2026 NPPES data Internal Medicine Physician NPI 1053385526 D.O.
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ASHLEY COGGINS, D.O.

Internal Medicine Physician in HELENA, Montana. 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
266
Medicare Part D claims · 56 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.435/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: ASHLEY COGGINS, D.O. is a Internal Medicine Physician ([object Object]) practicing in HELENA, Montana with a Medicare Part D prescribing footprint of 266 claims across 56 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 81.435/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ASHLEY COGGINS, D.O. reported a CMS MIPS final score of 81.435 out of 100, below the 83.1 national average, and filed 266 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ASHLEY COGGINS, D.O. 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).

ASHLEY COGGINS, D.O. at a glance

Near national average

NPI registry status

Active

Issued 02/14/2006

NPI 1053385526

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

266 90% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

81.435/100 1.664999999999992% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Internal Medicine Physician compares to other specialties among Montana providers

Montana providers

Internal Medicine Physician share within Montana

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Montana

Medicare quality performance — MIPS

ASHLEY COGGINS, D.O.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Near national average
MIPS Final Score
81.435/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 81.435/100 vs national avg 83.1

0%100%National avg83%81.4%
MIPS final score (Internal Medicine Physician) — 81.435/100 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).

ASHLEY COGGINS, D.O. is a Internal Medicine Physician provider practicing in HELENA, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1053385526. 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.

ASHLEY COGGINS, D.O. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding D.O. credentials at 2475 E BROADWAY ST, HELENA, MT, 59601, with a listed phone of (406) 442-2480. NPI 1053385526 was issued on 02/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COGGINS 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 266 prescription claims written by this provider, covering 56 Medicare beneficiaries and totaling roughly $17K in drug spend, split 14% brand-name and 86% 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 81.435/100 for the 2023 performance year (Quality 73.2294, Cost 64.8872), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

2475 E BROADWAY ST
HELENA, MT 59601

Provider Details

NPI 1053385526
Specialty Internal Medicine Physician
Credentials D.O.
Gender Female
NPI Issued 02/14/2006

CMS Quality Score (MIPS)

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

81.435
Final Score
Avg: 83.1
73.2294
Quality
64.8872
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ASHLEY COGGINS, D.O. 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.

ST PETERS HEALTH
★★★☆☆ 3/5
HELENA, MT
Acute Care Hospitals
CMS CCN: 270003

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

Brand vs generic prescribing mix · Typical

ASHLEY COGGINS, D.O. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 266 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.

266
Total Claims
$17K
Total Drug Cost
56
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
374
Total Day Supply
9,272
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$13K
Generic Drug Cost
$3K
Antibiotic Claims
26

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
2.11
Gender Split
52% female / 48% 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
Gabapentin
15
Tamsulosin Hcl
15
Lisinopril
13
Potassium Chloride
12
Albuterol Sulfate Hfa
Albuterol Sulfate
11
Eliquis
Apixaban
11

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

Internal Medicine Physician Overview

How ASHLEY COGGINS, D.O. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

ASHLEY COGGINS, D.O.'s 266 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Montana

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ASHLEY COGGINS, D.O.'s specialty?
ASHLEY COGGINS, D.O. specializes in Internal Medicine Physician and practices in HELENA, Montana. Credentials: D.O..
How much does ASHLEY COGGINS, D.O. prescribe under Medicare Part D?
In 2023, ASHLEY COGGINS, D.O. wrote 266 Medicare Part D claims totaling $17K in drug costs for 56 beneficiaries.
What is ASHLEY COGGINS, D.O.'s Medicare quality score?
ASHLEY COGGINS, D.O. has a CMS MIPS Final Score of 81.435/100 (Quality: 73.2294, Cost: 64.8872). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ASHLEY COGGINS, D.O. located?
ASHLEY COGGINS, D.O. is located at 2475 E BROADWAY ST, HELENA, MT, 59601. Phone: (406) 442-2480.
What is ASHLEY COGGINS, D.O.'s NPI number?
ASHLEY COGGINS, D.O.'s National Provider Identifier (NPI) is 1053385526, issued on 02/14/2006.
Does ASHLEY COGGINS, D.O. prescribe more brand-name or generic drugs?
ASHLEY COGGINS, D.O.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $13K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does ASHLEY COGGINS, D.O. prescribe most often?
Based on 2023 Medicare Part D data, ASHLEY COGGINS, D.O.'s most frequently prescribed drugs include Gabapentin, Tamsulosin Hcl, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ASHLEY COGGINS, D.O. accept Medicare?
ASHLEY COGGINS, D.O. appears in CMS Medicare data with 266 Part D claims and 56 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ASHLEY COGGINS, D.O.'s credentials?
ASHLEY COGGINS, D.O.'s NPI is 1053385526 with credentials D.O.. 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