2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1265425706 MD
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THOMAS KOHL, MD

Sports Medicine (Family Medicine) Physician in LEBANON, Pennsylvania. 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
5K
Medicare Part D claims · 927 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.1913/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$25.14
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: THOMAS KOHL, MD is a Sports Medicine (Family Medicine) Physician ([object Object]) practicing in LEBANON, Pennsylvania with a Medicare Part D prescribing footprint of 5K claims across 927 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 81.1913/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $25.14 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: THOMAS KOHL, MD reported a CMS MIPS final score of 81.1913 out of 100, below the 83.1 national average, and filed 5,037 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

THOMAS KOHL, 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).

THOMAS KOHL, MD at a glance

Near national average

NPI registry status

Active

Issued 08/30/2005

NPI 1265425706

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

5,037 306% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

MIPS final score

81.1913/100 1.908699999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Sports Medicine (Family Medicine) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Sports Medicine (Family Medicine) Physician share within Pennsylvania

1. Sports Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Family Medicine) Physician share within Pennsylvania

Medicare quality performance — MIPS

THOMAS KOHL, MD's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average

Near national average
MIPS Final Score
81.1913/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Family Medicine) Physician) — 81.1913/100 vs national avg 83.1

0%100%National avg83%81.2%
MIPS final score (Sports Medicine (Family Medicine) Physician) — 81.1913/100 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).

THOMAS KOHL, MD is a Sports Medicine (Family Medicine) Physician provider practicing in LEBANON, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265425706. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

THOMAS KOHL, MD appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding MD credentials at 1701 CORNWALL RD, LEBANON, PA, 17042, with a listed phone of (717) 675-1750. NPI 1265425706 was issued on 08/30/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOHL 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 5,037 prescription claims written by this provider, covering 927 Medicare beneficiaries and totaling roughly $449K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 1.5%. 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 81.1913/100 for the 2023 performance year (Quality 74.5659, Cost 65.2384), 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

1701 CORNWALL RD
LEBANON, PA 17042

Provider Details

NPI 1265425706
Specialty Sports Medicine (Family Medicine) Physician
Credentials MD
Gender Male
NPI Issued 08/30/2005

CMS Quality Score (MIPS)

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

81.1913
Final Score
Avg: 83.1
74.5659
Quality
65.2384
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where THOMAS KOHL, 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.

H2 REHABILITATION EXTENSION SERVICES LLC
BOYERTOWN, PA
TOWER HEALTH MEDICAL GROUP
READING, PA

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 THOMAS KOHL, MD. Source: openpaymentsdata.cms.gov.

Total received

$25

Largest payer

Blueprint Medicines Corporation

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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to THOMAS KOHL, MD. To verify THOMAS KOHL, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

THOMAS KOHL, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 5,037 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.

5,037
Total Claims
$449K
Total Drug Cost
927
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,536
Total Day Supply
338,398
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$361K
Generic Drug Cost
$86K
Opioid Claims
76 (1.5% rate)
Antibiotic Claims
76

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.14
Gender Split
48% female / 52% male
Age Distribution
<65: 60, 65-74: 387, 75-84: 344, 85+: 136

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
311
Lisinopril
227
Levothyroxine Sodium
210
Simvastatin
185
Metoprolol Succinate
184
Amlodipine Besylate
183
Omeprazole
150
Losartan Potassium
145
Hydrochlorothiazide
135
Metformin Hcl
113

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

Sports Medicine (Family Medicine) Physician Overview

How THOMAS KOHL, 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

THOMAS KOHL, MD's 5,037 claims are above the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is THOMAS KOHL, MD's specialty?
THOMAS KOHL, MD specializes in Sports Medicine (Family Medicine) Physician and practices in LEBANON, Pennsylvania. Credentials: MD.
How much does THOMAS KOHL, MD prescribe under Medicare Part D?
In 2023, THOMAS KOHL, MD wrote 5,037 Medicare Part D claims totaling $449K in drug costs for 927 beneficiaries.
What is THOMAS KOHL, MD's Medicare quality score?
THOMAS KOHL, MD has a CMS MIPS Final Score of 81.1913/100 (Quality: 74.5659, Cost: 65.2384). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS KOHL, MD located?
THOMAS KOHL, MD is located at 1701 CORNWALL RD, LEBANON, PA, 17042. Phone: (717) 675-1750.
What is THOMAS KOHL, MD's NPI number?
THOMAS KOHL, MD's National Provider Identifier (NPI) is 1265425706, issued on 08/30/2005.
Does THOMAS KOHL, MD prescribe more brand-name or generic drugs?
THOMAS KOHL, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $361K in brand drug costs.
Does THOMAS KOHL, MD prescribe opioids?
Yes, THOMAS KOHL, MD had 76 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
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 THOMAS KOHL, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS KOHL, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS KOHL, MD accept Medicare?
THOMAS KOHL, MD appears in CMS Medicare data with 5,037 Part D claims and 927 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS KOHL, MD's credentials?
THOMAS KOHL, MD's NPI is 1265425706 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