2026 NPPES data Surgery Physician NPI 1548414345 M.D.
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ABIGAIL COOTS, M.D.

Surgery Physician in WEST READING, Pennsylvania. 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
30
Medicare Part D claims · 13 beneficiaries · Surgery Physician avg: 169
MIPS score
81.1913/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$1.4K
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ABIGAIL COOTS, M.D. reported a CMS MIPS final score of 81.1913/100 — below the 83.1 national average — and filed 30 Medicare Part D claims in 2023.

81.1913/100
MIPS score · -2 vs avg
30
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.

ABIGAIL COOTS, 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

81 36th percentile higher than 36% 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)

ABIGAIL COOTS, 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 ABIGAIL COOTS, M.D.?

Near national average

NPI registry status

Active

Issued 11/06/2008

NPI 1548414345

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

30 82% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

81.1913/100 1.908699999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Surgery Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Surgery Physician share within Pennsylvania

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

Medicare quality performance — MIPS

ABIGAIL COOTS, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
81.1913/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 81.1913/100 vs national avg 83.1

0%100%National avg83%81.2%
MIPS final score (Surgery Physician) — 81.1913/100 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).

ABIGAIL COOTS, M.D. is a Surgery Physician provider practicing in WEST READING, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1548414345. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ABIGAIL COOTS, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 420 S 5TH AVE, WEST READING, PA, 19611, with a listed phone of (484) 628-4879. NPI 1548414345 was issued on 11/06/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COOTS 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 30 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $395 in drug spend. 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 81.1913/100 for the 2023 performance year (Quality 74.5659, Cost 65.2384), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

420 S 5TH AVE
WEST READING, PA 19611

Provider Details

NPI 1548414345
Specialty Surgery Physician
Credentials M.D.
Gender Female
NPI Issued 11/06/2008

CMS Quality Score (MIPS)

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

81.1913
Final Score
Avg: 83.1
74.5659
Quality
65.2384
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ABIGAIL COOTS, 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.

TOWER HEALTH MEDICAL GROUP
WEST READING, PA

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 ABIGAIL COOTS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

Largest payer

INTUITIVE SURGICAL, 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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to ABIGAIL COOTS, M.D.. To verify ABIGAIL COOTS, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

30
Total Claims
$395
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
30
Total Day Supply
333
Brand Drug Cost
$0
Generic Drug Cost
$395
Antibiotic Claims
13

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
2.43

Surgery Physician Overview

How ABIGAIL COOTS, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

ABIGAIL COOTS, M.D.'s 30 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is ABIGAIL COOTS, M.D.'s specialty?
ABIGAIL COOTS, M.D. specializes in Surgery Physician and practices in WEST READING, Pennsylvania. Credentials: M.D..
How much does ABIGAIL COOTS, M.D. prescribe under Medicare Part D?
In 2023, ABIGAIL COOTS, M.D. wrote 30 Medicare Part D claims totaling $395 in drug costs for 13 beneficiaries.
What is ABIGAIL COOTS, M.D.'s Medicare quality score?
ABIGAIL COOTS, M.D. has a CMS MIPS Final Score of 81.1913/100 (Quality: 74.5659, Cost: 65.2384). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ABIGAIL COOTS, M.D. located?
ABIGAIL COOTS, M.D. is located at 420 S 5TH AVE, WEST READING, PA, 19611. Phone: (484) 628-4879.
What is ABIGAIL COOTS, M.D.'s NPI number?
ABIGAIL COOTS, M.D.'s National Provider Identifier (NPI) is 1548414345, issued on 11/06/2008.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
Does ABIGAIL COOTS, M.D. accept Medicare?
ABIGAIL COOTS, M.D. appears in CMS Medicare data with 30 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ABIGAIL COOTS, M.D.'s credentials?
ABIGAIL COOTS, M.D.'s NPI is 1548414345 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