2026 NPPES data Pain Medicine (Psychiatry & Neurology) Physician NPI 1093759995 MD
Verify on CMS →

ADAM BURKEY, MD

Pain Medicine (Psychiatry & Neurology) Physician in RENTON, Washington. 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
4K
Medicare Part D claims · 437 beneficiaries · Pain Medicine (Psychiatry & Neurology) Physician avg: 2K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.3K
20 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ADAM BURKEY, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 4,148 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
4K
Part D claims, 2023
90%
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.

ADAM BURKEY, MD's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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)

ADAM BURKEY, 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 ADAM BURKEY, MD?

Below national average

NPI registry status

Active

Issued 06/15/2006

NPI 1093759995

Primary specialty

Pain Medicine (Psychiatry & Neurology) Physician

Rare

161 US NPIs in this specialty

Medicare Part D claims

4,148 145% vs specialty avg

2023 prescription claims

Specialty avg: 1,690

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Pain Medicine (Psychiatry & Neurology) Physician compares to other specialties among Washington providers

Washington providers

Pain Medicine (Psychiatry & Neurology) Physician share within Washington

1. Pain Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Psychiatry & Neurology) Physician share within Washington

Medicare quality performance — MIPS

ADAM BURKEY, MD's 2023 MIPS final score plotted against the Pain Medicine (Psychiatry & Neurology) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Psychiatry & Neurology) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Pain Medicine (Psychiatry & Neurology) Physician) — 75/100 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).

ADAM BURKEY, MD appears in the CMS NPPES registry as a Pain Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 4509 TALBOT RD S, RENTON, WA, 98055, with a listed phone of (425) 272-2200. NPI 1093759995 was issued on 06/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BURKEY 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 4,148 prescription claims written by this provider, covering 437 Medicare beneficiaries and totaling roughly $484K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 72.0%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Pain Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 161 enrolled providers across 39 states and an average of 1,690 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

4509 TALBOT RD S
RENTON, WA 98055

Provider Details

NPI 1093759995
Specialty Pain Medicine (Psychiatry & Neurology) Physician
Credentials MD
Gender Male
NPI Issued 06/15/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where ADAM BURKEY, 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.

WESTCARE CLINIC INC PS
RENTON, WA

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 ADAM BURKEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

Boston Scientific Corporation

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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to ADAM BURKEY, MD. To verify ADAM BURKEY, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ADAM BURKEY, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 4,148 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.

4,148
Total Claims
$484K
Total Drug Cost
437
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,750
Total Day Supply
130,892
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$192K
Generic Drug Cost
$292K
Opioid Claims
2,988 (72.0% rate)

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
1.80
Gender Split
65% female / 35% male
Age Distribution
<65: 137, 65-74: 192, 75-84: 91, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What ADAM BURKEY, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
653
Oxycodone Hcl
645
Buprenorphine
576
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
313
Buprenorphine Hcl
283
Tramadol Hcl
255
Hydromorphone Hcl
220
Pregabalin
166
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
150
Gabapentin
85

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

Pain Medicine (Psychiatry & Neurology) Physician Overview

How ADAM BURKEY, MD fits within the Pain Medicine (Psychiatry & Neurology) Physician landscape nationally.

161
Pain Medicine (Psychiatry & Neurology) Physician Providers in US
39
States with Pain Medicine (Psychiatry & Neurology) Physician
1,690
Avg Claims per Provider

ADAM BURKEY, MD's 4,148 claims are above the specialty average of 1,690.

Nearby Pain Medicine (Psychiatry & Neurology) Physician Providers in Washington

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

Compare Pain Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADAM BURKEY, MD's specialty?
ADAM BURKEY, MD specializes in Pain Medicine (Psychiatry & Neurology) Physician and practices in RENTON, Washington. Credentials: MD.
How much does ADAM BURKEY, MD prescribe under Medicare Part D?
In 2023, ADAM BURKEY, MD wrote 4,148 Medicare Part D claims totaling $484K in drug costs for 437 beneficiaries.
What is ADAM BURKEY, MD's Medicare quality score?
ADAM BURKEY, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADAM BURKEY, MD located?
ADAM BURKEY, MD is located at 4509 TALBOT RD S, RENTON, WA, 98055. Phone: (425) 272-2200.
What is ADAM BURKEY, MD's NPI number?
ADAM BURKEY, MD's National Provider Identifier (NPI) is 1093759995, issued on 06/15/2006.
Does ADAM BURKEY, MD prescribe more brand-name or generic drugs?
ADAM BURKEY, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $192K in brand drug costs.
Does ADAM BURKEY, MD prescribe opioids?
Yes, ADAM BURKEY, MD had 2,988 opioid claims in 2023 with an opioid prescribing rate of 72.0%.
How many Pain Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 161 Pain Medicine (Psychiatry & Neurology) Physician providers across 39 states in the US. The average Pain Medicine (Psychiatry & Neurology) Physician provider writes 1,690 Medicare Part D claims per year.
What drugs does ADAM BURKEY, MD prescribe most often?
Based on 2023 Medicare Part D data, ADAM BURKEY, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone Hcl, Buprenorphine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADAM BURKEY, MD accept Medicare?
ADAM BURKEY, MD appears in CMS Medicare data with 4,148 Part D claims and 437 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM BURKEY, MD's credentials?
ADAM BURKEY, MD's NPI is 1093759995 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