NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1326350570 M.D.
Verify on CMS → Ben Bradenham, M.D.
Gastroenterology Physician in Richmond, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology 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
1K
Medicare Part D claims · 476 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.6/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$2.1K
44 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ben Bradenham, M.D. reported a CMS MIPS final score of 84.6/100 - above the 83.1 national average - and filed 1,495 Medicare Part D claims in 2023.
- 84.6/100
- MIPS score · +1 vs avg
- 1K
- Part D claims, 2023
- 80%
- 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.
Ben Bradenham, 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
85 45th percentile higher than 45% of 477,587 scored providers
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
Where Ben Bradenham, M.D. sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ben Bradenham, M.D. writes more Part D claims than 80% of them and scores higher on MIPS quality than 51% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Ben Bradenham, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ben Bradenham, 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 Ben Bradenham, M.D.?
Near national averagePrimary specialty
Gastroenterology Physician
Medicare Part D claims
1,495 79% vs specialty avg
MIPS final score
84.6/100 1.5 pts vs avg
Specialty distribution in Virginia
How Gastroenterology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Ben Bradenham, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 84.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 84.6/100 vs national avg 83.1
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).
Ben Bradenham, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 7611 FOREST AVE STE 410, Richmond, VA, 23229, with a listed phone of (804) 285-8206. NPI 1326350570 was issued on 07/03/2010.
Medicare Part D records for calendar year 2023 show 1,495 prescription claims written by this provider, covering 476 Medicare beneficiaries and totaling roughly $589K in drug spend, split 20% brand-name and 80% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.6/100 for the 2023 performance year (Quality 89.6, Cost 76.4), 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
Provider Details
| NPI | 1326350570 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/03/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.5657
Final Score
Avg: 83.1
89.6104
Quality
76.4418
Cost
79
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ben Bradenham, 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.
Douglas Avery And Associates Ltd
Midlothian, VA
Gastrointestinal Specialists LLC
Richmond, VA
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 Ben Bradenham, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.1K
Largest payer
Enterra Medical, 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
Ben Bradenham, M.D. - brand share 20.0%
Gastroenterology Physician average
20% brand-name claims vs 80% generic, on 1,495 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.
1,495
Total Claims
$589K
Total Drug Cost
476
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,481
- Total Day Supply
- 67,234
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $509K
- Generic Drug Cost
- $80K
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 50, 65-74: 257, 75-84: 145, 85+: 24
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ben Bradenham, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
236 claims
- Pantoprazole Sodium
Pantoprazole Sodium
135 claims
- Clenpiq 70
Clenpiq
70 claims
- Famotidine 64
Famotidine
64 claims
- Mesalamine 55
Mesalamine
55 claims
- Linzess 52
Linzess
52 claims
- Dicyclomine Hcl 46
Dicyclomine Hcl
46 claims
- Esomeprazole Magne… 42
Esomeprazole Magnesium
42 claims
| Drug | Claims |
|---|---|
| Omeprazole | 236 |
| Pantoprazole Sodium | 135 |
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 70 |
| Famotidine | 64 |
| Mesalamine | 55 |
| Linzess Linaclotide | 52 |
| Dicyclomine Hcl | 46 |
| Esomeprazole Magnesium | 42 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 38 |
| Metoclopramide Hcl | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Ben Bradenham, 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
Ben Bradenham, M.D.'s 1,495 claims are above the specialty average of 833.
Nearby Gastroenterology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Bradenham.
Dr. Mahmood Abedi
MD
Fairfax, VA
Dr. Mohammad Abidi
MD
Manassas, VA
Dr. Souheil Abou Assi
M.D.
Richmond, VA
Dr. Emad Abuhamda
MD
Alexandria, VA
Dr. Jason Adam
M.D.
North Chesterfield, VA
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Ben Bradenham, M.D.'s specialty? ▼
Ben Bradenham, M.D. specializes in Gastroenterology Physician and practices in Richmond, Virginia. Credentials: M.D..
How much does Ben Bradenham, M.D. prescribe under Medicare Part D? ▼
In 2023, Ben Bradenham, M.D. wrote 1,495 Medicare Part D claims totaling $589K in drug costs for 476 beneficiaries.
What is Ben Bradenham, M.D.'s Medicare quality score? ▼
Ben Bradenham, M.D. has a CMS MIPS Final Score of 84.6/100 (Quality: 89.6, Cost: 76.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ben Bradenham, M.D. located? ▼
Ben Bradenham, M.D. is located at 7611 FOREST AVE STE 410, Richmond, VA, 23229. Phone: (804) 285-8206.
What is Ben Bradenham, M.D.'s NPI number? ▼
Ben Bradenham, M.D.'s National Provider Identifier (NPI) is 1326350570, issued on 07/03/2010.
Does Ben Bradenham, M.D. prescribe more brand-name or generic drugs? ▼
Ben Bradenham, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $509K 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 Ben Bradenham, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Ben Bradenham, M.D.'s most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Clenpiq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ben Bradenham, M.D. accept Medicare? ▼
Ben Bradenham, M.D. appears in CMS Medicare data with 1,495 Part D claims and 476 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ben Bradenham, M.D.'s credentials? ▼
Ben Bradenham, M.D.'s NPI is 1326350570 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.