2026 NPPES data Adult Medicine Physician NPI 1952527871 M.D.
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BEN DOUGLAS, M.D.

Adult Medicine Physician in TILLAMOOK, Oregon. 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
5K
Medicare Part D claims · 327 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.4697/100
▼ 15 pts below national avg 83.1 · [object Object]
What the federal data reveals: BEN DOUGLAS, M.D. is a Adult Medicine Physician ([object Object]) practicing in TILLAMOOK, Oregon with a Medicare Part D prescribing footprint of 5K claims across 327 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 68.4697/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: BEN DOUGLAS, M.D. reported a CMS MIPS final score of 68.4697 out of 100, below the 83.1 national average, and filed 4,608 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)

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).

BEN DOUGLAS, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/18/2007

NPI 1952527871

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

4,608 64% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

68.4697/100 14.630299999999991% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Oregon

How Adult Medicine Physician compares to other specialties among Oregon providers

Oregon providers

Adult Medicine Physician share within Oregon

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

Medicare quality performance — MIPS

BEN DOUGLAS, M.D.'s 2023 MIPS final score plotted against the Adult Medicine Physician national average

Below national average
MIPS Final Score
68.4697/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 68.4697/100 vs national avg 83.1

0%100%National avg83%68.5%
MIPS final score (Adult Medicine Physician) — 68.4697/100 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).

BEN DOUGLAS, M.D. is a Adult Medicine Physician provider practicing in TILLAMOOK, Oregon, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1952527871. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOUGLAS 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 4,608 prescription claims written by this provider, covering 327 Medicare beneficiaries and totaling roughly $359K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 4.4%. 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 68.4697/100 for the 2023 performance year (Quality 65.9263, Cost 38.837), 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

1100 3RD ST
TILLAMOOK, OR 97141

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%
Specialty average (est.)

8% brand-name claims vs 92% 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 / 92% 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.

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.

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

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 68.4697/100 (Quality: 65.9263, Cost: 38.837). 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 92% 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

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