NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1821060872 MD
Verify on CMS → Ben Usatch, MD
Emergency Medicine Physician in Aurora, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 66,293 in Emergency 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
144
Medicare Part D claims · 105 beneficiaries · Emergency Medicine Physician avg: 355
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.6/100
▲ 14 pts above national avg 83.5 · Exceptional
Industry payments
$18.2K
26 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ben Usatch, MD reported a CMS MIPS final score of 97.6/100 - above the 83.5 national average - and filed 144 Medicare Part D claims in 2024.
- 97.6/100
- MIPS score · +14 vs avg
- 144
- Part D claims, 2024
- 92%
- 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 Usatch, MD
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 1821060872), first enumerated 02/03/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 144 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 97.6/100 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.
- Reported
Industry payment transparency
$18.2K in reported industry payments (26 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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.
Compare Usatch with other Emergency Medicine Physician providers
Same primary specialty, same federal CMS NPPES roster.
All 255 Emergency Medicine Physician providers in Aurora, CO →
Also enrolled in Colorado
- Steven Aaronson Denver, CO
- Lauren Abbate Aurora, CO
- Dr. Jean Abbott, MD Aurora, CO
- Dr. William Abbott, M.D. Aurora, CO
- Dr. Charles Abramson, D.O. Glenwood Springs, CO
- Timothy Adair, PA Denver, CO
Other specialties in Aurora: Student in an Organized Health Care Education/Training Program (1,831) · Behavior Technician (850) · Case Manager/Care Coordinator (749) · Registered Nurse (655)
CMS NPPES provider registry desk
NPI 1821060872 · Emergency Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1821060872
- ENUM-LEGACY 2006
- TAX-MEGA 66K Emergency Medicine
- MIPS-ELITE 97.6/100
- RX-LIGHT 144
- BOOK-LIGHT 1,387 in Colorado
- PHOTO-FINISH Amy Aldrich, DO · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Usatch · this pr…
Usatch · this provider
97.6 MIPS pts
- Chandramohan Bat…
Chandramohan Batra, MD
97.6 MIPS pts
- Amy Aldrich, DO …
Amy Aldrich, DO
97.6 MIPS pts
- Asghar Ali, MD ·…
Asghar Ali, MD
97.6 MIPS pts
- Jesse Basford, M…
Jesse Basford, MD
97.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ben Usatch, MD'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.
98 ≥ 84th percentile 84% 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 Usatch, MD sits
This provider among emergency medicine physician peers
Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ben Usatch, MD writes more Part D claims than 48% of them and scores higher on MIPS quality than 83% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Ben Usatch, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ben Usatch, MD 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 Usatch, MD?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
144 59% vs specialty avg
MIPS final score
97.6/100 14.1 pts vs avg
Specialty distribution in Colorado
How Emergency Medicine Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Ben Usatch, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 97.6/100
- 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 | 1821060872 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/03/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Measured-score avg: 83.5
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
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 Usatch, MD. Source: openpaymentsdata.cms.gov.
Total received
$18.2K
Largest payer
Inari 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 · Generic-heavy
Ben Usatch, MD - brand share 8.0%
Emergency Medicine Physician average
8% brand-name claims vs 92% generic, on 144 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.
144
Total Claims
$2K
Total Drug Cost
105
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 149.2
- Total Day Supply
- 1,779
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $725
- Generic Drug Cost
- $1K
- Opioid Claims
- 17 (11.8% rate)
- Antibiotic Claims
- 54
Patient Demographics
- Average Patient Age
- 75.9 years
- Avg HCC Risk Score
- 1.78
- Gender Split
- 58% female / 42% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Ben Usatch, MD fits within the Emergency Medicine Physician landscape nationally.
66,293
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
355
Avg Claims per Provider
Ben Usatch, MD's 144 claims are below the specialty average of 355.
Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Usatch, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.6 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Usatch.
One of 1,387 Emergency Medicine Physician providers enrolled in Colorado, 11 are shown on this page.
Dr. Alan Adams
MD
Salida, CO
Dr. Bruce Adams
M.D.
Denver, CO
Dr. Erik Adler
M.D.
Denver, CO
Dr. Natasha Aguirre
MD
Aurora, CO
Dr. Justin Ahn
M.D.
Denver, CO
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ben Usatch, MD's specialty? ▼
Ben Usatch, MD specializes in Emergency Medicine Physician and practices in Aurora, Colorado. Credentials: MD.
How much does Ben Usatch, MD prescribe under Medicare Part D? ▼
In 2024, Ben Usatch, MD wrote 144 Medicare Part D claims totaling $2K in drug costs for 105 beneficiaries.
What is Ben Usatch, MD's Medicare quality score? ▼
Ben Usatch, MD has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). 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 Usatch, MD located? ▼
Ben Usatch, MD is located at 12605 E 16TH AVE, Aurora, CO, 80045. Phone: (303) 493-7000.
What is Ben Usatch, MD's NPI number? ▼
Ben Usatch, MD's National Provider Identifier (NPI) is 1821060872, issued on 02/03/2006.
Does Ben Usatch, MD prescribe more brand-name or generic drugs? ▼
Ben Usatch, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $725 in brand drug costs.
Does Ben Usatch, MD prescribe opioids? ▼
Yes, Ben Usatch, MD had 17 opioid claims in 2024 with an opioid prescribing rate of 11.8%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 66,293 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 355 Medicare Part D claims per year.
What drugs does Ben Usatch, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Ben Usatch, MD's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ben Usatch, MD accept Medicare? ▼
Ben Usatch, MD appears in CMS Medicare data with 144 Part D claims and 105 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ben Usatch, MD's credentials? ▼
Ben Usatch, MD's NPI is 1821060872 with credentials MD. 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.