2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1760455174 M.D.
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ANDREW MERRITT, M.D.

Physical Medicine & Rehabilitation Physician in LAGUNA HILLS, California. 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
1K
Medicare Part D claims · 137 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
68.8618/100
▼ 14 pts below national avg 83.1 · [object Object]

What the federal data shows

ANDREW MERRITT, M.D. reported a CMS MIPS final score of 68.8618/100 — below the 83.1 national average — and filed 1,105 Medicare Part D claims in 2023.

68.8618/100
MIPS score · -14 vs avg
1K
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.

ANDREW MERRITT, 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

69 7th percentile higher than 7% 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)

ANDREW MERRITT, M.D. 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 ANDREW MERRITT, M.D.?

Below national average

NPI registry status

Active

Issued 02/08/2006

NPI 1760455174

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

1,105 41% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

68.8618/100 14.238199999999992% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Physical Medicine & Rehabilitation Physician compares to other specialties among California providers

California providers

Physical Medicine & Rehabilitation Physician share within California

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within California

Medicare quality performance — MIPS

ANDREW MERRITT, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
68.8618/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 68.8618/100 vs national avg 83.1

0%100%National avg83%68.9%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 68.8618/100 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).

ANDREW MERRITT, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 23422 MILL CREEK DR, LAGUNA HILLS, CA, 92653, with a listed phone of (949) 900-1300. NPI 1760455174 was issued on 02/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERRITT 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 1,105 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $20K in drug spend, with an opioid prescribing rate of 30.6%. 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 68.8618/100 for the 2023 performance year (Quality 46.6578), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

23422 MILL CREEK DR
LAGUNA HILLS, CA 92653

Provider Details

NPI 1760455174
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Male
NPI Issued 02/08/2006

CMS Quality Score (MIPS)

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

68.8618
Final Score
Avg: 83.1
46.6578
Quality
94
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where ANDREW MERRITT, 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.

ANDREW W MERRITT MD INC
LAGUNA HILLS, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to ANDREW MERRITT, M.D.. To verify ANDREW MERRITT, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

1,105
Total Claims
$20K
Total Drug Cost
137
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,175
Total Day Supply
27,541
Generic Drug Cost
$20K
Opioid Claims
338 (30.6% rate)

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.24
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What ANDREW MERRITT, M.D. 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
Gabapentin
179
Meloxicam
165
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
150
Methylprednisolone
107
Celecoxib
90
Tramadol Hcl-Acetaminophen
Tramadol Hcl/Acetaminophen
64
Tramadol Hcl
62
Cyclobenzaprine Hcl
57
Pregabalin
51
Acetaminophen-Codeine
Acetaminophen With Codeine
26

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

Physical Medicine & Rehabilitation Physician Overview

How ANDREW MERRITT, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

ANDREW MERRITT, M.D.'s 1,105 claims are above the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in California

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW MERRITT, M.D.'s specialty?
ANDREW MERRITT, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in LAGUNA HILLS, California. Credentials: M.D..
How much does ANDREW MERRITT, M.D. prescribe under Medicare Part D?
In 2023, ANDREW MERRITT, M.D. wrote 1,105 Medicare Part D claims totaling $20K in drug costs for 137 beneficiaries.
What is ANDREW MERRITT, M.D.'s Medicare quality score?
ANDREW MERRITT, M.D. has a CMS MIPS Final Score of 68.8618/100 (Quality: 46.6578). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW MERRITT, M.D. located?
ANDREW MERRITT, M.D. is located at 23422 MILL CREEK DR, LAGUNA HILLS, CA, 92653. Phone: (949) 900-1300.
What is ANDREW MERRITT, M.D.'s NPI number?
ANDREW MERRITT, M.D.'s National Provider Identifier (NPI) is 1760455174, issued on 02/08/2006.
Does ANDREW MERRITT, M.D. prescribe opioids?
Yes, ANDREW MERRITT, M.D. had 338 opioid claims in 2023 with an opioid prescribing rate of 30.6%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does ANDREW MERRITT, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANDREW MERRITT, M.D.'s most frequently prescribed drugs include Gabapentin, Meloxicam, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW MERRITT, M.D. accept Medicare?
ANDREW MERRITT, M.D. appears in CMS Medicare data with 1,105 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW MERRITT, M.D.'s credentials?
ANDREW MERRITT, M.D.'s NPI is 1760455174 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