Thomas San Giovanni, MD
Orthopaedic Foot and Ankle Surgery Physician in Coral Gables, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 678 in Orthopaedic Foot and Ankle 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.
What the federal data shows
Thomas San Giovanni, MD reported a CMS MIPS final score of 72/100 - below the 83.1 national average - and filed 78 Medicare Part D claims in 2023.
- 72/100
- MIPS score · -11 vs avg
- 78
- 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 San Giovanni, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
72 9th percentile higher than 9% 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 San Giovanni, MD sits
This provider among orthopaedic foot and ankle surgery physician peers
Across the 287 orthopaedic foot and ankle surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas San Giovanni, MD writes more Part D claims than 27% of them and scores higher on MIPS quality than 14% - 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 foot and ankle surgery physician peer from a representative sample of 60; the gold marker is Thomas San Giovanni, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Thomas San Giovanni, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 San Giovanni, MD?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Florida
How Orthopaedic Foot and Ankle Surgery Physician compares to other specialties among Florida providers
Orthopaedic Foot and Ankle Surgery Physician ranks #297 among Florida's specialties (0% of in-state providers)
Each bar is a specialty's share of the Florida provider total, by primary NUCC taxonomy. The highlighted bar is Orthopaedic Foot and Ankle Surgery Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Thomas San Giovanni, MD's 2023 MIPS final score plotted against the Orthopaedic Foot and Ankle Surgery Physician national average
- MIPS Final Score
- 72/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Foot and Ankle Surgery Physician) - 72/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Orthopaedic Foot and Ankle Surgery Physician US NPIs
72/100 MIPS final score - 11.1 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Orthopaedic Foot and Ankle Surgery Physician. Quality dim: 60.9. Cost dim: 46.6.
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 San Giovanni, MD appears in the CMS NPPES registry as a Orthopaedic Foot and Ankle Surgery Physician provider holding MD credentials at 1150 CAMPO SANO AVE, Coral Gables, FL, 33146, with a listed phone of (786) 268-6200. NPI 1518932896 was issued on 02/21/2006.
Medicare Part D records for calendar year 2023 show 78 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 35.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72/100 for the 2023 performance year (Quality 60.9, Cost 46.6), compared with the national average of 83.1.
Orthopaedic Foot and Ankle Surgery Physician is a narrow specialty nationwide, with 678 enrolled providers across 51 states and an average of 218 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 | 1518932896 |
|---|---|
| Specialty | Orthopaedic Foot and Ankle Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/21/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Thomas San Giovanni, MD's current license status, disciplinary history, and board certifications with the Florida Board of Medicine in Florida before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1518932896 is the unique 10-digit identifier CMS uses to link San Giovanni across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Thomas San Giovanni, 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.
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 San Giovanni, MD. Source: openpaymentsdata.cms.gov.
Total received
$182.8K
Largest payer
Paragon 28, Inc.
Most common payment type
Travel and Lodging
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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Thomas San Giovanni, MD. To verify Thomas San Giovanni, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 78
- Total Day Supply
- 868
- Generic Drug Cost
- $772
- Opioid Claims
- 28 (35.9% rate)
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.07
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Ondansetron Hcl | 18 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Foot and Ankle Surgery Physician Overview
How Thomas San Giovanni, MD fits within the Orthopaedic Foot and Ankle Surgery Physician landscape nationally.
Thomas San Giovanni, MD's 78 claims are below the specialty average of 218.
Nearby Orthopaedic Foot and Ankle Surgery Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as San Giovanni.
Compare Orthopaedic Foot and Ankle 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Foot and Ankle 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
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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