2026 NPPES data Internal Medicine Physician NPI 1477517118 MD
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Theodore Marty, MD

Internal Medicine Physician in Cincinnati, Ohio.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine 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
5K
Medicare Part D claims · 357 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.1/100
▲ 10 pts above national avg 83.1 · Exceptional

What the federal data shows

Theodore Marty, MD reported a CMS MIPS final score of 93.1/100 - above the 83.1 national average - and filed 5,263 Medicare Part D claims in 2023.

93.1/100
MIPS score · +10 vs avg
5K
Part D claims, 2023
85%
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.

Theodore Marty, MD's MIPS score vs every scored U.S. clinician

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

93 Top 29% higher than 71% 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+: 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

Where Theodore Marty, MD sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Theodore Marty, MD writes more Part D claims than 81% of them and scores higher on MIPS quality than 72% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Theodore Marty, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Theodore Marty, 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 Theodore Marty, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/12/2006

NPI 1477517118

Primary specialty

Internal Medicine Physician

High-volume

172,737 US NPIs in this specialty

Medicare Part D claims

5,263 94% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

93.1/100 10 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Internal Medicine Physician compares to other specialties among Ohio providers

Ohio providers
Case Manager/Care Coordinator10.9%Student in an Organized Heal…4.7%Licensed Practical Nurse4%Addiction (Substance Use Dis…3.5%Registered Nurse3.4%Pharmacist3.4%Internal Medicine Physician1.9%
Largest specialties in Ohio (% of in-state providers)

Medicare quality performance, MIPS

Theodore Marty, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
93.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) - 93.1/100 vs national avg 83.1

0%100%National avg83%93.1%
MIPS final score (Internal Medicine Physician) - 93.1/100 vs national avg 83.1
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).

Theodore Marty, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at 1507 SPRINGFIELD PIKE, Cincinnati, OH, 45215, with a listed phone of (513) 821-6500. NPI 1477517118 was issued on 04/12/2006.

Medicare Part D records for calendar year 2023 show 5,263 prescription claims written by this provider, covering 357 Medicare beneficiaries and totaling roughly $509K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 2.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.1/100 for the 2023 performance year (Quality 100, Cost 77.1), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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

1507 SPRINGFIELD PIKE
Cincinnati, OH 45215

Provider Details

NPI 1477517118
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/12/2006

CMS Quality Score (MIPS)

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

93.1176
Final Score
Avg: 83.1
100
Quality
77.0588
Cost
100
Promoting Interoperability

Reporting: Individual

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 Theodore Marty, MD. To verify Theodore Marty, MD'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

Theodore Marty, MD - brand share 15.0%
Internal Medicine Physician average

15% brand-name claims vs 85% generic, on 5,263 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.

5,263
Total Claims
$509K
Total Drug Cost
357
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,177
Total Day Supply
315,536
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$417K
Generic Drug Cost
$90K
Opioid Claims
152 (2.9% rate)
Antibiotic Claims
247

Patient Demographics

Average Patient Age
77.9 years
Avg HCC Risk Score
1.11
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

What Theodore Marty, 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
Atorvastatin Calcium
373
Levothyroxine Sodium
232
Amlodipine Besylate
229
Lisinopril
211
Rosuvastatin Calcium
207
Losartan Potassium
175
Metoprolol Succinate
147
Gabapentin
140
Sertraline Hcl
134
Metformin Hcl
125

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

Internal Medicine Physician Overview

How Theodore Marty, MD fits within the Internal Medicine Physician landscape nationally.

172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Theodore Marty, MD's 5,263 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Ohio

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Ohio medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Theodore Marty, MD's specialty?
Theodore Marty, MD specializes in Internal Medicine Physician and practices in Cincinnati, Ohio. Credentials: MD.
How much does Theodore Marty, MD prescribe under Medicare Part D?
In 2023, Theodore Marty, MD wrote 5,263 Medicare Part D claims totaling $509K in drug costs for 357 beneficiaries.
What is Theodore Marty, MD's Medicare quality score?
Theodore Marty, MD has a CMS MIPS Final Score of 93.1/100 (Quality: 100, Cost: 77.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Theodore Marty, MD located?
Theodore Marty, MD is located at 1507 SPRINGFIELD PIKE, Cincinnati, OH, 45215. Phone: (513) 821-6500.
What is Theodore Marty, MD's NPI number?
Theodore Marty, MD's National Provider Identifier (NPI) is 1477517118, issued on 04/12/2006.
Does Theodore Marty, MD prescribe more brand-name or generic drugs?
Theodore Marty, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $417K in brand drug costs.
Does Theodore Marty, MD prescribe opioids?
Yes, Theodore Marty, MD had 152 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Internal Medicine Physician providers are there in the US?
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Theodore Marty, MD prescribe most often?
Based on 2023 Medicare Part D data, Theodore Marty, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theodore Marty, MD accept Medicare?
Theodore Marty, MD appears in CMS Medicare data with 5,263 Part D claims and 357 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theodore Marty, MD's credentials?
Theodore Marty, MD's NPI is 1477517118 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 (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

Compiled from official public sources by the editorial process.

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 May 2026.