NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1669977997 MD
Verify on CMS → Anthony Declusin, MD
General Practice Physician in Longmont, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,838 in General Practice 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
957
Medicare Part D claims · 241 beneficiaries · General Practice Physician avg: 3K
MIPS score
97.6/100
▲ 14 pts above national avg 83.5 · Exceptional
Industry payments
$248.42
4 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Anthony Declusin, MD reported a CMS MIPS final score of 97.6/100 - above the 83.5 national average - and filed 957 Medicare Part D claims in 2024.
- 97.6/100
- MIPS score · +14 vs avg
- 957
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥84th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Anthony Declusin, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1669977997), first enumerated 03/28/2018.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 957 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 97.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$248.42 in reported industry payments (4 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1669977997 · General Practice Physician
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1669977997
- ENUM-RECENT 2018
- TAX-MID 17K General Practice
- MIPS-ELITE 97.6/100
- RX-LIGHT 957
- BOOK-THIN 341 in Colorado
- PHOTO-FINISH Zachary Albert, D.O. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Declusin · this …
Declusin · this provider
97.6 MIPS pts
- Howard Feldman, …
Howard Feldman, MD
97.6 MIPS pts
- Zachary Albert, …
Zachary Albert, D.O.
97.6 MIPS pts
- Mark Drew, M.D. …
Mark Drew, M.D.
97.6 MIPS pts
- Charles Feicht, …
Charles Feicht, D.O.
97.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Anthony Declusin, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
98 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Anthony Declusin, MD sits
This provider among general practice physician peers
Across the 714 general practice physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anthony Declusin, MD writes more Part D claims than 60% of them and scores higher on MIPS quality than 87% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one general practice physician peer from a representative sample of 60; the gold marker is Anthony Declusin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Anthony Declusin, 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 Anthony Declusin, MD?
High performer (top quartile)Primary specialty
General Practice Physician
Medicare Part D claims
957 68% vs specialty avg
MIPS final score
97.6/100 14.1 pts vs avg
Specialty distribution in Colorado
How General Practice Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Anthony Declusin, MD's 2023 MIPS final score plotted against the General Practice Physician national average
- MIPS Final Score
- 97.6/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1669977997 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/28/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Measured-score avg: 83.5
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Anthony Declusin, 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.
Poudre Valley Medical Group LLC
Longmont, CO
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 Anthony Declusin, MD. Source: openpaymentsdata.cms.gov.
Total received
$248
Largest payer
Medtronic, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
957
Total Claims
$390K
Total Drug Cost
241
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,170.767
- Total Day Supply
- 63,850
- Generic Drug Cost
- $66K
- Opioid Claims
- 15 (1.6% rate)
Patient Demographics
- Average Patient Age
- 69.9 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 39, 65-74: 129, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Anthony Declusin, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Gabapentin
Gabapentin
90 claims
- Donepezil Hcl
Donepezil Hcl
79 claims
- Carbidopa-Levodopa
Carbidopa-Levodopa
72 claims
- Nortriptyline Hcl
Nortriptyline Hcl
62 claims
- Baclofen
Baclofen
42 claims
- Topiramate
Topiramate
37 claims
- Rizatriptan 32
Rizatriptan
32 claims
- Pregabalin 28
Pregabalin
28 claims
| Drug | Claims |
|---|---|
| Gabapentin | 90 |
| Donepezil Hcl | 79 |
| Carbidopa-Levodopa Carbidopa/Levodopa | 72 |
| Nortriptyline Hcl | 62 |
| Baclofen | 42 |
| Topiramate | 37 |
| Rizatriptan Rizatriptan Benzoate | 32 |
| Pregabalin | 28 |
| Levetiracetam | 25 |
| Atorvastatin Calcium | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Anthony Declusin, MD fits within the General Practice Physician landscape nationally.
16,838
General Practice Physician Providers in US
56
States with General Practice Physician
2,957
Avg Claims per Provider
Anthony Declusin, MD's 957 claims are below the specialty average of 2,957.
Nationwide General Practice Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Declusin, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.6 here).
Same NPPES enumeration year (2018)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby General Practice Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Declusin.
One of 341 General Practice Physician providers enrolled in Colorado, 5 are shown here.
Dr. Perlita Acuna-Narvaez
M.D.
La Junta, CO
Mohamed Nazhat Al Yafi
Denver, CO
Dr. Diane Al-Abduljalil
MD
Colorado Springs, CO
Dr. Syed Ali
DO
Fort Carson, CO
Dr. Neda Arami
M.D.
Castle Pines, CO
Compare General Practice Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Anthony Declusin, MD's specialty? ▼
Anthony Declusin, MD specializes in General Practice Physician and practices in Longmont, Colorado. Credentials: MD.
How much does Anthony Declusin, MD prescribe under Medicare Part D? ▼
In 2024, Anthony Declusin, MD wrote 957 Medicare Part D claims totaling $390K in drug costs for 241 beneficiaries.
What is Anthony Declusin, MD's Medicare quality score? ▼
Anthony Declusin, MD has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Anthony Declusin, MD located? ▼
Anthony Declusin, MD is located at 1925 MOUNTAIN VIEW AVE, Longmont, CO, 80501. Phone: (720) 718-8070.
What is Anthony Declusin, MD's NPI number? ▼
Anthony Declusin, MD's National Provider Identifier (NPI) is 1669977997, issued on 03/28/2018.
Does Anthony Declusin, MD prescribe opioids? ▼
Yes, Anthony Declusin, MD had 15 opioid claims in 2024 with an opioid prescribing rate of 1.6%.
How many General Practice Physician providers are there in the US? ▼
There are 16,838 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,957 Medicare Part D claims per year.
What drugs does Anthony Declusin, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Anthony Declusin, MD's most frequently prescribed drugs include Gabapentin, Donepezil Hcl, Carbidopa-Levodopa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anthony Declusin, MD accept Medicare? ▼
Anthony Declusin, MD appears in CMS Medicare data with 957 Part D claims and 241 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Declusin, MD's credentials? ▼
Anthony Declusin, MD's NPI is 1669977997 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.