NPI registry status
Active
2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1790027415 MD
Verify on CMS → Seth Korbin, MD
Adult Reconstructive Orthopaedic Surgery Physician in Stony Brook, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,286 in Adult Reconstructive Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
106
Medicare Part D claims · 60 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 537
MIPS score
98.5/100
▲ 15 pts above national avg 83.5 · Exceptional
Industry payments
$2.7K
17 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Seth Korbin, MD reported a CMS MIPS final score of 98.5/100 - above the 83.5 national average - and filed 106 Medicare Part D claims in 2024.
- 98.5/100
- MIPS score · +15 vs avg
- 106
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥89th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Seth Korbin, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1790027415), first enumerated 03/20/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 106 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 98.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$2.7K in reported industry payments (17 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Seth Korbin, MD's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1790027415 · Adult Reconstructive Orthopaedic Surgery Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1790027415
- ENUM-MID 2013
- TAX-NARROW 1,286
- MIPS-ELITE 98.5/100
- RX-LIGHT 106
- BOOK-THIN 91 in New York
- PHOTO-FINISH Nicholas Alexander · ±0.2
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Michael Sybert ·…
Michael Sybert
98.1 MIPS pts
- David Fehnel · n…
David Fehnel
98.3 MIPS pts
- James O'Holleran…
James O'Holleran
98.3 MIPS pts
- Korbin · this pr…
Korbin · this provider
98.5 MIPS pts
- Nicholas Alexand…
Nicholas Alexander
98.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Seth Korbin, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
99 ≥ 89th percentile 89% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Seth Korbin, MD sits
This provider among adult reconstructive orthopaedic surgery physician peers
Across the 422 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Seth Korbin, MD writes more Part D claims than 13% of them and scores higher on MIPS quality than 93% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Seth Korbin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Seth Korbin, MD 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 Seth Korbin, MD?
High performer (top quartile)Primary specialty
Adult Reconstructive Orthopaedic Surgery Physician
Medicare Part D claims
106 80% vs specialty avg
MIPS final score
98.5/100 15 pts vs avg
Specialty distribution in New York
How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Seth Korbin, MD's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average
- MIPS Final Score
- 98.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1790027415 |
|---|---|
| Specialty | Adult Reconstructive Orthopaedic Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/20/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.5241
Final Score
Measured-score avg: 83.5
82.8545
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Seth Korbin, 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.
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor
East Setauket, NY
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 Seth Korbin, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.7K
Largest payer
Medical Device Business Services, 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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Seth Korbin, MD. To verify Seth Korbin, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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 2024.
106
Total Claims
$631
Total Drug Cost
60
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 109
- Total Day Supply
- 1,526
- Brand Drug Cost
- $0
- Generic Drug Cost
- $631
- Opioid Claims
- 28 (26.4% rate)
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 74.3 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 65% female / 35% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Meloxicam | 20 |
| Oxycodone Hcl | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Reconstructive Orthopaedic Surgery Physician in NY →
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Adult Reconstructive Orthopaedic Surgery Physician Overview
How Seth Korbin, MD fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.
1,286
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
537
Avg Claims per Provider
Seth Korbin, MD's 106 claims are below the specialty average of 537.
Nationwide Adult Reconstructive Orthopaedic Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Korbin, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (98.5 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Korbin.
One of 91 Adult Reconstructive Orthopaedic Surgery Physician providers enrolled in New York, 5 are shown here.
Frequently Asked Questions
What is Seth Korbin, MD's specialty? ▼
Seth Korbin, MD specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Stony Brook, New York. Credentials: MD.
How much does Seth Korbin, MD prescribe under Medicare Part D? ▼
In 2024, Seth Korbin, MD wrote 106 Medicare Part D claims totaling $631 in drug costs for 60 beneficiaries.
What is Seth Korbin, MD's Medicare quality score? ▼
Seth Korbin, MD has a CMS MIPS Final Score of 98.5/100 (Quality: 82.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Seth Korbin, MD located? ▼
Seth Korbin, MD is located at DEPARTMENT OF ORTHOPAEDICS HSC T 18, Stony Brook, NY, 11794. Phone: (631) 444-1487.
What is Seth Korbin, MD's NPI number? ▼
Seth Korbin, MD's National Provider Identifier (NPI) is 1790027415, issued on 03/20/2013.
Does Seth Korbin, MD prescribe opioids? ▼
Yes, Seth Korbin, MD had 28 opioid claims in 2024 with an opioid prescribing rate of 26.4%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US? ▼
There are 1,286 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 537 Medicare Part D claims per year.
What drugs does Seth Korbin, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Seth Korbin, MD's most frequently prescribed drugs include Meloxicam, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Seth Korbin, MD accept Medicare? ▼
Seth Korbin, MD appears in CMS Medicare data with 106 Part D claims and 60 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Seth Korbin, MD's credentials? ▼
Seth Korbin, MD's NPI is 1790027415 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.