2026 NPPES data Sports Medicine (Emergency Medicine) Physician NPI 1043605496 DO
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STEPHEN SANKER, DO

Sports Medicine (Emergency Medicine) Physician in CINCINNATI, 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
5K
Medicare Part D claims · 561 beneficiaries · Sports Medicine (Emergency Medicine) Physician avg: 270
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
59 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

STEPHEN SANKER, DO filed 5,179 Medicare Part D claims in 2023 as a Sports Medicine (Emergency Medicine) Physician in CINCINNATI, Ohio, prescribing 88% generic.

5K
Part D claims, 2023
88%
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.

STEPHEN SANKER, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

5,179 Top 6% higher than 94% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

STEPHEN SANKER, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 STEPHEN SANKER, DO?

Quality data not reported

NPI registry status

Active

Issued 04/02/2015

NPI 1043605496

Primary specialty

Sports Medicine (Emergency Medicine) Physician

Rare

311 US NPIs in this specialty

Medicare Part D claims

5,179 1818% vs specialty avg

2023 prescription claims

Specialty avg: 270

Specialty distribution in Ohio

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

Ohio providers

Sports Medicine (Emergency Medicine) Physician share within Ohio

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

Specialty board-certification context

Estimated specialty board-certified rate — Sports Medicine (Emergency Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sports Medicine (Emergency Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Sports Medicine (Emergency Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sports Medicine (Emergency Medicine) Physician) — ABMS / AOA estimate

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 SANKER, DO appears in the CMS NPPES registry as a Sports Medicine (Emergency Medicine) Physician provider holding DO credentials at 1775 LEXINGTON AVE, CINCINNATI, OH, 45212, with a listed phone of (513) 977-6758. NPI 1043605496 was issued on 04/02/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANKER 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 5,179 prescription claims written by this provider, covering 561 Medicare beneficiaries and totaling roughly $560K in drug spend, split 12% brand-name and 88% generic by claim count. 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.

Sports Medicine (Emergency Medicine) Physician is a narrow specialty nationwide, with 311 enrolled providers across 44 states and an average of 270 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

1775 LEXINGTON AVE
CINCINNATI, OH 45212

Provider Details

NPI 1043605496
Specialty Sports Medicine (Emergency Medicine) Physician
Credentials DO
Gender Male
NPI Issued 04/02/2015

Hospital and facility affiliations

Facilities where STEPHEN SANKER, DO 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.

TRIHEALTH G LLC
CINCINNATI, 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 STEPHEN SANKER, DO. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

AstraZeneca Pharmaceuticals LP

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 STEPHEN SANKER, DO. To verify STEPHEN SANKER, DO'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 · Typical

STEPHEN SANKER, DO — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 5,179 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.

5,179
Total Claims
$560K
Total Drug Cost
561
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,032
Total Day Supply
378,787
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$488K
Generic Drug Cost
$70K
Antibiotic Claims
81

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.13
Gender Split
53% female / 47% male
Age Distribution
<65: 26, 65-74: 300, 75-84: 160, 85+: 75

Top Prescribed Drugs (Medicare Part D)

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

What STEPHEN SANKER, DO 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
Atorvastatin Calcium
586
Amlodipine Besylate
234
Lisinopril
222
Losartan Potassium
199
Levothyroxine Sodium
191
Hydrochlorothiazide
158
Omeprazole
124
Pravastatin Sodium
93
Rosuvastatin Calcium
90
Pantoprazole Sodium
88

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

Sports Medicine (Emergency Medicine) Physician Overview

How STEPHEN SANKER, DO fits within the Sports Medicine (Emergency Medicine) Physician landscape nationally.

311
Sports Medicine (Emergency Medicine) Physician Providers in US
44
States with Sports Medicine (Emergency Medicine) Physician
270
Avg Claims per Provider

STEPHEN SANKER, DO's 5,179 claims are above the specialty average of 270.

Nearby Sports Medicine (Emergency Medicine) Physician Providers in Ohio

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

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

Frequently Asked Questions

What is STEPHEN SANKER, DO's specialty?
STEPHEN SANKER, DO specializes in Sports Medicine (Emergency Medicine) Physician and practices in CINCINNATI, Ohio. Credentials: DO.
How much does STEPHEN SANKER, DO prescribe under Medicare Part D?
In 2023, STEPHEN SANKER, DO wrote 5,179 Medicare Part D claims totaling $560K in drug costs for 561 beneficiaries.
Where is STEPHEN SANKER, DO located?
STEPHEN SANKER, DO is located at 1775 LEXINGTON AVE, CINCINNATI, OH, 45212. Phone: (513) 977-6758.
What is STEPHEN SANKER, DO's NPI number?
STEPHEN SANKER, DO's National Provider Identifier (NPI) is 1043605496, issued on 04/02/2015.
Does STEPHEN SANKER, DO prescribe more brand-name or generic drugs?
STEPHEN SANKER, DO's prescribing is 12% brand-name and 88% generic drugs by claim count, with $488K in brand drug costs.
How many Sports Medicine (Emergency Medicine) Physician providers are there in the US?
There are 311 Sports Medicine (Emergency Medicine) Physician providers across 44 states in the US. The average Sports Medicine (Emergency Medicine) Physician provider writes 270 Medicare Part D claims per year.
What drugs does STEPHEN SANKER, DO prescribe most often?
Based on 2023 Medicare Part D data, STEPHEN SANKER, DO's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEPHEN SANKER, DO accept Medicare?
STEPHEN SANKER, DO appears in CMS Medicare data with 5,179 Part D claims and 561 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN SANKER, DO's credentials?
STEPHEN SANKER, DO's NPI is 1043605496 with credentials DO. 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.
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