2026 NPPES data Gastroenterology Physician NPI 1225027766 M.D.
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ALYN ADRAIN, M.D.

Gastroenterology Physician in PROVIDENCE, Rhode Island. 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
2K
Medicare Part D claims · 535 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5945/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$83.2
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ALYN ADRAIN, M.D. reported a CMS MIPS final score of 77.5945/100 — below the 83.1 national average — and filed 1,743 Medicare Part D claims in 2023.

77.5945/100
MIPS score · -6 vs avg
2K
Part D claims, 2023
88%
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.

ALYN ADRAIN, 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

78 24th percentile higher than 24% 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)

ALYN ADRAIN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 ALYN ADRAIN, M.D.?

Below national average

NPI registry status

Active

Issued 10/18/2005

NPI 1225027766

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,743 109% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

77.5945/100 5.505499999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Rhode Island

How Gastroenterology Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Gastroenterology Physician share within Rhode Island

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Rhode Island

Medicare quality performance — MIPS

ALYN ADRAIN, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
77.5945/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 77.5945/100 vs national avg 83.1

0%100%National avg83%77.6%
MIPS final score (Gastroenterology Physician) — 77.5945/100 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).

ALYN ADRAIN, M.D. is a Gastroenterology Physician provider practicing in PROVIDENCE, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1225027766. 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.

ALYN ADRAIN, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 44 W RIVER ST, PROVIDENCE, RI, 02904, with a listed phone of (401) 274-4800. NPI 1225027766 was issued on 10/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ADRAIN 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 1,743 prescription claims written by this provider, covering 535 Medicare beneficiaries and totaling roughly $326K in drug spend, split 12% brand-name and 88% 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 77.5945/100 for the 2023 performance year (Quality 85.483, Cost 44.671), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

44 W RIVER ST
PROVIDENCE, RI 02904

Provider Details

NPI 1225027766
Specialty Gastroenterology Physician
Credentials M.D.
Gender Female
NPI Issued 10/18/2005

CMS Quality Score (MIPS)

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

77.5945
Final Score
Avg: 83.1
85.483
Quality
44.671
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where ALYN ADRAIN, 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.

GASTROENTEROLOGY ASSOCIATES INC
PROVIDENCE, RI
UNIVERSITY GASTROENTEROLOGY, LLC
PROVIDENCE, RI

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 ALYN ADRAIN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$83

Largest payer

Phathom Pharmaceuticals, 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

ALYN ADRAIN, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 1,743 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.

1,743
Total Claims
$326K
Total Drug Cost
535
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,159
Total Day Supply
86,618
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$243K
Generic Drug Cost
$84K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
0.98
Gender Split
85% female / 15% male
Age Distribution
<65: 43, 65-74: 285, 75-84: 178, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Pantoprazole Sodium
430
Omeprazole
369
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
224
Famotidine
123
Sucralfate
101
Dicyclomine Hcl
60
Mesalamine
33
Linzess
Linaclotide
31
Dexlansoprazole Dr
Dexlansoprazole
26
Cholestyramine
Cholestyramine (With Sugar)
24

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

Gastroenterology Physician Overview

How ALYN ADRAIN, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

ALYN ADRAIN, M.D.'s 1,743 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as ADRAIN.

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

Frequently Asked Questions

What is ALYN ADRAIN, M.D.'s specialty?
ALYN ADRAIN, M.D. specializes in Gastroenterology Physician and practices in PROVIDENCE, Rhode Island. Credentials: M.D..
How much does ALYN ADRAIN, M.D. prescribe under Medicare Part D?
In 2023, ALYN ADRAIN, M.D. wrote 1,743 Medicare Part D claims totaling $326K in drug costs for 535 beneficiaries.
What is ALYN ADRAIN, M.D.'s Medicare quality score?
ALYN ADRAIN, M.D. has a CMS MIPS Final Score of 77.5945/100 (Quality: 85.483, Cost: 44.671). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALYN ADRAIN, M.D. located?
ALYN ADRAIN, M.D. is located at 44 W RIVER ST, PROVIDENCE, RI, 02904. Phone: (401) 274-4800.
What is ALYN ADRAIN, M.D.'s NPI number?
ALYN ADRAIN, M.D.'s National Provider Identifier (NPI) is 1225027766, issued on 10/18/2005.
Does ALYN ADRAIN, M.D. prescribe more brand-name or generic drugs?
ALYN ADRAIN, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $243K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does ALYN ADRAIN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ALYN ADRAIN, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Peg 3350-Electrolyte. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALYN ADRAIN, M.D. accept Medicare?
ALYN ADRAIN, M.D. appears in CMS Medicare data with 1,743 Part D claims and 535 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALYN ADRAIN, M.D.'s credentials?
ALYN ADRAIN, M.D.'s NPI is 1225027766 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