2026 NPPES data Family Medicine Physician NPI 1912918343 MD
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STEVEN PRIBANICH, MD

Family Medicine Physician in CROSSVILLE, Tennessee. 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
8K
Medicare Part D claims · 457 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
60.1729/100
▼ 23 pts below national avg 83.1 · [object Object]
Industry payments
$23.68
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

STEVEN PRIBANICH, MD reported a CMS MIPS final score of 60.1729/100 — below the 83.1 national average — and filed 7,769 Medicare Part D claims in 2023.

60.1729/100
MIPS score · -23 vs avg
8K
Part D claims, 2023
90%
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.

STEVEN PRIBANICH, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

60 6th percentile higher than 6% 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%). This entry sits in this band. 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)

STEVEN PRIBANICH, MD 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 STEVEN PRIBANICH, MD?

Below national average

NPI registry status

Active

Issued 08/10/2006

NPI 1912918343

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

7,769 127% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

60.1729/100 22.927099999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Tennessee

How Family Medicine Physician compares to other specialties among Tennessee providers

Tennessee providers

Family Medicine Physician share within Tennessee

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Tennessee

Medicare quality performance — MIPS

STEVEN PRIBANICH, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
60.1729/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 60.1729/100 vs national avg 83.1

0%100%National avg83%60.2%
MIPS final score (Family Medicine Physician) — 60.1729/100 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).

STEVEN PRIBANICH, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 57 W ADAMS ST, CROSSVILLE, TN, 38555, with a listed phone of (931) 484-7675. NPI 1912918343 was issued on 08/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PRIBANICH 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 7,769 prescription claims written by this provider, covering 457 Medicare beneficiaries and totaling roughly $574K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 3.8%. 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 60.1729/100 for the 2023 performance year (Quality 99.6467, Cost 67.7141), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

57 W ADAMS ST
CROSSVILLE, TN 38555

Provider Details

NPI 1912918343
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 08/10/2006

CMS Quality Score (MIPS)

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

60.1729
Final Score
Avg: 83.1
99.6467
Quality
67.7141
Cost

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 STEVEN PRIBANICH, MD. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

ITI, Inc. (d/b/a Intra-Cellular Therapies, 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.

Brand vs generic prescribing mix · Typical

STEVEN PRIBANICH, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 7,769 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.

7,769
Total Claims
$574K
Total Drug Cost
457
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18,471
Total Day Supply
543,458
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$409K
Generic Drug Cost
$162K
Opioid Claims
299 (3.8% rate)
Antibiotic Claims
231

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.08
Gender Split
43% female / 57% male
Age Distribution
<65: 29, 65-74: 183, 75-84: 196, 85+: 49

Top Prescribed Drugs (Medicare Part D)

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

What STEVEN PRIBANICH, MD 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
Amlodipine Besylate
383
Levothyroxine Sodium
369
Rosuvastatin Calcium
317
Atorvastatin Calcium
285
Losartan Potassium
245
Simvastatin
215
Omeprazole
205
Metoprolol Tartrate
200
Metformin Hcl
175
Pantoprazole Sodium
159

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

Family Medicine Physician Overview

How STEVEN PRIBANICH, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

STEVEN PRIBANICH, MD's 7,769 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Tennessee

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEVEN PRIBANICH, MD's specialty?
STEVEN PRIBANICH, MD specializes in Family Medicine Physician and practices in CROSSVILLE, Tennessee. Credentials: MD.
How much does STEVEN PRIBANICH, MD prescribe under Medicare Part D?
In 2023, STEVEN PRIBANICH, MD wrote 7,769 Medicare Part D claims totaling $574K in drug costs for 457 beneficiaries.
What is STEVEN PRIBANICH, MD's Medicare quality score?
STEVEN PRIBANICH, MD has a CMS MIPS Final Score of 60.1729/100 (Quality: 99.6467, Cost: 67.7141). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEVEN PRIBANICH, MD located?
STEVEN PRIBANICH, MD is located at 57 W ADAMS ST, CROSSVILLE, TN, 38555. Phone: (931) 484-7675.
What is STEVEN PRIBANICH, MD's NPI number?
STEVEN PRIBANICH, MD's National Provider Identifier (NPI) is 1912918343, issued on 08/10/2006.
Does STEVEN PRIBANICH, MD prescribe more brand-name or generic drugs?
STEVEN PRIBANICH, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $409K in brand drug costs.
Does STEVEN PRIBANICH, MD prescribe opioids?
Yes, STEVEN PRIBANICH, MD had 299 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does STEVEN PRIBANICH, MD prescribe most often?
Based on 2023 Medicare Part D data, STEVEN PRIBANICH, MD's most frequently prescribed drugs include Amlodipine Besylate, Levothyroxine Sodium, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEVEN PRIBANICH, MD accept Medicare?
STEVEN PRIBANICH, MD appears in CMS Medicare data with 7,769 Part D claims and 457 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEVEN PRIBANICH, MD's credentials?
STEVEN PRIBANICH, MD's NPI is 1912918343 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

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