NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1770515264 M.D.
Verify on CMS → Thomas Calton, M.D.
Orthopaedic Surgery Physician in Washington Terrace, 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 25,781 in Orthopaedic Surgery 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
181
Medicare Part D claims · 119 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
12.1/100
▼ 71 pts below national avg 83.1 · Penalty band
Industry payments
$579.4K
45 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Thomas Calton, M.D. reported a CMS MIPS final score of 12.1/100 - below the 83.1 national average - and filed 181 Medicare Part D claims in 2023.
- 12.1/100
- MIPS score · -71 vs avg
- 181
- 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.
Thomas Calton, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
12 2nd percentile higher than 2% 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 Thomas Calton, M.D. sits
This provider among orthopaedic surgery physician peers
Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas Calton, M.D. writes more Part D claims than 40% of them and scores higher on MIPS quality than 3% - placing this provider in the lower-volume, lower-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 orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Thomas Calton, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Thomas Calton, M.D. 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 Thomas Calton, M.D.?
Below national averagePrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
181 44% vs specialty avg
MIPS final score
12.1/100 71 pts vs avg
Specialty distribution in Utah
How Orthopaedic Surgery Physician compares to other specialties among Utah providers
Medicare quality performance, MIPS
Thomas Calton, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average
- MIPS Final Score
- 12.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Surgery Physician) - 12.1/100 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).
Thomas Calton, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 425 E 5350 S STE 205, Washington Terrace, UT, 84405, with a listed phone of (801) 540-9556. NPI 1770515264 was issued on 07/07/2006.
Medicare Part D records for calendar year 2023 show 181 prescription claims written by this provider, covering 119 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 26.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 12.1/100 for the 2023 performance year (Quality 0, Cost 40.2), compared with the national average of 83.1.
Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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 | 1770515264 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/07/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
12.0572
Final Score
Avg: 83.1
0
Quality
40.1905
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 Thomas Calton, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$579.4K
Largest payer
ORTHO DEVELOPMENT CORPORATION
Most common payment type
Royalty or License
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.
181
Total Claims
$3K
Total Drug Cost
119
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 187
- Total Day Supply
- 2,380
- Generic Drug Cost
- $2K
- Opioid Claims
- 48 (26.5% rate)
- Antibiotic Claims
- 92
Patient Demographics
- Average Patient Age
- 73.1 years
- Avg HCC Risk Score
- 0.78
- Gender Split
- 58% female / 42% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Amoxicillin | 63 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 31 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How Thomas Calton, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.
25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider
Thomas Calton, M.D.'s 181 claims are below the specialty average of 324.
Nearby Orthopaedic Surgery Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Calton.
Dr. Gordon Affleck
M.D.
Bountiful, UT
Dr. Darin Allred
D.O
St George, UT
Dr. Bejan Alvandi
MD
Salt Lake City, UT
Dr. Robert Amick
MD
Salt Lake City, UT
Dr. Spencer Amundsen
M.D.
Draper, UT
Compare Orthopaedic Surgery 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 Orthopaedic Surgery 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.
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Frequently Asked Questions
What is Thomas Calton, M.D.'s specialty? ▼
Thomas Calton, M.D. specializes in Orthopaedic Surgery Physician and practices in Washington Terrace, Utah. Credentials: M.D..
How much does Thomas Calton, M.D. prescribe under Medicare Part D? ▼
In 2023, Thomas Calton, M.D. wrote 181 Medicare Part D claims totaling $3K in drug costs for 119 beneficiaries.
What is Thomas Calton, M.D.'s Medicare quality score? ▼
Thomas Calton, M.D. has a CMS MIPS Final Score of 12.1/100 (Quality: 0, Cost: 40.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Thomas Calton, M.D. located? ▼
Thomas Calton, M.D. is located at 425 E 5350 S STE 205, Washington Terrace, UT, 84405. Phone: (801) 540-9556.
What is Thomas Calton, M.D.'s NPI number? ▼
Thomas Calton, M.D.'s National Provider Identifier (NPI) is 1770515264, issued on 07/07/2006.
Does Thomas Calton, M.D. prescribe opioids? ▼
Yes, Thomas Calton, M.D. had 48 opioid claims in 2023 with an opioid prescribing rate of 26.5%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Thomas Calton, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Thomas Calton, M.D.'s most frequently prescribed drugs include Amoxicillin, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Calton, M.D. accept Medicare? ▼
Thomas Calton, M.D. appears in CMS Medicare data with 181 Part D claims and 119 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Calton, M.D.'s credentials? ▼
Thomas Calton, M.D.'s NPI is 1770515264 with credentials M.D.. 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.