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 2,476 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 · 340 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.5/100
▼ 15 pts below national avg 83.5 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ben Douglas, M.D. reported a CMS MIPS final score of 68.5/100 - below the 83.5 national average - and filed 4,839 Medicare Part D claims in 2024.
- 68.5/100
- MIPS score · -15 vs avg
- 5K
- Part D claims, 2024
- 90%
- 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.
Federal trust snapshot
What official records show about Ben Douglas, M.D.
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 1952527871), first enumerated 04/18/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 4,839 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 68.5/100 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.
- 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 1952527871 · Adult Medicine Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-LOW · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1952527871
- ENUM-MID 2007
- TAX-NARROW 2,476
- MIPS-LOW 68.5/100
- RX-MID 4,839
- BOOK-THIN 30 in Oregon
- PHOTO-FINISH Charles Rocamboli · ±0.2
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Roger Martinez ·…
Roger Martinez
65.5 MIPS pts
- Joe Mazzolini · …
Joe Mazzolini
66.5 MIPS pts
- Douglas · this p…
Douglas · this provider
68.5 MIPS pts
- Charles Rocambol…
Charles Rocamboli
68.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ben Douglas, M.D.'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.
69 ≥ 8th percentile 8% 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 Ben Douglas, M.D. sits
This provider among adult medicine physician peers
Across the 204 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 76% of them and scores higher on MIPS quality than 13% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
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
4,839 67% vs specialty avg
MIPS final score
68.5/100 15 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 83.5 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 | 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
Measured-score avg: 83.5
65.9263
Quality
38.837
Cost
85
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Typical
Ben Douglas, M.D. - brand share 10.0%
Adult Medicine Physician average
10% brand-name claims vs 90% generic, on 4,839 2024 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 2024.
4,839
Total Claims
$435K
Total Drug Cost
340
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,182.3
- Total Day Supply
- 294,055
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $358K
- Generic Drug Cost
- $75K
- Opioid Claims
- 200 (4.1% rate)
- Antibiotic Claims
- 105
Patient Demographics
- Average Patient Age
- 74.9 years
- Avg HCC Risk Score
- 1.17
- Gender Split
- 41% female / 59% male
- Age Distribution
- <65: 40, 65-74: 131, 75-84: 113, 85+: 56
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Ben Douglas, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
288 claims
- Lisinopril
Lisinopril
227 claims
- Metformin Hcl
Metformin Hcl
147 claims
- Tamsulosin Hcl
Tamsulosin Hcl
133 claims
- Hydrochlorothiazide
Hydrochlorothiazide
127 claims
- Metoprolol Succinate
Metoprolol Succinate
125 claims
- Omeprazole 101
Omeprazole
101 claims
- Potassium Chloride 100
Potassium Chloride
100 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 288 |
| Lisinopril | 227 |
| Metformin Hcl | 147 |
| Tamsulosin Hcl | 133 |
| Hydrochlorothiazide | 127 |
| Metoprolol Succinate | 125 |
| Omeprazole | 101 |
| Potassium Chloride | 100 |
| Amlodipine Besylate | 91 |
| Losartan Potassium | 87 |
* 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.
2,476
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,896
Avg Claims per Provider
Ben Douglas, M.D.'s 4,839 claims are above the specialty average of 2,896.
Nationwide Adult Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Douglas, both outside Oregon so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (68.5 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 30 Adult Medicine Physician providers enrolled in Oregon, 5 are shown here.
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 →
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 2024, Ben Douglas, M.D. wrote 4,839 Medicare Part D claims totaling $435K in drug costs for 340 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 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 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 10% brand-name and 90% generic drugs by claim count, with $358K in brand drug costs.
Does Ben Douglas, M.D. prescribe opioids? ▼
Yes, Ben Douglas, M.D. had 200 opioid claims in 2024 with an opioid prescribing rate of 4.1%.
How many Adult Medicine Physician providers are there in the US? ▼
There are 2,476 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,896 Medicare Part D claims per year.
What drugs does Ben Douglas, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Ben Douglas, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Metformin Hcl. 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 4,839 Part D claims and 340 Medicare beneficiaries in 2024. 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 (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.