2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1164404984 MD
Verify on CMS →

PATRICIA MCHALE, MD

Sports Medicine (Orthopaedic Surgery) Physician in GASTONIA, North Carolina. 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
278
Medicare Part D claims · 138 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
95.3578/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$85.87
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PATRICIA MCHALE, MD is a Sports Medicine (Orthopaedic Surgery) Physician ([object Object]) practicing in GASTONIA, North Carolina with a Medicare Part D prescribing footprint of 278 claims across 138 beneficiaries . Their CMS MIPS Final Score of 95.3578/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $85.87 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PATRICIA MCHALE, MD reported a CMS MIPS final score of 95.3578 out of 100, above the 83.1 national average, and filed 278 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)

PATRICIA MCHALE, 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).

PATRICIA MCHALE, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 11/17/2005

NPI 1164404984

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

278 0% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

95.3578/100 12.257800000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

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

North Carolina providers

Sports Medicine (Orthopaedic Surgery) Physician share within North Carolina

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
95.3578/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 95.3578/100 vs national avg 83.1

0%100%National avg83%95.4%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 95.3578/100 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).

PATRICIA MCHALE, MD is a Sports Medicine (Orthopaedic Surgery) Physician provider practicing in GASTONIA, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1164404984. 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.

PATRICIA MCHALE, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 706 SUMMIT CROSSING PL, GASTONIA, NC, 28054, with a listed phone of (704) 323-2000. NPI 1164404984 was issued on 11/17/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCHALE 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 278 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 36.0%. 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 95.3578/100 for the 2023 performance year (Quality 84.2235), 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

706 SUMMIT CROSSING PL
GASTONIA, NC 28054

Provider Details

NPI 1164404984
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials MD
Gender Female
NPI Issued 11/17/2005

CMS Quality Score (MIPS)

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

95.3578
Final Score
Avg: 83.1
84.2235
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PATRICIA MCHALE, 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.

COMPREHAB, INC
GASTONIA, NC
ORTHOCAROLINA, PA
SHELBY, NC

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 PATRICIA MCHALE, MD. Source: openpaymentsdata.cms.gov.

Total received

$86

Largest payer

Peerless Surgical 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.

278
Total Claims
$6K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
298
Total Day Supply
5,036
Generic Drug Cost
$3K
Opioid Claims
100 (36.0% rate)

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
0.99
Gender Split
70% female / 30% 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
54
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
49
Celecoxib
41
Tramadol Hcl
27
Methylprednisolone
23
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
15

* 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 PATRICIA MCHALE, 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

PATRICIA MCHALE, MD's 278 claims are below the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as MCHALE.

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

Frequently Asked Questions

What is PATRICIA MCHALE, MD's specialty?
PATRICIA MCHALE, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in GASTONIA, North Carolina. Credentials: MD.
How much does PATRICIA MCHALE, MD prescribe under Medicare Part D?
In 2023, PATRICIA MCHALE, MD wrote 278 Medicare Part D claims totaling $6K in drug costs for 138 beneficiaries.
What is PATRICIA MCHALE, MD's Medicare quality score?
PATRICIA MCHALE, MD has a CMS MIPS Final Score of 95.3578/100 (Quality: 84.2235). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PATRICIA MCHALE, MD located?
PATRICIA MCHALE, MD is located at 706 SUMMIT CROSSING PL, GASTONIA, NC, 28054. Phone: (704) 323-2000.
What is PATRICIA MCHALE, MD's NPI number?
PATRICIA MCHALE, MD's National Provider Identifier (NPI) is 1164404984, issued on 11/17/2005.
Does PATRICIA MCHALE, MD prescribe opioids?
Yes, PATRICIA MCHALE, MD had 100 opioid claims in 2023 with an opioid prescribing rate of 36.0%.
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 PATRICIA MCHALE, MD prescribe most often?
Based on 2023 Medicare Part D data, PATRICIA MCHALE, MD's most frequently prescribed drugs include Meloxicam, Hydrocodone-Acetaminophen, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PATRICIA MCHALE, MD accept Medicare?
PATRICIA MCHALE, MD appears in CMS Medicare data with 278 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PATRICIA MCHALE, MD's credentials?
PATRICIA MCHALE, MD's NPI is 1164404984 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