2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1265607592 MD, MPH
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SUNIL MENON, MD, MPH

Adult Reconstructive Orthopaedic Surgery Physician in PONCA CITY, Oklahoma. 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
105
Medicare Part D claims · 65 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
75.6636/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$20.74
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SUNIL MENON, MD, MPH reported a CMS MIPS final score of 75.6636/100 — below the 83.1 national average — and filed 105 Medicare Part D claims in 2023.

75.6636/100
MIPS score · -7 vs avg
105
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.

SUNIL MENON, MD, MPH's MIPS score vs every scored U.S. clinician

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

76 15th percentile higher than 15% 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%). This entry sits in this band. 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)

SUNIL MENON, MD, MPH 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 SUNIL MENON, MD, MPH?

Below national average

NPI registry status

Active

Issued 04/28/2008

NPI 1265607592

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

105 79% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

75.6636/100 7.436399999999992% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Adult Reconstructive Orthopaedic Surgery Physician share within Oklahoma

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within Oklahoma

Medicare quality performance — MIPS

SUNIL MENON, MD, MPH's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
75.6636/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 75.6636/100 vs national avg 83.1

0%100%National avg83%75.7%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 75.6636/100 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).

SUNIL MENON, MD, MPH appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding MD, MPH credentials at 415 FAIRVIEW AVE # 202, PONCA CITY, OK, 74601, with a listed phone of (580) 718-4507. NPI 1265607592 was issued on 04/28/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MENON 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 105 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 52.4%. 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 75.6636/100 for the 2023 performance year (Quality 79.1861, Cost 39.6926), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

415 FAIRVIEW AVE # 202
PONCA CITY, OK 74601

Provider Details

NPI 1265607592
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials MD, MPH
Gender Male
NPI Issued 04/28/2008

CMS Quality Score (MIPS)

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

75.6636
Final Score
Avg: 83.1
79.1861
Quality
39.6926
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SUNIL MENON, MD, MPH 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.

COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
COFFEYVILLE, KS

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 SUNIL MENON, MD, MPH. Source: openpaymentsdata.cms.gov.

Total received

$21

Largest payer

ACUMED LLC

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.

Medicare Part D Prescribing Data

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

105
Total Claims
$2K
Total Drug Cost
65
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
109
Total Day Supply
1,282
Brand Drug Cost
$0
Generic Drug Cost
$2K
Opioid Claims
55 (52.4% rate)
Antibiotic Claims
37

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.37
Gender Split
58% female / 42% male
Age Distribution
<65: 17, 65-74: 29, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What SUNIL MENON, MD, MPH 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
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
28
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
22
Minocycline Hcl
11

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How SUNIL MENON, MD, MPH fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

SUNIL MENON, MD, MPH's 105 claims are below the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Oklahoma

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

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUNIL MENON, MD, MPH's specialty?
SUNIL MENON, MD, MPH specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in PONCA CITY, Oklahoma. Credentials: MD, MPH.
How much does SUNIL MENON, MD, MPH prescribe under Medicare Part D?
In 2023, SUNIL MENON, MD, MPH wrote 105 Medicare Part D claims totaling $2K in drug costs for 65 beneficiaries.
What is SUNIL MENON, MD, MPH's Medicare quality score?
SUNIL MENON, MD, MPH has a CMS MIPS Final Score of 75.6636/100 (Quality: 79.1861, Cost: 39.6926). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUNIL MENON, MD, MPH located?
SUNIL MENON, MD, MPH is located at 415 FAIRVIEW AVE # 202, PONCA CITY, OK, 74601. Phone: (580) 718-4507.
What is SUNIL MENON, MD, MPH's NPI number?
SUNIL MENON, MD, MPH's National Provider Identifier (NPI) is 1265607592, issued on 04/28/2008.
Does SUNIL MENON, MD, MPH prescribe opioids?
Yes, SUNIL MENON, MD, MPH had 55 opioid claims in 2023 with an opioid prescribing rate of 52.4%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does SUNIL MENON, MD, MPH prescribe most often?
Based on 2023 Medicare Part D data, SUNIL MENON, MD, MPH's most frequently prescribed drugs include Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen, Minocycline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUNIL MENON, MD, MPH accept Medicare?
SUNIL MENON, MD, MPH appears in CMS Medicare data with 105 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUNIL MENON, MD, MPH's credentials?
SUNIL MENON, MD, MPH's NPI is 1265607592 with credentials MD, MPH. 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