2026 NPPES data Nephrology Physician NPI 1629161336 MD
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TONG SUN, MD

Nephrology Physician in MODESTO, California. 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
6K
Medicare Part D claims · 709 beneficiaries · Nephrology Physician avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$812.2
36 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TONG SUN, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 6,348 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
6K
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.

TONG SUN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

TONG SUN, 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 TONG SUN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/02/2006

NPI 1629161336

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

6,348 337% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Nephrology Physician compares to other specialties among California providers

California providers

Nephrology Physician share within California

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within California

Medicare quality performance — MIPS

TONG SUN, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Nephrology Physician) — 100/100 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).

TONG SUN, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 305 E GRANGER AVE, MODESTO, CA, 95350, with a listed phone of (209) 526-1606. NPI 1629161336 was issued on 10/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUN 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 6,348 prescription claims written by this provider, covering 709 Medicare beneficiaries and totaling roughly $537K in drug spend, with an opioid prescribing rate of 0.3%. 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 100/100 for the 2023 performance year (Quality 93.3333), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

305 E GRANGER AVE
MODESTO, CA 95350

Provider Details

NPI 1629161336
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 10/02/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
93.3333
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where TONG SUN, 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.

MODESTO KIDNEY MEDICAL GROUP
MODESTO, CA

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 TONG SUN, MD. Source: openpaymentsdata.cms.gov.

Total received

$812

Largest payer

AstraZeneca Pharmaceuticals LP

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to TONG SUN, MD. To verify TONG SUN, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

6,348
Total Claims
$537K
Total Drug Cost
709
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,718
Total Day Supply
429,860
Generic Drug Cost
$212K
Opioid Claims
16 (0.3% rate)
Antibiotic Claims
134

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
2.89
Gender Split
52% female / 48% male
Age Distribution
<65: 69, 65-74: 239, 75-84: 281, 85+: 120

Top Prescribed Drugs (Medicare Part D)

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

What TONG SUN, MD 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
Furosemide
1,257
Allopurinol
869
Amlodipine Besylate
460
Metoprolol Tartrate
312
Potassium Chloride
307
Hydralazine Hcl
279
Prosol
Parenteral Amino Acid 20% No.1
214
Lisinopril
182
Carvedilol
169
Calcitriol
143

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

Nephrology Physician Overview

How TONG SUN, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

TONG SUN, MD's 6,348 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in California

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

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TONG SUN, MD's specialty?
TONG SUN, MD specializes in Nephrology Physician and practices in MODESTO, California. Credentials: MD.
How much does TONG SUN, MD prescribe under Medicare Part D?
In 2023, TONG SUN, MD wrote 6,348 Medicare Part D claims totaling $537K in drug costs for 709 beneficiaries.
What is TONG SUN, MD's Medicare quality score?
TONG SUN, MD has a CMS MIPS Final Score of 100/100 (Quality: 93.3333). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TONG SUN, MD located?
TONG SUN, MD is located at 305 E GRANGER AVE, MODESTO, CA, 95350. Phone: (209) 526-1606.
What is TONG SUN, MD's NPI number?
TONG SUN, MD's National Provider Identifier (NPI) is 1629161336, issued on 10/02/2006.
Does TONG SUN, MD prescribe opioids?
Yes, TONG SUN, MD had 16 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does TONG SUN, MD prescribe most often?
Based on 2023 Medicare Part D data, TONG SUN, MD's most frequently prescribed drugs include Furosemide, Allopurinol, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TONG SUN, MD accept Medicare?
TONG SUN, MD appears in CMS Medicare data with 6,348 Part D claims and 709 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TONG SUN, MD's credentials?
TONG SUN, MD's NPI is 1629161336 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