2026 NPPES data Pediatric Sports Medicine Physician NPI 1528040458 MD
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WILLIAM PRIMOS, MD

Pediatric Sports Medicine Physician in DAWSONVILLE, Georgia. 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
40
Medicare Part D claims · 28 beneficiaries · Pediatric Sports Medicine Physician avg: 224
MIPS score
82.5534/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$107.41
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

WILLIAM PRIMOS, MD reported a CMS MIPS final score of 82.5534/100 — below the 83.1 national average — and filed 40 Medicare Part D claims in 2023.

82.5534/100
MIPS score · -1 vs avg
40
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.

WILLIAM PRIMOS, MD's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

WILLIAM PRIMOS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 WILLIAM PRIMOS, MD?

Near national average

NPI registry status

Active

Issued 11/16/2005

NPI 1528040458

Primary specialty

Pediatric Sports Medicine Physician

Rare

212 US NPIs in this specialty

Medicare Part D claims

40 82% vs specialty avg

2023 prescription claims

Specialty avg: 224

MIPS final score

82.5534/100 0.546599999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Pediatric Sports Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Pediatric Sports Medicine Physician share within Georgia

1. Pediatric Sports Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Sports Medicine Physician share within Georgia

Medicare quality performance — MIPS

WILLIAM PRIMOS, MD's 2023 MIPS final score plotted against the Pediatric Sports Medicine Physician national average

Near national average
MIPS Final Score
82.5534/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Sports Medicine Physician) — 82.5534/100 vs national avg 83.1

0%100%National avg83%82.6%
MIPS final score (Pediatric Sports Medicine Physician) — 82.5534/100 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).

WILLIAM PRIMOS, MD appears in the CMS NPPES registry as a Pediatric Sports Medicine Physician provider holding MD credentials at 108 PROMINENCE CT STE 200, DAWSONVILLE, GA, 30534, with a listed phone of (770) 848-6190. NPI 1528040458 was issued on 11/16/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PRIMOS 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 40 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $427 in drug spend, with an opioid prescribing rate of 35.0%. 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 82.5534/100 for the 2023 performance year (Quality 81.1413, Cost 60.7032), compared with the national average of 83.1.

Pediatric Sports Medicine Physician is a narrow specialty nationwide, with 212 enrolled providers across 39 states and an average of 224 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

108 PROMINENCE CT STE 200
DAWSONVILLE, GA 30534

Provider Details

NPI 1528040458
Specialty Pediatric Sports Medicine Physician
Credentials MD
Gender Male
NPI Issued 11/16/2005

CMS Quality Score (MIPS)

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

82.5534
Final Score
Avg: 83.1
81.1413
Quality
60.7032
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where WILLIAM PRIMOS, 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.

NORTHEAST GEORGIA PHYSICIANS GROUP INC
DAWSONVILLE, GA
PHYSIOTHERAPY ASSOCIATES INC
DACULA, GA

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 WILLIAM PRIMOS, MD. Source: openpaymentsdata.cms.gov.

Total received

$107

Largest payer

Ferring Pharmaceuticals Inc.

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

40
Total Claims
$427
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
42
Total Day Supply
795
Brand Drug Cost
$0
Generic Drug Cost
$427
Opioid Claims
14 (35.0% rate)

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
0.94

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Diclofenac Sodium
11

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

Pediatric Sports Medicine Physician Overview

How WILLIAM PRIMOS, MD fits within the Pediatric Sports Medicine Physician landscape nationally.

212
Pediatric Sports Medicine Physician Providers in US
39
States with Pediatric Sports Medicine Physician
224
Avg Claims per Provider

WILLIAM PRIMOS, MD's 40 claims are below the specialty average of 224.

Nearby Pediatric Sports Medicine Physician Providers in Georgia

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

Compare Pediatric Sports Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM PRIMOS, MD's specialty?
WILLIAM PRIMOS, MD specializes in Pediatric Sports Medicine Physician and practices in DAWSONVILLE, Georgia. Credentials: MD.
How much does WILLIAM PRIMOS, MD prescribe under Medicare Part D?
In 2023, WILLIAM PRIMOS, MD wrote 40 Medicare Part D claims totaling $427 in drug costs for 28 beneficiaries.
What is WILLIAM PRIMOS, MD's Medicare quality score?
WILLIAM PRIMOS, MD has a CMS MIPS Final Score of 82.5534/100 (Quality: 81.1413, Cost: 60.7032). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM PRIMOS, MD located?
WILLIAM PRIMOS, MD is located at 108 PROMINENCE CT STE 200, DAWSONVILLE, GA, 30534. Phone: (770) 848-6190.
What is WILLIAM PRIMOS, MD's NPI number?
WILLIAM PRIMOS, MD's National Provider Identifier (NPI) is 1528040458, issued on 11/16/2005.
Does WILLIAM PRIMOS, MD prescribe opioids?
Yes, WILLIAM PRIMOS, MD had 14 opioid claims in 2023 with an opioid prescribing rate of 35.0%.
How many Pediatric Sports Medicine Physician providers are there in the US?
There are 212 Pediatric Sports Medicine Physician providers across 39 states in the US. The average Pediatric Sports Medicine Physician provider writes 224 Medicare Part D claims per year.
What drugs does WILLIAM PRIMOS, MD prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM PRIMOS, MD's most frequently prescribed drugs include Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM PRIMOS, MD accept Medicare?
WILLIAM PRIMOS, MD appears in CMS Medicare data with 40 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM PRIMOS, MD's credentials?
WILLIAM PRIMOS, MD's NPI is 1528040458 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