2026 NPPES data Sports Medicine (Preventive Medicine) Physician NPI 1538126255 M.D.
Verify on CMS →

THOMAS MARLOWE, M.D.

Sports Medicine (Preventive Medicine) Physician in CHARLOTTE, North Carolina. 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
225
Medicare Part D claims · 47 beneficiaries · Sports Medicine (Preventive Medicine) Physician avg: 352
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

THOMAS MARLOWE, M.D. filed 225 Medicare Part D claims in 2023 as a Sports Medicine (Preventive Medicine) Physician in CHARLOTTE, North Carolina, prescribing 58% generic.

225
Part D claims, 2023
58%
generic prescribing

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 MARLOWE, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

225 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

THOMAS MARLOWE, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about THOMAS MARLOWE, M.D.?

Quality data not reported

NPI registry status

Active

Issued 04/27/2006

NPI 1538126255

Primary specialty

Sports Medicine (Preventive Medicine) Physician

Rare

160 US NPIs in this specialty

Medicare Part D claims

225 36% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in North Carolina

How Sports Medicine (Preventive Medicine) Physician compares to other specialties among North Carolina providers

North Carolina providers

Sports Medicine (Preventive Medicine) Physician share within North Carolina

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

Specialty board-certification context

Estimated specialty board-certified rate — Sports Medicine (Preventive Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sports Medicine (Preventive Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Sports Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sports Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

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 MARLOWE, M.D. appears in the CMS NPPES registry as a Sports Medicine (Preventive Medicine) Physician provider holding M.D. credentials at 411 BILLINGSLEY RD STE 104, CHARLOTTE, NC, 28211, with a listed phone of (704) 348-4000. NPI 1538126255 was issued on 04/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARLOWE 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 225 prescription claims written by this provider, covering 47 Medicare beneficiaries and totaling roughly $98K in drug spend, split 42% brand-name and 58% generic by claim count. 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.

Sports Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 160 enrolled providers across 38 states and an average of 352 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

411 BILLINGSLEY RD STE 104
CHARLOTTE, NC 28211

Provider Details

NPI 1538126255
Specialty Sports Medicine (Preventive Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 04/27/2006

Brand vs generic prescribing mix · Above average

THOMAS MARLOWE, M.D. — brand share 42.0%
Specialty average (est.)

42% brand-name claims vs 58% generic, on 225 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.

225
Total Claims
$98K
Total Drug Cost
47
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
256
Total Day Supply
7,556
Brand vs Generic
42% brand / 58% generic
Brand Drug Cost
$94K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
0.75

Top Prescribed Drugs (Medicare Part D)

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

What THOMAS MARLOWE, M.D. 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
Ozempic
Semaglutide
36
Bupropion Xl
Bupropion Hcl
29
Mounjaro
Tirzepatide
25
Zonisamide
24
Estradiol
16
Rybelsus
Semaglutide
16
Metformin Hcl Er
Metformin Hcl
11
Progesterone
"Progesterone
N/A

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

Sports Medicine (Preventive Medicine) Physician Overview

How THOMAS MARLOWE, M.D. fits within the Sports Medicine (Preventive Medicine) Physician landscape nationally.

160
Sports Medicine (Preventive Medicine) Physician Providers in US
38
States with Sports Medicine (Preventive Medicine) Physician
352
Avg Claims per Provider

THOMAS MARLOWE, M.D.'s 225 claims are below the specialty average of 352.

Nearby Sports Medicine (Preventive Medicine) Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as MARLOWE.

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

Frequently Asked Questions

What is THOMAS MARLOWE, M.D.'s specialty?
THOMAS MARLOWE, M.D. specializes in Sports Medicine (Preventive Medicine) Physician and practices in CHARLOTTE, North Carolina. Credentials: M.D..
How much does THOMAS MARLOWE, M.D. prescribe under Medicare Part D?
In 2023, THOMAS MARLOWE, M.D. wrote 225 Medicare Part D claims totaling $98K in drug costs for 47 beneficiaries.
Where is THOMAS MARLOWE, M.D. located?
THOMAS MARLOWE, M.D. is located at 411 BILLINGSLEY RD STE 104, CHARLOTTE, NC, 28211. Phone: (704) 348-4000.
What is THOMAS MARLOWE, M.D.'s NPI number?
THOMAS MARLOWE, M.D.'s National Provider Identifier (NPI) is 1538126255, issued on 04/27/2006.
Does THOMAS MARLOWE, M.D. prescribe more brand-name or generic drugs?
THOMAS MARLOWE, M.D.'s prescribing is 42% brand-name and 58% generic drugs by claim count, with $94K in brand drug costs.
How many Sports Medicine (Preventive Medicine) Physician providers are there in the US?
There are 160 Sports Medicine (Preventive Medicine) Physician providers across 38 states in the US. The average Sports Medicine (Preventive Medicine) Physician provider writes 352 Medicare Part D claims per year.
What drugs does THOMAS MARLOWE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, THOMAS MARLOWE, M.D.'s most frequently prescribed drugs include Ozempic, Bupropion Xl, Mounjaro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS MARLOWE, M.D. accept Medicare?
THOMAS MARLOWE, M.D. appears in CMS Medicare data with 225 Part D claims and 47 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS MARLOWE, M.D.'s credentials?
THOMAS MARLOWE, M.D.'s NPI is 1538126255 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

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.
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