2026 NPPES data Family Medicine Physician NPI 1255369104 MD
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Bennie Muscha, MD

Family Medicine Physician in Mesa, Arizona. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 147,640 in Family 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
207
Medicare Part D claims · 132 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
89/100
▲ 6 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Bennie Muscha, MD reported a CMS MIPS final score of 89/100 — above the 83.1 national average — and filed 207 Medicare Part D claims in 2023.

89/100
MIPS score · +6 vs avg
207
Part D claims, 2023
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.

Bennie Muscha, MD's MIPS score vs every scored U.S. clinician

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

89 Top 42% higher than 58% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

Where Bennie Muscha, MD sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Bennie Muscha, MD writes more Part D claims than 12% of them and scores higher on MIPS quality than 56% — placing this provider in the lower-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 92Bennie Muscha, MD — Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 56
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Bennie Muscha, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Bennie Muscha, 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 Bennie Muscha, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/29/2006

NPI 1255369104

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

207 94% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

89/100 5.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Arizona

How Family Medicine Physician compares to other specialties among Arizona providers

Arizona providers

Largest specialties in Arizona (% of in-state providers)

Pharmacist — 5.6%Pharmacist5.6%Behavior Technician — 5.6%Behavior Technician5.6%Family Nurse Practitioner — 4.3%Family Nurse Practitioner4.3%Physical Therapist — 4.2%Physical Therapist4.2%Speech-Language Pathologist — 3.5%Speech-Language Pathologist3.5%Student in an Organized Health Care Education/Training Program — 3.5%Student in an Organized Health Care Education/Training Program3.5%Family Medicine Physician — 2.5%Family Medicine Physician2.5%
Largest specialties in Arizona (% of in-state providers)

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
89/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 89/100 vs national avg 83.1

0%100%National avg83%89%
MIPS final score (Family Medicine Physician) — 89/100 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).

Bennie Muscha, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1917 SOUTH CRISMON ROAD, Mesa, AZ, 85206, with a listed phone of (480) 610-7100. NPI 1255369104 was issued on 06/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Muscha 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 207 prescription claims written by this provider, covering 132 Medicare beneficiaries and totaling roughly $8K in drug spend, with an opioid prescribing rate of 18.8%. 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 89/100 for the 2023 performance year (Quality 80.6), 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

1917 SOUTH CRISMON ROAD
Mesa, AZ 85206

Provider Details

NPI 1255369104
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/29/2006

CMS Quality Score (MIPS)

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

89.0223
Final Score
Avg: 83.1
80.586
Quality
99
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

207
Total Claims
$8K
Total Drug Cost
132
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
225
Total Day Supply
2,891
Generic Drug Cost
$2K
Opioid Claims
39 (18.8% rate)
Antibiotic Claims
51

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.24
Gender Split
64% female / 36% male
Age Distribution
<65: 36, 65-74: 46, 75-84: 31, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What Bennie Muscha, 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
19
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
13
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12

* 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 Bennie Muscha, 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

Bennie Muscha, MD's 207 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Arizona

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

Compare Family 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 Arizona medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family 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.

Frequently Asked Questions

What is Bennie Muscha, MD's specialty?
Bennie Muscha, MD specializes in Family Medicine Physician and practices in Mesa, Arizona. Credentials: MD.
How much does Bennie Muscha, MD prescribe under Medicare Part D?
In 2023, Bennie Muscha, MD wrote 207 Medicare Part D claims totaling $8K in drug costs for 132 beneficiaries.
What is Bennie Muscha, MD's Medicare quality score?
Bennie Muscha, MD has a CMS MIPS Final Score of 89/100 (Quality: 80.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Bennie Muscha, MD located?
Bennie Muscha, MD is located at 1917 SOUTH CRISMON ROAD, Mesa, AZ, 85206. Phone: (480) 610-7100.
What is Bennie Muscha, MD's NPI number?
Bennie Muscha, MD's National Provider Identifier (NPI) is 1255369104, issued on 06/29/2006.
Does Bennie Muscha, MD prescribe opioids?
Yes, Bennie Muscha, MD had 39 opioid claims in 2023 with an opioid prescribing rate of 18.8%.
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 Bennie Muscha, MD prescribe most often?
Based on 2023 Medicare Part D data, Bennie Muscha, MD's most frequently prescribed drugs include Prednisone, Oxycodone-Acetaminophen, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bennie Muscha, MD accept Medicare?
Bennie Muscha, MD appears in CMS Medicare data with 207 Part D claims and 132 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bennie Muscha, MD's credentials?
Bennie Muscha, MD's NPI is 1255369104 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

Compiled from official public sources by the PlainDoctor editorial team.