2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1700863388 M.D.
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ROBERT WHITEHEAD, M.D.

Sports Medicine (Family Medicine) Physician in NEW ALBANY, Ohio. 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
386
Medicare Part D claims · 229 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.534/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$140.82
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ROBERT WHITEHEAD, M.D. reported a CMS MIPS final score of 82.534/100 — below the 83.1 national average — and filed 386 Medicare Part D claims in 2023.

82.534/100
MIPS score · -1 vs avg
386
Part D claims, 2023
95%
generic prescribing
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.

ROBERT WHITEHEAD, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

ROBERT WHITEHEAD, M.D. 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 ROBERT WHITEHEAD, M.D.?

Near national average

NPI registry status

Active

Issued 12/27/2005

NPI 1700863388

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

386 69% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

MIPS final score

82.534/100 0.5659999999999883% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

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

Ohio providers

Sports Medicine (Family Medicine) Physician share within Ohio

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

Medicare quality performance — MIPS

ROBERT WHITEHEAD, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average

Near national average
MIPS Final Score
82.534/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Family Medicine) Physician) — 82.534/100 vs national avg 83.1

0%100%National avg83%82.5%
MIPS final score (Sports Medicine (Family Medicine) Physician) — 82.534/100 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).

ROBERT WHITEHEAD, M.D. appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding M.D. credentials at 5040 FOREST DR, NEW ALBANY, OH, 43054, with a listed phone of (614) 890-6555. NPI 1700863388 was issued on 12/27/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WHITEHEAD 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 386 prescription claims written by this provider, covering 229 Medicare beneficiaries and totaling roughly $13K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 20.5%. 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 82.534/100 for the 2023 performance year (Quality 79.4518), 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

5040 FOREST DR
NEW ALBANY, OH 43054

Provider Details

NPI 1700863388
Specialty Sports Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 12/27/2005

CMS Quality Score (MIPS)

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

82.534
Final Score
Avg: 83.1
79.4518
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where ROBERT WHITEHEAD, M.D. 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.

CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC.
COLUMBUS, OH
GAHANNA PHYSICAL THERAPY LIMITED PARTNERSHIP
GAHANNA, OH

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 ROBERT WHITEHEAD, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$141

Largest payer

Abbott Laboratories

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to ROBERT WHITEHEAD, M.D.. To verify ROBERT WHITEHEAD, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ROBERT WHITEHEAD, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 386 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

386
Total Claims
$13K
Total Drug Cost
229
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
414
Total Day Supply
6,325
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$11K
Generic Drug Cost
$3K
Opioid Claims
79 (20.5% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.13
Gender Split
66% female / 34% male
Age Distribution
<65: 19, 65-74: 120, 75-84: 66, 85+: 24

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ROBERT WHITEHEAD, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisone
77
Gabapentin
70
Diclofenac Sodium
55
Methylprednisolone
37
Tramadol Hcl
37
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
35

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Sports Medicine (Family Medicine) Physician Overview

How ROBERT WHITEHEAD, M.D. 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

ROBERT WHITEHEAD, M.D.'s 386 claims are below the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in Ohio

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

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

Frequently Asked Questions

What is ROBERT WHITEHEAD, M.D.'s specialty?
ROBERT WHITEHEAD, M.D. specializes in Sports Medicine (Family Medicine) Physician and practices in NEW ALBANY, Ohio. Credentials: M.D..
How much does ROBERT WHITEHEAD, M.D. prescribe under Medicare Part D?
In 2023, ROBERT WHITEHEAD, M.D. wrote 386 Medicare Part D claims totaling $13K in drug costs for 229 beneficiaries.
What is ROBERT WHITEHEAD, M.D.'s Medicare quality score?
ROBERT WHITEHEAD, M.D. has a CMS MIPS Final Score of 82.534/100 (Quality: 79.4518). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT WHITEHEAD, M.D. located?
ROBERT WHITEHEAD, M.D. is located at 5040 FOREST DR, NEW ALBANY, OH, 43054. Phone: (614) 890-6555.
What is ROBERT WHITEHEAD, M.D.'s NPI number?
ROBERT WHITEHEAD, M.D.'s National Provider Identifier (NPI) is 1700863388, issued on 12/27/2005.
Does ROBERT WHITEHEAD, M.D. prescribe more brand-name or generic drugs?
ROBERT WHITEHEAD, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $11K in brand drug costs.
Does ROBERT WHITEHEAD, M.D. prescribe opioids?
Yes, ROBERT WHITEHEAD, M.D. had 79 opioid claims in 2023 with an opioid prescribing rate of 20.5%.
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 ROBERT WHITEHEAD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROBERT WHITEHEAD, M.D.'s most frequently prescribed drugs include Prednisone, Gabapentin, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT WHITEHEAD, M.D. accept Medicare?
ROBERT WHITEHEAD, M.D. appears in CMS Medicare data with 386 Part D claims and 229 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT WHITEHEAD, M.D.'s credentials?
ROBERT WHITEHEAD, M.D.'s NPI is 1700863388 with credentials M.D.. 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