims in 2023.
- 62.1/100
- MIPS score · -21 vs avg
- 263
- 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.
Nathan Hensler, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
62 6th percentile higher than 6% 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 Nathan Hensler, DO sits
This provider among sports medicine (family medicine) physician peers
Across the 571 sports medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nathan Hensler, DO writes more Part D claims than 49% of them and scores higher on MIPS quality than 6% - placing this provider in the lower-volume, lower-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 (family medicine) physician peer from a representative sample of 60; the gold marker is Nathan Hensler, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nathan Hensler, DO 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 Nathan Hensler, DO?
Below national averagePrimary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
263 79% vs specialty avg
MIPS final score
62.1/100 21 pts vs avg
Specialty distribution in Louisiana
How Sports Medicine (Family Medicine) Physician compares to other specialties among Louisiana providers
Medicare quality performance, MIPS
Nathan Hensler, DO's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 62.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Family Medicine) Physician) - 62.1/100 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).
Nathan Hensler, DO appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding DO credentials at 42078 VETERANS AVE STE B, Hammond, LA, 70403, with a listed phone of (985) 490-3070. NPI 1225534654 was issued on 04/04/2018.
Medicare Part D records for calendar year 2023 show 263 prescription claims written by this provider, covering 131 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 10.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 62.1/100 for the 2023 performance year, compared with the national average of 83.1.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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 | 1225534654 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 04/04/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
62.1034
Final Score
Avg: 83.1
24.2067
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nathan Hensler, DO 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.
Baton Rouge Orthopaedic Clinic LLC
Hammond, LA
Professional Emergency Physician Associates, LLC
Baton Rouge, LA
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 Nathan Hensler, DO. Source: openpaymentsdata.cms.gov.
Total received
$28
Largest payer
Bioventus LLC
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.
263
Total Claims
$3K
Total Drug Cost
131
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 275
- Total Day Supply
- 6,911
- Brand Drug Cost
- $0
- Generic Drug Cost
- $3K
- Opioid Claims
- 27 (10.3% rate)
Patient Demographics
- Average Patient Age
- 69.2 years
- Avg HCC Risk Score
- 1.17
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nathan Hensler, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Meloxicam
Meloxicam
78 claims
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
60 claims
- Celecoxib
Celecoxib
34 claims
- Tramadol Hcl 22
Tramadol Hcl
22 claims
- Gabapentin 16
Gabapentin
16 claims
| Drug | Claims |
|---|---|
| Meloxicam | 78 |
| Cyclobenzaprine Hcl | 60 |
| Celecoxib | 34 |
| Tramadol Hcl | 22 |
| Gabapentin | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in LA →
All providers in Louisiana →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Nathan Hensler, DO fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
Nathan Hensler, DO's 263 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Louisiana
Other clinicians with the same primary specialty enrolled in Louisiana, drawn from the same CMS NPPES roster as Hensler.
Dr. Alex Anderson
M.D.
Lake Charles, LA
Dr. Thomas Bond
MD
Lafayette, LA
Dr. Jeffrey Burnham
MD
Baton Rouge, LA
Dr. Travis Currie
M.D.
Gonzales, LA
Dr. John Dewaard
DO
Baton Rouge, LA
Compare Sports Medicine (Family 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 Louisiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family 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.
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Nathan Hensler, DO's specialty? ▼
Nathan Hensler, DO specializes in Sports Medicine (Family Medicine) Physician and practices in Hammond, Louisiana. Credentials: DO.
How much does Nathan Hensler, DO prescribe under Medicare Part D? ▼
In 2023, Nathan Hensler, DO wrote 263 Medicare Part D claims totaling $3K in drug costs for 131 beneficiaries.
What is Nathan Hensler, DO's Medicare quality score? ▼
Nathan Hensler, DO has a CMS MIPS Final Score of 62.1/100, Cost: 24.2. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nathan Hensler, DO located? ▼
Nathan Hensler, DO is located at 42078 VETERANS AVE STE B, Hammond, LA, 70403. Phone: (985) 490-3070.
What is Nathan Hensler, DO's NPI number? ▼
Nathan Hensler, DO's National Provider Identifier (NPI) is 1225534654, issued on 04/04/2018.
Does Nathan Hensler, DO prescribe opioids? ▼
Yes, Nathan Hensler, DO had 27 opioid claims in 2023 with an opioid prescribing rate of 10.3%.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does Nathan Hensler, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Nathan Hensler, DO's most frequently prescribed drugs include Meloxicam, Cyclobenzaprine Hcl, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nathan Hensler, DO accept Medicare? ▼
Nathan Hensler, DO appears in CMS Medicare data with 263 Part D claims and 131 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nathan Hensler, DO's credentials? ▼
Nathan Hensler, DO's NPI is 1225534654 with credentials DO. 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.