2026 NPPES data Obstetrics & Gynecology Physician NPI 1265571046 MD
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ANDREA CHISHOLM, MD

Obstetrics & Gynecology Physician in CODY, Wyoming. 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
72
Medicare Part D claims · 29 beneficiaries · Obstetrics & Gynecology Physician avg: 179
MIPS score
61.1748/100
▼ 22 pts below national avg 83.1 · [object Object]
Industry payments
$23.51
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDREA CHISHOLM, MD reported a CMS MIPS final score of 61.1748/100 — below the 83.1 national average — and filed 72 Medicare Part D claims in 2023.

61.1748/100
MIPS score · -22 vs avg
72
Part D claims, 2023
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.

ANDREA CHISHOLM, MD's MIPS score vs every scored U.S. clinician

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

61 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 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)

ANDREA CHISHOLM, 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 ANDREA CHISHOLM, MD?

Below national average

NPI registry status

Active

Issued 02/06/2007

NPI 1265571046

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

72 60% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

61.1748/100 21.925199999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Wyoming

How Obstetrics & Gynecology Physician compares to other specialties among Wyoming providers

Wyoming providers

Obstetrics & Gynecology Physician share within Wyoming

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

Medicare quality performance — MIPS

ANDREA CHISHOLM, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

Below national average
MIPS Final Score
61.1748/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 61.1748/100 vs national avg 83.1

0%100%National avg83%61.2%
MIPS final score (Obstetrics & Gynecology Physician) — 61.1748/100 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).

ANDREA CHISHOLM, MD is a Obstetrics & Gynecology Physician provider practicing in CODY, Wyoming, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265571046. 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.

ANDREA CHISHOLM, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at 424 YELLOWSTONE AVE STE 330, CODY, WY, 82414, with a listed phone of (307) 578-2770. NPI 1265571046 was issued on 02/06/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CHISHOLM 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 72 prescription claims written by this provider, covering 29 Medicare beneficiaries and totaling roughly $4K 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 61.1748/100 for the 2023 performance year (Quality 71.8372, Cost 15.412), 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

424 YELLOWSTONE AVE STE 330
CODY, WY 82414

Provider Details

NPI 1265571046
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Female
NPI Issued 02/06/2007

CMS Quality Score (MIPS)

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

61.1748
Final Score
Avg: 83.1
71.8372
Quality
15.412
Cost
80
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREA CHISHOLM, 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.

WEST PARK HOSPITAL DISTRICT
CODY, WY

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 ANDREA CHISHOLM, MD. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

Solventum 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.

Medicare Part D Prescribing Data

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

72
Total Claims
$4K
Total Drug Cost
29
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
156
Total Day Supply
4,354
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
65.6 years
Avg HCC Risk Score
0.78
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
28

* 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 ANDREA CHISHOLM, MD 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

ANDREA CHISHOLM, MD's 72 claims are below the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Wyoming

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

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

Frequently Asked Questions

What is ANDREA CHISHOLM, MD's specialty?
ANDREA CHISHOLM, MD specializes in Obstetrics & Gynecology Physician and practices in CODY, Wyoming. Credentials: MD.
How much does ANDREA CHISHOLM, MD prescribe under Medicare Part D?
In 2023, ANDREA CHISHOLM, MD wrote 72 Medicare Part D claims totaling $4K in drug costs for 29 beneficiaries.
What is ANDREA CHISHOLM, MD's Medicare quality score?
ANDREA CHISHOLM, MD has a CMS MIPS Final Score of 61.1748/100 (Quality: 71.8372, Cost: 15.412). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREA CHISHOLM, MD located?
ANDREA CHISHOLM, MD is located at 424 YELLOWSTONE AVE STE 330, CODY, WY, 82414. Phone: (307) 578-2770.
What is ANDREA CHISHOLM, MD's NPI number?
ANDREA CHISHOLM, MD's National Provider Identifier (NPI) is 1265571046, issued on 02/06/2007.
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 ANDREA CHISHOLM, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREA CHISHOLM, MD's most frequently prescribed drugs include Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREA CHISHOLM, MD accept Medicare?
ANDREA CHISHOLM, MD appears in CMS Medicare data with 72 Part D claims and 29 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREA CHISHOLM, MD's credentials?
ANDREA CHISHOLM, MD's NPI is 1265571046 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