2026 NPPES data Orthopaedic Surgery Physician NPI 1396743241 M.D.
Verify on CMS →

VERNON FONG, M.D.

Orthopaedic Surgery Physician in SAN FRANCISCO, 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
925
Medicare Part D claims · 294 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.9589/100
▲ 16 pts above national avg 83.1 · [object Object]

What the federal data shows

VERNON FONG, M.D. reported a CMS MIPS final score of 98.9589/100 — above the 83.1 national average — and filed 925 Medicare Part D claims in 2023.

98.9589/100
MIPS score · +16 vs avg
925
Part D claims, 2023
83%
generic prescribing
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.

VERNON FONG, M.D.'s MIPS score vs every scored U.S. clinician

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

99 Top 11% higher than 89% 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)

VERNON FONG, M.D. 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 VERNON FONG, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2005

NPI 1396743241

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

925 185% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

98.9589/100 15.858900000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Orthopaedic Surgery Physician compares to other specialties among California providers

California providers

Orthopaedic Surgery Physician share within California

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

Medicare quality performance — MIPS

VERNON FONG, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
98.9589/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 98.9589/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Orthopaedic Surgery Physician) — 98.9589/100 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).

VERNON FONG, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 728 PACIFIC AVE STE 501, SAN FRANCISCO, CA, 94133, with a listed phone of (415) 398-5990. NPI 1396743241 was issued on 07/13/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FONG 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 925 prescription claims written by this provider, covering 294 Medicare beneficiaries and totaling roughly $274K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 3.5%. 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 98.9589/100 for the 2023 performance year (Quality 89.0163), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

728 PACIFIC AVE STE 501
SAN FRANCISCO, CA 94133

Provider Details

NPI 1396743241
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/13/2005

CMS Quality Score (MIPS)

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

98.9589
Final Score
Avg: 83.1
89.0163
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VERNON FONG, M.D. 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.

CHINESE HOSPITAL ASSOCIATION
SAN FRANCISCO, 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).

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 VERNON FONG, M.D.. To verify VERNON FONG, M.D.'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.

Brand vs generic prescribing mix · Typical

VERNON FONG, M.D. — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 925 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.

925
Total Claims
$274K
Total Drug Cost
294
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,740
Total Day Supply
49,356
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$266K
Generic Drug Cost
$8K
Opioid Claims
32 (3.5% rate)

Patient Demographics

Average Patient Age
76.6 years
Avg HCC Risk Score
1.33
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What VERNON FONG, 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
Diclofenac Sodium
301
Omeprazole
237
Meloxicam
162
Prolia
Denosumab
161
Tramadol Hcl
31
Gabapentin
17

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

Orthopaedic Surgery Physician Overview

How VERNON FONG, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

VERNON FONG, M.D.'s 925 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in California

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

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is VERNON FONG, M.D.'s specialty?
VERNON FONG, M.D. specializes in Orthopaedic Surgery Physician and practices in SAN FRANCISCO, California. Credentials: M.D..
How much does VERNON FONG, M.D. prescribe under Medicare Part D?
In 2023, VERNON FONG, M.D. wrote 925 Medicare Part D claims totaling $274K in drug costs for 294 beneficiaries.
What is VERNON FONG, M.D.'s Medicare quality score?
VERNON FONG, M.D. has a CMS MIPS Final Score of 98.9589/100 (Quality: 89.0163). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VERNON FONG, M.D. located?
VERNON FONG, M.D. is located at 728 PACIFIC AVE STE 501, SAN FRANCISCO, CA, 94133. Phone: (415) 398-5990.
What is VERNON FONG, M.D.'s NPI number?
VERNON FONG, M.D.'s National Provider Identifier (NPI) is 1396743241, issued on 07/13/2005.
Does VERNON FONG, M.D. prescribe more brand-name or generic drugs?
VERNON FONG, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $266K in brand drug costs.
Does VERNON FONG, M.D. prescribe opioids?
Yes, VERNON FONG, M.D. had 32 opioid claims in 2023 with an opioid prescribing rate of 3.5%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does VERNON FONG, M.D. prescribe most often?
Based on 2023 Medicare Part D data, VERNON FONG, M.D.'s most frequently prescribed drugs include Diclofenac Sodium, Omeprazole, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VERNON FONG, M.D. accept Medicare?
VERNON FONG, M.D. appears in CMS Medicare data with 925 Part D claims and 294 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VERNON FONG, M.D.'s credentials?
VERNON FONG, M.D.'s NPI is 1396743241 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.
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