2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1679633960 M.D.
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ROY NINI, M.D.

Sports Medicine (Physical Medicine & Rehabilitation) Physician in LOS ANGELES, 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
643
Medicare Part D claims · 157 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 579
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$798.87
31 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ROY NINI, M.D. reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 643 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
643
Part D claims, 2023
94%
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.

ROY NINI, 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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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)

ROY NINI, M.D. 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).

What does the federal data show about ROY NINI, M.D.?

Below national average

NPI registry status

Active

Issued 12/09/2006

NPI 1679633960

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,267 US NPIs in this specialty

Medicare Part D claims

643 11% vs specialty avg

2023 prescription claims

Specialty avg: 579

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among California providers

California providers

Sports Medicine (Physical Medicine & Rehabilitation) Physician share within California

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

Medicare quality performance — MIPS

ROY NINI, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 0/100 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).

ROY NINI, M.D. appears in the CMS NPPES registry as a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 444 S SAN VICENTE BLVD, LOS ANGELES, CA, 90048, with a listed phone of (310) 423-9885. NPI 1679633960 was issued on 12/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NINI 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 643 prescription claims written by this provider, covering 157 Medicare beneficiaries and totaling roughly $38K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 63.5%. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Sports Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,267 enrolled providers across 52 states and an average of 579 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

444 S SAN VICENTE BLVD
LOS ANGELES, CA 90048

Provider Details

NPI 1679633960
Specialty Sports Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Male
NPI Issued 12/09/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where ROY NINI, 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.

ROY D NINI MD INC
LOS ANGELES, 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 ROY NINI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$799

Largest payer

Medtronic, 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.

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 ROY NINI, M.D.. To verify ROY NINI, M.D.'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.

Brand vs generic prescribing mix · Generic-heavy

ROY NINI, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 643 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.

643
Total Claims
$38K
Total Drug Cost
157
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
700
Total Day Supply
17,893
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$26K
Generic Drug Cost
$12K
Opioid Claims
408 (63.5% rate)

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.37
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What ROY NINI, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
164
Gabapentin
68
Tramadol Hcl
65
Oxycodone Hcl
61
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
48
Oxycontin
Oxycodone Hcl
33
Methocarbamol
27
Cyclobenzaprine Hcl
22
Pregabalin
18
Celecoxib
15

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

Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview

How ROY NINI, M.D. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,267
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
579
Avg Claims per Provider

ROY NINI, M.D.'s 643 claims are above the specialty average of 579.

Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in California

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

Compare Sports Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROY NINI, M.D.'s specialty?
ROY NINI, M.D. specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in LOS ANGELES, California. Credentials: M.D..
How much does ROY NINI, M.D. prescribe under Medicare Part D?
In 2023, ROY NINI, M.D. wrote 643 Medicare Part D claims totaling $38K in drug costs for 157 beneficiaries.
What is ROY NINI, M.D.'s Medicare quality score?
ROY NINI, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROY NINI, M.D. located?
ROY NINI, M.D. is located at 444 S SAN VICENTE BLVD, LOS ANGELES, CA, 90048. Phone: (310) 423-9885.
What is ROY NINI, M.D.'s NPI number?
ROY NINI, M.D.'s National Provider Identifier (NPI) is 1679633960, issued on 12/09/2006.
Does ROY NINI, M.D. prescribe more brand-name or generic drugs?
ROY NINI, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $26K in brand drug costs.
Does ROY NINI, M.D. prescribe opioids?
Yes, ROY NINI, M.D. had 408 opioid claims in 2023 with an opioid prescribing rate of 63.5%.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,267 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 579 Medicare Part D claims per year.
What drugs does ROY NINI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROY NINI, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROY NINI, M.D. accept Medicare?
ROY NINI, M.D. appears in CMS Medicare data with 643 Part D claims and 157 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROY NINI, M.D.'s credentials?
ROY NINI, M.D.'s NPI is 1679633960 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