PlainDoctor

2026 NPPES data Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician NPI 1659768000 M.D.
Verify on CMS →

Bertille Gaigbe-Togbe, M.D.

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Great Neck, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 572 in Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) 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
310
Medicare Part D claims · 137 beneficiaries · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician avg: 611
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3/100
▲ 8 pts above national avg 83.5 · Exceptional
Industry payments
$506.93
5 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Bertille Gaigbe-Togbe, M.D. reported a CMS MIPS final score of 91.3/100 - above the 83.5 national average - and filed 310 Medicare Part D claims in 2023.

91.3/100
MIPS score · +8 vs avg
310
Part D claims, 2023
70%
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 Bertille Gaigbe-Togbe, 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 1659768000), first enumerated 04/23/2015.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 310 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 91.3/100 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $506.93 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Bertille Gaigbe-Togbe, M.D.'s individual license status. Verify directly with the state medical board.

    Source: NYSBPMC annual report 2023

  • 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 1659768000 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1659768000
  • ENUM-MID 2015
  • TAX-NARROW 572
  • MIPS-ABOVE 91.3/100
  • RX-LIGHT 310
  • BOOK-THIN 39 in New York
  • PHOTO-FINISH Mario Nutis · ±0.3

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Bertille Gaigbe-Togbe, 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.

91 ≥ 61st percentile 61% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Bertille Gaigbe-Togbe, M.D. sits

This provider among urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician peers

Across the 190 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Bertille Gaigbe-Togbe, M.D. writes more Part D claims than 28% of them and scores higher on MIPS quality than 62% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 10Bertille Gaigbe-Togbe, M.D., Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 62
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician peer from a representative sample of 60; the gold marker is Bertille Gaigbe-Togbe, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Bertille Gaigbe-Togbe, M.D. 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 Bertille Gaigbe-Togbe, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/23/2015

NPI 1659768000

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

Niche

572 US NPIs in this specialty

Medicare Part D claims

310 49% vs specialty avg

2023 prescription claims

Specialty avg: 611

MIPS final score

91.3/100 7.8 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in New York

How Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician compares to other specialties among New York providers

New York providers
Student in an Organized Heal…7.8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Urogynecology and Reconstruc…0%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Bertille Gaigbe-Togbe, M.D.'s 2023 MIPS final score plotted against the Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician national average

High performer (top quartile)
MIPS Final Score
91.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%91.3%
MIPS final score (Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician) - 91.3/100 vs national avg 83.5
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

865 NORTHERN BLVD STE 202
Great Neck, NY 11021
(516) 622-5114

Provider Details

NPI 1659768000
Specialty Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Credentials M.D.
Gender Female
NPI Issued 04/23/2015

CMS Quality Score (MIPS)

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

91.2532
Final Score
Measured-score avg: 83.5
74.9203
Quality
91.6794
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Bertille Gaigbe-Togbe, M.D. 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.

North Shore-Lij Medical PC
New Hyde Park, NY

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

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 Bertille Gaigbe-Togbe, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$507

Largest payer

COLOPLAST CORP

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.

License & disciplinary context - New York NYSBPMC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Bertille Gaigbe-Togbe, M.D.. To verify Bertille Gaigbe-Togbe, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Bertille Gaigbe-Togbe, M.D. - brand share 30.0%
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician average

30% brand-name claims vs 70% generic, on 310 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.

310
Total Claims
$67K
Total Drug Cost
137
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
447
Total Day Supply
12,339
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$49K
Generic Drug Cost
$18K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
76.7 years
Avg HCC Risk Score
1.31
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What Bertille Gaigbe-Togbe, M.D. 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
Estradiol
 143
Gemtesa
Vibegron
67
Myrbetriq
Mirabegron
14
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
13
Methenamine Hippurate
 12

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

More Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in NY → All providers in New York → Compare specialties →

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Overview

How Bertille Gaigbe-Togbe, M.D. fits within the Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician landscape nationally.

572
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Providers in US
49
States with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
611
Avg Claims per Provider

Bertille Gaigbe-Togbe, M.D.'s 310 claims are below the specialty average of 611.

Nationwide Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gaigbe-Togbe, both outside New York so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (91.3 here).

Mario Nutis 91.6 TX Anita Das 90.6 NC Caroline Elmer-Lyon 90.4 KY Linda Fox 90.3 OR

Same NPPES enumeration year (2015)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Mallorie Hoover Grand Rapids, MI Tara Marczak Burlington, MA Clarissa Ribeiro Diniz Scottsdale, AZ Abhishek Sripad Raleigh, NC

Nearby Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Gaigbe-Togbe.

One of 39 Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers enrolled in New York, 5 are shown here.

Dr. Tirsit Asfaw
M.D.
New York, NY
Dr. Samuel Badalian
M.D., PH.D.
Cooperstown, NY
Emily Blanton
New York, NY
Dr. Rachel Caskey
MD
New York, NY
Dr. Sofiya Chernyak
M.D.
Staten Island, NY

Compare Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Bertille Gaigbe-Togbe, M.D.'s specialty? ▼
Bertille Gaigbe-Togbe, M.D. specializes in Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician and practices in Great Neck, New York. Credentials: M.D..
How much does Bertille Gaigbe-Togbe, M.D. prescribe under Medicare Part D? ▼
In 2023, Bertille Gaigbe-Togbe, M.D. wrote 310 Medicare Part D claims totaling $67K in drug costs for 137 beneficiaries.
What is Bertille Gaigbe-Togbe, M.D.'s Medicare quality score? ▼
Bertille Gaigbe-Togbe, M.D. has a CMS MIPS Final Score of 91.3/100 (Quality: 74.9). 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 Bertille Gaigbe-Togbe, M.D. located? ▼
Bertille Gaigbe-Togbe, M.D. is located at 865 NORTHERN BLVD STE 202, Great Neck, NY, 11021. Phone: (516) 622-5114.
What is Bertille Gaigbe-Togbe, M.D.'s NPI number? ▼
Bertille Gaigbe-Togbe, M.D.'s National Provider Identifier (NPI) is 1659768000, issued on 04/23/2015.
Does Bertille Gaigbe-Togbe, M.D. prescribe more brand-name or generic drugs? ▼
Bertille Gaigbe-Togbe, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $49K in brand drug costs.
How many Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers are there in the US? ▼
There are 572 Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers across 49 states in the US. The average Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician provider writes 611 Medicare Part D claims per year.
What drugs does Bertille Gaigbe-Togbe, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Bertille Gaigbe-Togbe, M.D.'s most frequently prescribed drugs include Estradiol, Gemtesa, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bertille Gaigbe-Togbe, M.D. accept Medicare? ▼
Bertille Gaigbe-Togbe, M.D. appears in CMS Medicare data with 310 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bertille Gaigbe-Togbe, M.D.'s credentials? ▼
Bertille Gaigbe-Togbe, M.D.'s NPI is 1659768000 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 (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 editorial process.

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 May 2026.