2026 NPPES data Family Medicine Physician NPI 1407839905 MD
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BENJAMIN LAWLESS, MD

Family Medicine Physician in ACWORTH, Georgia. 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
1K
Medicare Part D claims · 777 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.9348/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

BENJAMIN LAWLESS, MD reported a CMS MIPS final score of 92.9348/100 — above the 83.1 national average — and filed 1,243 Medicare Part D claims in 2023.

92.9348/100
MIPS score · +10 vs avg
1K
Part D claims, 2023
94%
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.

BENJAMIN LAWLESS, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

93 Top 32% higher than 68% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

BENJAMIN LAWLESS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 BENJAMIN LAWLESS, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/29/2005

NPI 1407839905

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

1,243 64% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

92.9348/100 9.834800000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Family Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Family Medicine Physician share within Georgia

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

Medicare quality performance — MIPS

BENJAMIN LAWLESS, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
92.9348/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 92.9348/100 vs national avg 83.1

0%100%National avg83%92.9%
MIPS final score (Family Medicine Physician) — 92.9348/100 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).

BENJAMIN LAWLESS, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 4550 COBB PARKWAY NORTH NW STE 101, ACWORTH, GA, 30101, with a listed phone of (470) 956-0100. NPI 1407839905 was issued on 11/29/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LAWLESS 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 1,243 prescription claims written by this provider, covering 777 Medicare beneficiaries and totaling roughly $15K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 8.8%. 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 92.9348/100 for the 2023 performance year (Quality 80.3814), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

4550 COBB PARKWAY NORTH NW STE 101
ACWORTH, GA 30101

Provider Details

NPI 1407839905
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 11/29/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

92.9348
Final Score
Avg: 83.1
80.3814
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where BENJAMIN LAWLESS, MD 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.

WELLSTAR MEDICAL GROUP LLC
AUSTELL, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

BENJAMIN LAWLESS, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 1,243 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.

1,243
Total Claims
$15K
Total Drug Cost
777
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,250
Total Day Supply
11,096
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$4K
Generic Drug Cost
$11K
Opioid Claims
109 (8.8% rate)
Antibiotic Claims
500

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.20
Gender Split
62% female / 38% male
Age Distribution
<65: 51, 65-74: 365, 75-84: 288, 85+: 73

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What BENJAMIN LAWLESS, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisone
194
Doxycycline Hyclate
141
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
69
Cefdinir
63
Azithromycin
61
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
59
Methylprednisolone
57
Tramadol Hcl
46
Ciprofloxacin Hcl
44
Albuterol Sulfate Hfa
Albuterol Sulfate
43

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How BENJAMIN LAWLESS, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

BENJAMIN LAWLESS, MD's 1,243 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as LAWLESS.

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

Frequently Asked Questions

What is BENJAMIN LAWLESS, MD's specialty?
BENJAMIN LAWLESS, MD specializes in Family Medicine Physician and practices in ACWORTH, Georgia. Credentials: MD.
How much does BENJAMIN LAWLESS, MD prescribe under Medicare Part D?
In 2023, BENJAMIN LAWLESS, MD wrote 1,243 Medicare Part D claims totaling $15K in drug costs for 777 beneficiaries.
What is BENJAMIN LAWLESS, MD's Medicare quality score?
BENJAMIN LAWLESS, MD has a CMS MIPS Final Score of 92.9348/100 (Quality: 80.3814). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BENJAMIN LAWLESS, MD located?
BENJAMIN LAWLESS, MD is located at 4550 COBB PARKWAY NORTH NW STE 101, ACWORTH, GA, 30101. Phone: (470) 956-0100.
What is BENJAMIN LAWLESS, MD's NPI number?
BENJAMIN LAWLESS, MD's National Provider Identifier (NPI) is 1407839905, issued on 11/29/2005.
Does BENJAMIN LAWLESS, MD prescribe more brand-name or generic drugs?
BENJAMIN LAWLESS, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $4K in brand drug costs.
Does BENJAMIN LAWLESS, MD prescribe opioids?
Yes, BENJAMIN LAWLESS, MD had 109 opioid claims in 2023 with an opioid prescribing rate of 8.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does BENJAMIN LAWLESS, MD prescribe most often?
Based on 2023 Medicare Part D data, BENJAMIN LAWLESS, MD's most frequently prescribed drugs include Prednisone, Doxycycline Hyclate, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BENJAMIN LAWLESS, MD accept Medicare?
BENJAMIN LAWLESS, MD appears in CMS Medicare data with 1,243 Part D claims and 777 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENJAMIN LAWLESS, MD's credentials?
BENJAMIN LAWLESS, MD's NPI is 1407839905 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

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