2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1205986882 M.D.
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STEPHEN SANDOVAL, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in SHERMAN, Texas. 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
325
Medicare Part D claims · 112 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$34.11
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

STEPHEN SANDOVAL, M.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 325 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
325
Part D claims, 2023
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.

STEPHEN SANDOVAL, 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

100 Top 7% higher than 93% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

STEPHEN SANDOVAL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 STEPHEN SANDOVAL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 01/12/2007

NPI 1205986882

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

325 17% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

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

Texas providers

Sports Medicine (Orthopaedic Surgery) Physician share within Texas

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

Medicare quality performance — MIPS

STEPHEN SANDOVAL, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 100/100 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).

STEPHEN SANDOVAL, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 321 N HIGHLAND AVE, SHERMAN, TX, 75092, with a listed phone of (903) 870-7936. NPI 1205986882 was issued on 01/12/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANDOVAL 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 325 prescription claims written by this provider, covering 112 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 30.2%. 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 100/100 for the 2023 performance year (Quality 100), 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

321 N HIGHLAND AVE
SHERMAN, TX 75092

Provider Details

NPI 1205986882
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 01/12/2007

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Individual

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 STEPHEN SANDOVAL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$34

Largest payer

Pylant Medical

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to STEPHEN SANDOVAL, M.D.. To verify STEPHEN SANDOVAL, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

325
Total Claims
$3K
Total Drug Cost
112
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
328
Total Day Supply
3,720
Brand Drug Cost
$0
Generic Drug Cost
$3K
Opioid Claims
98 (30.2% rate)
Antibiotic Claims
100

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
0.97
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What STEPHEN SANDOVAL, 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
86
Gabapentin
51
Meloxicam
32
Doxycycline Hyclate
30
Celecoxib
21
Cephalexin
19
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
17
Clindamycin Hcl
16
Tramadol Hcl
12

* 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 STEPHEN SANDOVAL, M.D. 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

STEPHEN SANDOVAL, M.D.'s 325 claims are above the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Texas

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

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

Frequently Asked Questions

What is STEPHEN SANDOVAL, M.D.'s specialty?
STEPHEN SANDOVAL, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in SHERMAN, Texas. Credentials: M.D..
How much does STEPHEN SANDOVAL, M.D. prescribe under Medicare Part D?
In 2023, STEPHEN SANDOVAL, M.D. wrote 325 Medicare Part D claims totaling $3K in drug costs for 112 beneficiaries.
What is STEPHEN SANDOVAL, M.D.'s Medicare quality score?
STEPHEN SANDOVAL, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEPHEN SANDOVAL, M.D. located?
STEPHEN SANDOVAL, M.D. is located at 321 N HIGHLAND AVE, SHERMAN, TX, 75092. Phone: (903) 870-7936.
What is STEPHEN SANDOVAL, M.D.'s NPI number?
STEPHEN SANDOVAL, M.D.'s National Provider Identifier (NPI) is 1205986882, issued on 01/12/2007.
Does STEPHEN SANDOVAL, M.D. prescribe opioids?
Yes, STEPHEN SANDOVAL, M.D. had 98 opioid claims in 2023 with an opioid prescribing rate of 30.2%.
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 STEPHEN SANDOVAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, STEPHEN SANDOVAL, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEPHEN SANDOVAL, M.D. accept Medicare?
STEPHEN SANDOVAL, M.D. appears in CMS Medicare data with 325 Part D claims and 112 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN SANDOVAL, M.D.'s credentials?
STEPHEN SANDOVAL, M.D.'s NPI is 1205986882 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