NPI registry status
Active
2026 NPPES data Facial Plastic Surgery Physician NPI 1225284763 DO
Verify on CMS → Adam Rourke, DO
Facial Plastic Surgery Physician in Sterling Heights, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 614 in Facial Plastic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 461 beneficiaries · Facial Plastic Surgery Physician avg: 428
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.9/100
▼ 1 pts below national avg 83.1 · Above neutral
Industry payments
$212.06
9 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Adam Rourke, DO reported a CMS MIPS final score of 81.9/100 - below the 83.1 national average - and filed 1,175 Medicare Part D claims in 2023.
- 81.9/100
- MIPS score · -1 vs avg
- 1K
- Part D claims, 2023
- 98%
- 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 Rourke, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
82 36th percentile higher than 36% of 477,587 scored providers
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
Where Adam Rourke, DO sits
This provider among facial plastic surgery physician peers
Across the 160 facial plastic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Adam Rourke, DO writes more Part D claims than 74% of them and scores higher on MIPS quality than 48% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one facial plastic surgery physician peer from a representative sample of 60; the gold marker is Adam Rourke, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Adam Rourke, DO 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 Rourke, DO?
Near national averagePrimary specialty
Facial Plastic Surgery Physician
Medicare Part D claims
1,175 175% vs specialty avg
MIPS final score
81.9/100 1.2 pts vs avg
Specialty distribution in Michigan
How Facial Plastic Surgery Physician compares to other specialties among Michigan providers
Medicare quality performance, MIPS
Adam Rourke, DO's 2023 MIPS final score plotted against the Facial Plastic Surgery Physician national average
- MIPS Final Score
- 81.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Facial Plastic Surgery Physician) - 81.9/100 vs national avg 83.1
How MIPS and board certification work
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 Rourke, DO appears in the CMS NPPES registry as a Facial Plastic Surgery Physician provider holding DO credentials at 11080 HALL RD, Sterling Heights, MI, 48314, with a listed phone of (586) 254-7200. NPI 1225284763 was issued on 08/15/2008.
Medicare Part D records for calendar year 2023 show 1,175 prescription claims written by this provider, covering 461 Medicare beneficiaries and totaling roughly $31K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 1.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.9/100 for the 2023 performance year (Quality 76.4), compared with the national average of 83.1.
Facial Plastic Surgery Physician is a narrow specialty nationwide, with 614 enrolled providers across 47 states and an average of 428 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
Provider Details
| NPI | 1225284763 |
|---|---|
| Specialty | Facial Plastic Surgery Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 08/15/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.9125
Final Score
Avg: 83.1
76.3863
Quality
83
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Adam Rourke, DO 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.
Lakeshore Ear Nose And Throat Center PC
Macomb, MI
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 Rourke, DO. Source: openpaymentsdata.cms.gov.
Total received
$212
Largest payer
GENZYME 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 - Michigan MI-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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Adam Rourke, DO. To verify Adam Rourke, DO's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Adam Rourke, DO - brand share 2.0%
Facial Plastic Surgery Physician average
2% brand-name claims vs 98% generic, on 1,175 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.
1,175
Total Claims
$31K
Total Drug Cost
461
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,623
- Total Day Supply
- 38,922
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $29K
- Opioid Claims
- 18 (1.5% rate)
- Antibiotic Claims
- 174
Patient Demographics
- Average Patient Age
- 73.6 years
- Avg HCC Risk Score
- 1.14
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 36, 65-74: 222, 75-84: 162, 85+: 41
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Adam Rourke, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ipratropium Bromide
Ipratropium Bromide
307 claims
- Fluticasone Propio…
Fluticasone Propionate
143 claims
- Azelastine Hcl
Azelastine Hcl
138 claims
- Omeprazole 90
Omeprazole
90 claims
- Doxycycline Hyclate 56
Doxycycline Hyclate
56 claims
- Methylprednisolone 56
Methylprednisolone
56 claims
- Amoxicillin-Clavul… 54
Amoxicillin-Clavulanate Potass
54 claims
- Montelukast Sodium 50
Montelukast Sodium
50 claims
| Drug | Claims |
|---|---|
| Ipratropium Bromide | 307 |
| Fluticasone Propionate | 143 |
| Azelastine Hcl | 138 |
| Omeprazole | 90 |
| Doxycycline Hyclate | 56 |
| Methylprednisolone | 56 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 54 |
| Montelukast Sodium | 50 |
| Mometasone Furoate | 31 |
| Prednisone | 27 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Facial Plastic Surgery Physician Overview
How Adam Rourke, DO fits within the Facial Plastic Surgery Physician landscape nationally.
614
Facial Plastic Surgery Physician Providers in US
47
States with Facial Plastic Surgery Physician
428
Avg Claims per Provider
Adam Rourke, DO's 1,175 claims are above the specialty average of 428.
Nearby Facial Plastic Surgery Physician Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Rourke.
Dr. Nouha Alammar
D.O
Dearborn, MI
Dr. Casey Ashby
D.O.
Farmington Hills, MI
Dr. Shan Baker
MD
Ann Arbor, MI
Dr. Andrew Behler
D.O.,M.P.H.
Grand Rapids, MI
Dr. Charles Boyd
MD
Birmingham, MI
Compare Facial Plastic Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Michigan medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Facial Plastic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Michigan
Frequently Asked Questions
What is Adam Rourke, DO's specialty? ▼
Adam Rourke, DO specializes in Facial Plastic Surgery Physician and practices in Sterling Heights, Michigan. Credentials: DO.
How much does Adam Rourke, DO prescribe under Medicare Part D? ▼
In 2023, Adam Rourke, DO wrote 1,175 Medicare Part D claims totaling $31K in drug costs for 461 beneficiaries.
What is Adam Rourke, DO's Medicare quality score? ▼
Adam Rourke, DO has a CMS MIPS Final Score of 81.9/100 (Quality: 76.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Adam Rourke, DO located? ▼
Adam Rourke, DO is located at 11080 HALL RD, Sterling Heights, MI, 48314. Phone: (586) 254-7200.
What is Adam Rourke, DO's NPI number? ▼
Adam Rourke, DO's National Provider Identifier (NPI) is 1225284763, issued on 08/15/2008.
Does Adam Rourke, DO prescribe more brand-name or generic drugs? ▼
Adam Rourke, DO's prescribing is 2% brand-name and 98% generic drugs by claim count, with $2K in brand drug costs.
Does Adam Rourke, DO prescribe opioids? ▼
Yes, Adam Rourke, DO had 18 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Facial Plastic Surgery Physician providers are there in the US? ▼
There are 614 Facial Plastic Surgery Physician providers across 47 states in the US. The average Facial Plastic Surgery Physician provider writes 428 Medicare Part D claims per year.
What drugs does Adam Rourke, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Adam Rourke, DO's most frequently prescribed drugs include Ipratropium Bromide, Fluticasone Propionate, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Adam Rourke, DO accept Medicare? ▼
Adam Rourke, DO appears in CMS Medicare data with 1,175 Part D claims and 461 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Adam Rourke, DO's credentials? ▼
Adam Rourke, DO's NPI is 1225284763 with credentials DO. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.