2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1003160896 DPT
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NICOLE MCCLONE, DPT

Sports Medicine (Family Medicine) Physician in ST JOHNS, Florida. 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.
MIPS score
84.3035/100
▲ 1 pts above national avg 83.1 · [object Object]
What the federal data reveals: NICOLE MCCLONE, DPT is a Sports Medicine (Family Medicine) Physician ([object Object]) practicing in ST JOHNS, Florida . Their CMS MIPS Final Score of 84.3035/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: NICOLE MCCLONE, DPT reported a CMS MIPS final score of 84.3035 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NICOLE MCCLONE, DPT practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NICOLE MCCLONE, DPT at a glance

Near national average

NPI registry status

Active

Issued 11/01/2012

NPI 1003160896

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

MIPS final score

84.3035/100 1.2035000000000053% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Sports Medicine (Family Medicine) Physician compares to other specialties among Florida providers

Florida providers

Sports Medicine (Family Medicine) Physician share within Florida

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

Medicare quality performance — MIPS

NICOLE MCCLONE, DPT's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average

Near national average
MIPS Final Score
84.3035/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Family Medicine) Physician) — 84.3035/100 vs national avg 83.1

0%100%National avg83%84.3%
MIPS final score (Sports Medicine (Family Medicine) Physician) — 84.3035/100 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).

NICOLE MCCLONE, DPT is a Sports Medicine (Family Medicine) Physician provider practicing in ST JOHNS, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DPT. NPI: 1003160896. 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.

NICOLE MCCLONE, DPT appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding DPT credentials at 3055 COUNTY ROAD 210 W STE 110, ST JOHNS, FL, 32259, with a listed phone of (904) 825-0540. NPI 1003160896 was issued on 11/01/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCCLONE 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Sports Medicine (Family Medicine) Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.3035/100 for the 2023 performance year (Quality 86.6843, Cost 60.994), 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

3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 32259

Provider Details

NPI 1003160896
Specialty Sports Medicine (Family Medicine) Physician
Credentials DPT
Gender Female
NPI Issued 11/01/2012

CMS Quality Score (MIPS)

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

84.3035
Final Score
Avg: 83.1
86.6843
Quality
60.994
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to NICOLE MCCLONE, DPT. To verify NICOLE MCCLONE, DPT's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Sports Medicine (Family Medicine) Physician Overview

How NICOLE MCCLONE, DPT 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

Nearby Sports Medicine (Family Medicine) Physician Providers in Florida

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

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

Frequently Asked Questions

What is NICOLE MCCLONE, DPT's specialty?
NICOLE MCCLONE, DPT specializes in Sports Medicine (Family Medicine) Physician and practices in ST JOHNS, Florida. Credentials: DPT.
What is NICOLE MCCLONE, DPT's Medicare quality score?
NICOLE MCCLONE, DPT has a CMS MIPS Final Score of 84.3035/100 (Quality: 86.6843, Cost: 60.994). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE MCCLONE, DPT located?
NICOLE MCCLONE, DPT is located at 3055 COUNTY ROAD 210 W STE 110, ST JOHNS, FL, 32259. Phone: (904) 825-0540.
What is NICOLE MCCLONE, DPT's NPI number?
NICOLE MCCLONE, DPT's National Provider Identifier (NPI) is 1003160896, issued on 11/01/2012.
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.
Does NICOLE MCCLONE, DPT accept Medicare?
NICOLE MCCLONE, DPT appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE MCCLONE, DPT's credentials?
NICOLE MCCLONE, DPT's NPI is 1003160896 with credentials DPT. 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.
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