NPI registry status
Active
2026 NPPES data Adult Medicine Physician NPI 1952527871 M.D.
Verify on CMS → Ben Douglas, M.D.
Adult Medicine Physician in Tillamook, Oregon.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,481 in Adult Medicine 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
5K
Medicare Part D claims · 327 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.5/100
▼ 15 pts below national avg 83.1 · Mid-tier
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 Douglas, M.D. reported a CMS MIPS final score of 68.5/100 - below the 83.1 national average - and filed 4,608 Medicare Part D claims in 2023.
- 68.5/100
- MIPS score · -15 vs avg
- 5K
- Part D claims, 2023
- 91%
- 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 Douglas, 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
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 Douglas, M.D. sits
This provider among adult medicine physician peers
Across the 216 adult medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ben Douglas, M.D. writes more Part D claims than 73% of them and scores higher on MIPS quality than 12% - placing this provider in the high-volume, lower-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 adult medicine physician peer from a representative sample of 60; the gold marker is Ben Douglas, 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 Douglas, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Douglas, M.D.?
Below national averagePrimary specialty
Adult Medicine Physician
Medicare Part D claims
4,608 64% vs specialty avg
MIPS final score
68.5/100 14.6 pts vs avg
Specialty distribution in Oregon
How Adult Medicine Physician compares to other specialties among Oregon providers
Medicare quality performance, MIPS
Ben Douglas, M.D.'s 2023 MIPS final score plotted against the Adult Medicine Physician national average
- MIPS Final Score
- 68.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Medicine Physician) - 68.5/100 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 Douglas, M.D. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding M.D. credentials at 1100 3RD ST, Tillamook, OR, 97141, with a listed phone of (503) 842-7533. NPI 1952527871 was issued on 04/18/2007.
Medicare Part D records for calendar year 2023 show 4,608 prescription claims written by this provider, covering 327 Medicare beneficiaries and totaling roughly $359K in drug spend, split 8% brand-name and 91% generic by claim count, with an opioid prescribing rate of 4.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 68.5/100 for the 2023 performance year (Quality 65.9, Cost 38.8), compared with the national average of 83.1.
Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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 | 1952527871 |
|---|---|
| Specialty | Adult Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/18/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
68.4697
Final Score
Avg: 83.1
65.9263
Quality
38.837
Cost
85
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Generic-heavy
Ben Douglas, M.D. - brand share 8.0%
Adult Medicine Physician average
8% brand-name claims vs 91% generic, on 4,608 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.
4,608
Total Claims
$359K
Total Drug Cost
327
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,253
- Total Day Supply
- 266,837
- Brand vs Generic
- 8% brand / 91% generic
- Brand Drug Cost
- $264K
- Generic Drug Cost
- $94K
- Opioid Claims
- 205 (4.4% rate)
- Antibiotic Claims
- 89
Patient Demographics
- Average Patient Age
- 74.8 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 43% female / 57% male
- Age Distribution
- <65: 35, 65-74: 132, 75-84: 104, 85+: 56
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ben Douglas, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
257 claims
- Lisinopril
Lisinopril
208 claims
- Metoprolol Succinate
Metoprolol Succinate
130 claims
- Metformin Hcl
Metformin Hcl
126 claims
- Hydrochlorothiazide
Hydrochlorothiazide
122 claims
- Omeprazole
Omeprazole
116 claims
- Tamsulosin Hcl
Tamsulosin Hcl
109 claims
- Amlodipine Besylate 100
Amlodipine Besylate
100 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 257 |
| Lisinopril | 208 |
| Metoprolol Succinate | 130 |
| Metformin Hcl | 126 |
| Hydrochlorothiazide | 122 |
| Omeprazole | 116 |
| Tamsulosin Hcl | 109 |
| Amlodipine Besylate | 100 |
| Levothyroxine Sodium | 96 |
| Potassium Chloride | 85 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Medicine Physician Overview
How Ben Douglas, M.D. fits within the Adult Medicine Physician landscape nationally.
2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider
Ben Douglas, M.D.'s 4,608 claims are above the specialty average of 2,807.
Nearby Adult Medicine Physician Providers in Oregon
Other clinicians with the same primary specialty enrolled in Oregon, drawn from the same CMS NPPES roster as Douglas.
Dr. Jacquelyn Adams
DNP, FNP
Baker City, OR
Dr. Bruce Ames
MD
Medford, OR
Dr. Lisa Angelesco
DNP, APRN, FNP-C
Salem, OR
Dr. Leta Callahan
MD
Wheeler, OR
Dr. Christina Cellura
D.O.
Medford, OR
Compare Adult Medicine 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 Oregon medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Medicine 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 Douglas, M.D.'s specialty? ▼
Ben Douglas, M.D. specializes in Adult Medicine Physician and practices in Tillamook, Oregon. Credentials: M.D..
How much does Ben Douglas, M.D. prescribe under Medicare Part D? ▼
In 2023, Ben Douglas, M.D. wrote 4,608 Medicare Part D claims totaling $359K in drug costs for 327 beneficiaries.
What is Ben Douglas, M.D.'s Medicare quality score? ▼
Ben Douglas, M.D. has a CMS MIPS Final Score of 68.5/100 (Quality: 65.9, Cost: 38.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ben Douglas, M.D. located? ▼
Ben Douglas, M.D. is located at 1100 3RD ST, Tillamook, OR, 97141. Phone: (503) 842-7533.
What is Ben Douglas, M.D.'s NPI number? ▼
Ben Douglas, M.D.'s National Provider Identifier (NPI) is 1952527871, issued on 04/18/2007.
Does Ben Douglas, M.D. prescribe more brand-name or generic drugs? ▼
Ben Douglas, M.D.'s prescribing is 8% brand-name and 91% generic drugs by claim count, with $264K in brand drug costs.
Does Ben Douglas, M.D. prescribe opioids? ▼
Yes, Ben Douglas, M.D. had 205 opioid claims in 2023 with an opioid prescribing rate of 4.4%.
How many Adult Medicine Physician providers are there in the US? ▼
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does Ben Douglas, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Ben Douglas, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ben Douglas, M.D. accept Medicare? ▼
Ben Douglas, M.D. appears in CMS Medicare data with 4,608 Part D claims and 327 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ben Douglas, M.D.'s credentials? ▼
Ben Douglas, M.D.'s NPI is 1952527871 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.