2026 NPPES data Obstetrics & Gynecology Physician NPI 1508156613 M.D.
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ABREA ROARK, M.D.

Obstetrics & Gynecology Physician in SIOUX FALLS, South Dakota. 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
76
Medicare Part D claims · 40 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.6912/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$34.3
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ABREA ROARK, M.D. reported a CMS MIPS final score of 76.6912/100 — below the 83.1 national average — and filed 76 Medicare Part D claims in 2023.

76.6912/100
MIPS score · -6 vs avg
76
Part D claims, 2023
79%
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.

ABREA ROARK, 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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

ABREA ROARK, 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 ABREA ROARK, M.D.?

Below national average

NPI registry status

Active

Issued 04/10/2011

NPI 1508156613

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

76 58% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

76.6912/100 6.408799999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Obstetrics & Gynecology Physician compares to other specialties among South Dakota providers

South Dakota providers

Obstetrics & Gynecology Physician share within South Dakota

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within South Dakota

Medicare quality performance — MIPS

ABREA ROARK, M.D.'s 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

Below national average
MIPS Final Score
76.6912/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 76.6912/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Obstetrics & Gynecology Physician) — 76.6912/100 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).

ABREA ROARK, M.D. appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding M.D. credentials at 1500 W 22ND ST STE 301, SIOUX FALLS, SD, 57105, with a listed phone of (605) 328-7700. NPI 1508156613 was issued on 04/10/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROARK 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 76 prescription claims written by this provider, covering 40 Medicare beneficiaries and totaling roughly $4K in drug spend, split 21% brand-name and 79% generic by claim count. 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 76.6912/100 for the 2023 performance year (Quality 78.5693, Cost 44.5681), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105

Provider Details

NPI 1508156613
Specialty Obstetrics & Gynecology Physician
Credentials M.D.
Gender Female
NPI Issued 04/10/2011

CMS Quality Score (MIPS)

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

76.6912
Final Score
Avg: 83.1
78.5693
Quality
44.5681
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ABREA ROARK, 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.

SANFORD MEDICAL CENTER
SIOUX FALLS, SD

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 ABREA ROARK, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$34

Largest payer

Exeltis, USA 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.

Brand vs generic prescribing mix · Typical

ABREA ROARK, M.D. — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 76 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.

76
Total Claims
$4K
Total Drug Cost
40
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
118
Total Day Supply
2,501
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$2K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
60.3 years
Avg HCC Risk Score
1.23
Gender Split
100% female / 0% male
Age Distribution
<65: 15, 65-74: 20, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Misoprostol
24

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

Obstetrics & Gynecology Physician Overview

How ABREA ROARK, M.D. fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

ABREA ROARK, M.D.'s 76 claims are below the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as ROARK.

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ABREA ROARK, M.D.'s specialty?
ABREA ROARK, M.D. specializes in Obstetrics & Gynecology Physician and practices in SIOUX FALLS, South Dakota. Credentials: M.D..
How much does ABREA ROARK, M.D. prescribe under Medicare Part D?
In 2023, ABREA ROARK, M.D. wrote 76 Medicare Part D claims totaling $4K in drug costs for 40 beneficiaries.
What is ABREA ROARK, M.D.'s Medicare quality score?
ABREA ROARK, M.D. has a CMS MIPS Final Score of 76.6912/100 (Quality: 78.5693, Cost: 44.5681). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ABREA ROARK, M.D. located?
ABREA ROARK, M.D. is located at 1500 W 22ND ST STE 301, SIOUX FALLS, SD, 57105. Phone: (605) 328-7700.
What is ABREA ROARK, M.D.'s NPI number?
ABREA ROARK, M.D.'s National Provider Identifier (NPI) is 1508156613, issued on 04/10/2011.
Does ABREA ROARK, M.D. prescribe more brand-name or generic drugs?
ABREA ROARK, M.D.'s prescribing is 21% brand-name and 79% generic drugs by claim count, with $2K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does ABREA ROARK, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ABREA ROARK, M.D.'s most frequently prescribed drugs include Misoprostol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ABREA ROARK, M.D. accept Medicare?
ABREA ROARK, M.D. appears in CMS Medicare data with 76 Part D claims and 40 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ABREA ROARK, M.D.'s credentials?
ABREA ROARK, M.D.'s NPI is 1508156613 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