NPPES file of Aug 9, 2026

Todd Horton, MD

Orthopaedic Hand Surgery Physician · Kingsport, TN

Todd Horton, MD is an orthopaedic hand surgery physician with a practice address in Kingsport, Tennessee, and NPI 1831296813, issued on Sep 20, 2006. Check the license (Tennessee 47162, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1831296813
Name
Todd Horton
Credential
MD
Primary taxonomy
Orthopaedic Hand Surgery Physician 207XS0106X
License numbers
47162 TN
01064391A IN
2007-01503 NC
MD 427123 PA
Self-reported in NPPES; status is on the state search
Practice location
430 W Ravine RD, Kingsport, TN 37660
Phone
(423) 245-3161
Enumerated
Sep 20, 2006
Record last updated
Dec 29, 2025
Fax
(423) 245-3868
Medicaid IDs
1831296813 VA
1523729 TN
Medicare enrollment
Enrolled (PECOS I20110620000293); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 430 W Ravine RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jared Cordon, MDOrthopaedic Surgery Physician1649409251
  2. Stephen Elsey, PA-CPhysician Assistant1053292813
  3. Bruce Miller, MDOrthopaedic Surgery Physician1740278225
  4. Kyle Morgan, PASurgical Physician Assistant1780938522
  5. Christopher Pendola, M.D.Neurology Physician1013018431
  6. Benjamin Potter, DPMFoot & Ankle Surgery Podiatrist1063919793

Verify Todd Horton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTennessee Board of Medical Examiners
    Search for license 47162
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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4.1 times the Medicare Part D claims of the average orthopaedic hand surgery physician in 2024

757 Medicare Part D claims for 363 beneficiaries, against an average of 186 among the 2,203 providers of this specialty who prescribed in Part D. 506 claims were for opioids.

  1. Todd Horton757
  2. Specialty average186

Most prescribed

  1. Oxycodone-Acetaminophen342 claims
  2. Hydrocodone-Acetaminophen126 claims
  3. Meloxicam94 claims
  4. Oxycodone Hcl27 claims
  5. Enoxaparin Sodium25 claims
  6. Sulfamethoxazole-Trimethoprim21 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score64.4
  2. Costout of 100 · 30%67.3
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $366.01

13 payments; by number, the most common kind was food and beverage; the largest payer was Ossur Americas, Inc. The 1,819 providers of this specialty with any payment received $5,529.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Todd Horton$366.01
  2. Specialty average$5,529.86

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 3 group practices

  1. Associated Orthopaedics OF Kingsport PCKingsport, TN
  2. Champion Physical Therapy LLC HallsWhite Pine, TN
  3. Wellmont Medical Associates IncKingsport, TN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Todd Horton among 60 orthopaedic hand surgery physician records in Tennessee

Todd Horton, MD is one of 60 orthopaedic hand surgery physician records with a practice address in Tennessee. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 25% of them.

  • NPI issued2006 · 25% of these records are older, 52% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 85% of these records are
  • Graduated1998 · median 2009 among the 51 with a school on file
  • Record last updated2025 · 28% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0106X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Hand Surgery Physician providers in Tennessee

There are 60 orthopaedic hand surgery physician records in Tennessee.

The 8 orthopaedic hand surgery physician records with the nearest ZIP codes

  1. Paul Gorman, M.D.Johnson City, TN 376041942206859
  2. Jeffrey Marchessault, M.D.Johnson City, TN 376041134114333
  3. Robert Ivy, M.D,Maryville, TN 378041699742858
  4. Daniel Branham, MDOak Ridge, TN 378301467661223
  5. William Yetter, M.D.Oak Ridge, TN 378301619323904
  6. Benjamin Rogozinski, M.D.Knoxville, TN 379091811285083
  7. Edward Burns, MDKnoxville, TN 379161174508808
  8. John Harrison, MDKnoxville, TN 379161356326011

Common questions

What is Todd Horton, MD's NPI number?

Todd Horton, MD's National Provider Identifier (NPI) is 1831296813, issued on Sep 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Todd Horton, MD located?

The NPPES record lists a practice address at 430 W Ravine RD, Kingsport, TN, 37660. Phone: (423) 245-3161. Providers update this record themselves, so call before visiting.

How can I verify Todd Horton, MD's license?

NPPES lists Tennessee license number 47162, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Todd Horton, MD prescribe under Medicare Part D?

In 2024, Todd Horton, MD had 757 Medicare Part D claims for 363 beneficiaries; the average among orthopaedic hand surgery physician prescribers was 186. Part D covers Medicare prescriptions only.

What is Todd Horton, MD's MIPS final score?

The 2023 MIPS final score is 76 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.