2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1902465784 MD
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ALEXANDER BRECH, MD

Student in an Organized Health Care Education/Training Program in RAPID CITY, 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
113
Medicare Part D claims · 94 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
MIPS score
74.6047/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

ALEXANDER BRECH, MD reported a CMS MIPS final score of 74.6047/100 — below the 83.1 national average — and filed 113 Medicare Part D claims in 2023.

74.6047/100
MIPS score · -8 vs avg
113
Part D claims, 2023

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.

ALEXANDER BRECH, 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 12th percentile higher than 12% 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

What does the federal data show about ALEXANDER BRECH, MD?

Below national average

NPI registry status

Active

Issued 06/06/2019

NPI 1902465784

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

113 75% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

74.6047/100 8.4953% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in South Dakota

How Student in an Organized Health Care Education/Training Program compares to other specialties among South Dakota providers

South Dakota providers

Student in an Organized Health Care Education/Training Program share within South Dakota

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within South Dakota

Medicare quality performance — MIPS

ALEXANDER BRECH, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

Below national average
MIPS Final Score
74.6047/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 74.6047/100 vs national avg 83.1

0%100%National avg83%74.6%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 74.6047/100 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).

ALEXANDER BRECH, MD is a Student in an Organized Health Care Education/Training Program provider practicing in RAPID CITY, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1902465784. 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.

ALEXANDER BRECH, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 353 FAIRMONT BLVD, RAPID CITY, SD, 57701, with a listed phone of (605) 755-8222. NPI 1902465784 was issued on 06/06/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BRECH 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 113 prescription claims written by this provider, covering 94 Medicare beneficiaries and totaling roughly $2K 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 74.6047/100 for the 2023 performance year (Quality 67.0502), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

353 FAIRMONT BLVD
RAPID CITY, SD 57701

Provider Details

NPI 1902465784
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Male
NPI Issued 06/06/2019

CMS Quality Score (MIPS)

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

74.6047
Final Score
Avg: 83.1
67.0502
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where ALEXANDER BRECH, 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.

RAPID CITY EMERGENCY SERVICES PA
RAPID CITY, 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).

Medicare Part D Prescribing Data

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

113
Total Claims
$2K
Total Drug Cost
94
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
113
Total Day Supply
1,215
Generic Drug Cost
$1K
Antibiotic Claims
57

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.54
Gender Split
56% female / 44% male
Age Distribution
<65: 24, 65-74: 31, 75-84: 28, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cephalexin
24
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11
Ondansetron Odt
Ondansetron
11

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

Student in an Organized Health Care Education/Training Program Overview

How ALEXANDER BRECH, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

ALEXANDER BRECH, MD's 113 claims are below the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in South Dakota

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

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALEXANDER BRECH, MD's specialty?
ALEXANDER BRECH, MD specializes in Student in an Organized Health Care Education/Training Program and practices in RAPID CITY, South Dakota. Credentials: MD.
How much does ALEXANDER BRECH, MD prescribe under Medicare Part D?
In 2023, ALEXANDER BRECH, MD wrote 113 Medicare Part D claims totaling $2K in drug costs for 94 beneficiaries.
What is ALEXANDER BRECH, MD's Medicare quality score?
ALEXANDER BRECH, MD has a CMS MIPS Final Score of 74.6047/100 (Quality: 67.0502). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALEXANDER BRECH, MD located?
ALEXANDER BRECH, MD is located at 353 FAIRMONT BLVD, RAPID CITY, SD, 57701. Phone: (605) 755-8222.
What is ALEXANDER BRECH, MD's NPI number?
ALEXANDER BRECH, MD's National Provider Identifier (NPI) is 1902465784, issued on 06/06/2019.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does ALEXANDER BRECH, MD prescribe most often?
Based on 2023 Medicare Part D data, ALEXANDER BRECH, MD's most frequently prescribed drugs include Cephalexin, Amoxicillin-Clavulanate Potass, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALEXANDER BRECH, MD accept Medicare?
ALEXANDER BRECH, MD appears in CMS Medicare data with 113 Part D claims and 94 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALEXANDER BRECH, MD's credentials?
ALEXANDER BRECH, MD's NPI is 1902465784 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