2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1053561886
Verify on CMS →

SCOTT RAINEY

Orthopaedic Surgery of the Spine Physician in PITTSBURGH, Pennsylvania. 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
141
Medicare Part D claims · 89 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
82.633/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$74.48
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SCOTT RAINEY is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in PITTSBURGH, Pennsylvania with a Medicare Part D prescribing footprint of 141 claims across 89 beneficiaries . Their CMS MIPS Final Score of 82.633/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $74.48 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SCOTT RAINEY reported a CMS MIPS final score of 82.633 out of 100, below the 83.1 national average, and filed 141 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)

SCOTT RAINEY practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SCOTT RAINEY at a glance

Near national average

NPI registry status

Active

Issued 09/29/2008

NPI 1053561886

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

141 61% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

82.633/100 0.46699999999999875% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Orthopaedic Surgery of the Spine Physician share within Pennsylvania

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Pennsylvania

Medicare quality performance — MIPS

SCOTT RAINEY's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Near national average
MIPS Final Score
82.633/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 82.633/100 vs national avg 83.1

0%100%National avg83%82.6%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 82.633/100 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).

SCOTT RAINEY is a Orthopaedic Surgery of the Spine Physician provider practicing in PITTSBURGH, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1053561886. 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.

SCOTT RAINEY appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider at 9104 BABCOCK BLVD, PITTSBURGH, PA, 15237, with a listed phone of (412) 367-0600. NPI 1053561886 was issued on 09/29/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAINEY 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 141 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 28.4%. 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 82.633/100 for the 2023 performance year (Quality 77.7415, Cost 64.3685), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

9104 BABCOCK BLVD
PITTSBURGH, PA 15237

Provider Details

NPI 1053561886
Specialty Orthopaedic Surgery of the Spine Physician
Gender Male
NPI Issued 09/29/2008

CMS Quality Score (MIPS)

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

82.633
Final Score
Avg: 83.1
77.7415
Quality
64.3685
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SCOTT RAINEY 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.

KEYSTONE REHABILITATION SYSTEMS INC
SEVEN FIELDS, PA
PHOENIX REHABILITATION AND HEALTH SERVICES INC
CRANBERRY TOWNSHIP, PA
UPMC MULTISPECIALTY GROUP INC
SLIPPERY ROCK, PA

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 SCOTT RAINEY. Source: openpaymentsdata.cms.gov.

Total received

$74

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to SCOTT RAINEY. To verify SCOTT RAINEY's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

141
Total Claims
$1K
Total Drug Cost
89
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
141
Total Day Supply
1,189
Generic Drug Cost
$819
Opioid Claims
40 (28.4% rate)

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.34
Gender Split
65% female / 35% male
Age Distribution
<65: 15, 65-74: 38, 75-84: 23, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cyclobenzaprine Hcl
38
Methylprednisolone
26
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
18
Prednisone
16

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

Orthopaedic Surgery of the Spine Physician Overview

How SCOTT RAINEY fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

SCOTT RAINEY's 141 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Pennsylvania

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SCOTT RAINEY's specialty?
SCOTT RAINEY specializes in Orthopaedic Surgery of the Spine Physician and practices in PITTSBURGH, Pennsylvania.
How much does SCOTT RAINEY prescribe under Medicare Part D?
In 2023, SCOTT RAINEY wrote 141 Medicare Part D claims totaling $1K in drug costs for 89 beneficiaries.
What is SCOTT RAINEY's Medicare quality score?
SCOTT RAINEY has a CMS MIPS Final Score of 82.633/100 (Quality: 77.7415, Cost: 64.3685). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SCOTT RAINEY located?
SCOTT RAINEY is located at 9104 BABCOCK BLVD, PITTSBURGH, PA, 15237. Phone: (412) 367-0600.
What is SCOTT RAINEY's NPI number?
SCOTT RAINEY's National Provider Identifier (NPI) is 1053561886, issued on 09/29/2008.
Does SCOTT RAINEY prescribe opioids?
Yes, SCOTT RAINEY had 40 opioid claims in 2023 with an opioid prescribing rate of 28.4%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does SCOTT RAINEY prescribe most often?
Based on 2023 Medicare Part D data, SCOTT RAINEY's most frequently prescribed drugs include Cyclobenzaprine Hcl, Methylprednisolone, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SCOTT RAINEY accept Medicare?
SCOTT RAINEY appears in CMS Medicare data with 141 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SCOTT RAINEY's credentials?
SCOTT RAINEY's NPI is 1053561886. 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