NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1952415556 MD
Verify on CMS → Theodore Paisley, MD
Sports Medicine (Family Medicine) Physician in Salt Lake City, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family 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
129
Medicare Part D claims · 56 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
MIPS score
95.7/100
▲ 13 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Theodore Paisley, MD reported a CMS MIPS final score of 95.7/100 - above the 83.1 national average - and filed 129 Medicare Part D claims in 2023.
- 95.7/100
- MIPS score · +13 vs avg
- 129
- 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.
Theodore Paisley, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
96 Top 21% higher than 79% of 477,587 scored providers
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 Paisley, MD sits
This provider among sports medicine (family medicine) physician peers
Across the 571 sports medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Theodore Paisley, MD writes more Part D claims than 27% of them and scores higher on MIPS quality than 84% - placing this provider in the lower-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
Each dot is one sports medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Theodore Paisley, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Theodore Paisley, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Paisley, MD?
High performer (top quartile)Primary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
129 90% vs specialty avg
MIPS final score
95.7/100 12.6 pts vs avg
Specialty distribution in Utah
How Sports Medicine (Family Medicine) Physician compares to other specialties among Utah providers
Medicare quality performance, MIPS
Theodore Paisley, MD's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 95.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Family Medicine) Physician) - 95.7/100 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 Paisley, MD appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding MD credentials at 555 FOOTHILL DR, Salt Lake City, UT, 84112, with a listed phone of (801) 581-8000. NPI 1952415556 was issued on 08/19/2006.
Medicare Part D records for calendar year 2023 show 129 prescription claims written by this provider, covering 56 Medicare beneficiaries and totaling roughly $12K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.7/100 for the 2023 performance year (Quality 92.2), compared with the national average of 83.1.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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
Provider Details
| NPI | 1952415556 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/19/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.7054
Final Score
Avg: 83.1
92.1917
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Theodore Paisley, MD 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.
University OF Utah Adult Services
Salt Lake City, UT
University OF Utah Community Physicians Group
Salt Lake City, UT
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
129
Total Claims
$12K
Total Drug Cost
56
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 169
- Total Day Supply
- 4,448
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.33
- Gender Split
- 54% female / 46% 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 Paisley, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Meloxicam
Meloxicam
49 claims
- Duloxetine Hcl 15
Duloxetine Hcl
15 claims
- Diclofenac Sodium 12
Diclofenac Sodium
12 claims
- Prednisone 12
Prednisone
12 claims
| Drug | Claims |
|---|---|
| Meloxicam | 49 |
| Duloxetine Hcl | 15 |
| Diclofenac Sodium | 12 |
| Prednisone | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in UT →
All providers in Utah →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Theodore Paisley, MD fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
Theodore Paisley, MD's 129 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Paisley.
Dr. Aaron Anderson
M.D.
Lehi, UT
Dr. Laura Anderson
MD
Salt Lake City, UT
Dr. Joseph Atkin
M.D.
Draper, UT
Dr. Christopher Bell
M.D.
Layton, UT
Dr. David Brinton
MD
Riverton, UT
Compare Sports Medicine (Family 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 Utah medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Theodore Paisley, MD's specialty? ▼
Theodore Paisley, MD specializes in Sports Medicine (Family Medicine) Physician and practices in Salt Lake City, Utah. Credentials: MD.
How much does Theodore Paisley, MD prescribe under Medicare Part D? ▼
In 2023, Theodore Paisley, MD wrote 129 Medicare Part D claims totaling $12K in drug costs for 56 beneficiaries.
What is Theodore Paisley, MD's Medicare quality score? ▼
Theodore Paisley, MD has a CMS MIPS Final Score of 95.7/100 (Quality: 92.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Theodore Paisley, MD located? ▼
Theodore Paisley, MD is located at 555 FOOTHILL DR, Salt Lake City, UT, 84112. Phone: (801) 581-8000.
What is Theodore Paisley, MD's NPI number? ▼
Theodore Paisley, MD's National Provider Identifier (NPI) is 1952415556, issued on 08/19/2006.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does Theodore Paisley, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Theodore Paisley, MD's most frequently prescribed drugs include Meloxicam, Duloxetine Hcl, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theodore Paisley, MD accept Medicare? ▼
Theodore Paisley, MD appears in CMS Medicare data with 129 Part D claims and 56 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theodore Paisley, MD's credentials? ▼
Theodore Paisley, MD's NPI is 1952415556 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 PlainDoctor editorial team.