NPI registry status
Active
2026 NPPES data Pediatric Rheumatology Physician NPI 1386656783 M.D.
Verify on CMS → Bethany Marston, M.D.
Pediatric Rheumatology Physician in Rochester, 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 390 in Pediatric Rheumatology 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
441
Medicare Part D claims · 83 beneficiaries · Pediatric Rheumatology Physician avg: 200
MIPS score
76.8/100
▼ 6 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Bethany Marston, M.D. reported a CMS MIPS final score of 76.8/100 - below the 83.1 national average - and filed 441 Medicare Part D claims in 2023.
- 76.8/100
- MIPS score · -6 vs avg
- 441
- 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.
Bethany Marston, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% of 477,587 scored providers
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 Bethany Marston, M.D. sits
This provider among pediatric rheumatology physician peers
Across the 16 pediatric rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Bethany Marston, M.D. writes more Part D claims than 75% of them and scores higher on MIPS quality than 31% - placing this provider in the high-volume, lower-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
Each dot is one pediatric rheumatology physician peer from a representative sample of 15; the gold marker is Bethany Marston, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Bethany Marston, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Bethany Marston, M.D.?
Below national averagePrimary specialty
Pediatric Rheumatology Physician
Medicare Part D claims
441 121% vs specialty avg
MIPS final score
76.8/100 6.3 pts vs avg
Specialty distribution in New York
How Pediatric Rheumatology Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Bethany Marston, M.D.'s 2023 MIPS final score plotted against the Pediatric Rheumatology Physician national average
- MIPS Final Score
- 76.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Rheumatology Physician) - 76.8/100 vs national avg 83.1
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).
Bethany Marston, M.D. appears in the CMS NPPES registry as a Pediatric Rheumatology Physician provider holding M.D. credentials at 601 ELMWOOD AVE, Rochester, NY, 14642, with a listed phone of (585) 273-4670. NPI 1386656783 was issued on 08/13/2006.
Medicare Part D records for calendar year 2023 show 441 prescription claims written by this provider, covering 83 Medicare beneficiaries and totaling roughly $928K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.8/100 for the 2023 performance year (Quality 68.2, Cost 42.7), compared with the national average of 83.1.
Pediatric Rheumatology Physician is a narrow specialty nationwide, with 390 enrolled providers across 43 states and an average of 200 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
Provider Details
| NPI | 1386656783 |
|---|---|
| Specialty | Pediatric Rheumatology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 08/13/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.8466
Final Score
Avg: 83.1
68.2024
Quality
42.684
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Bethany Marston, 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.
Allergy - Immunology - Rheumatology Clinical Group
Rochester, NY
University OF Rochester
Rochester, 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).
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 Bethany Marston, M.D.. To verify Bethany Marston, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
441
Total Claims
$928K
Total Drug Cost
83
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 711
- Total Day Supply
- 20,874
- Generic Drug Cost
- $16K
Patient Demographics
- Average Patient Age
- 65.6 years
- Avg HCC Risk Score
- 1.32
- Gender Split
- 82% female / 18% male
- Age Distribution
- <65: 25, 65-74: 33, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Bethany Marston, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
123 claims
- Humira(Cf) Pen 41
Humira(Cf) Pen
41 claims
- Methotrexate 41
Methotrexate
41 claims
- Leflunomide 38
Leflunomide
38 claims
- Prednisone 30
Prednisone
30 claims
- Rinvoq 23
Rinvoq
23 claims
- Diclofenac Sodium 13
Diclofenac Sodium
13 claims
- Mycophenolate Mofe… 13
Mycophenolate Mofetil
13 claims
| Drug | Claims |
|---|---|
| Hydroxychloroquine Sulfate | 123 |
| Humira(Cf) Pen Adalimumab | 41 |
| Methotrexate Methotrexate Sodium | 41 |
| Leflunomide | 38 |
| Prednisone | 30 |
| Rinvoq Upadacitinib | 23 |
| Diclofenac Sodium | 13 |
| Mycophenolate Mofetil | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Rheumatology Physician Overview
How Bethany Marston, M.D. fits within the Pediatric Rheumatology Physician landscape nationally.
390
Pediatric Rheumatology Physician Providers in US
43
States with Pediatric Rheumatology Physician
200
Avg Claims per Provider
Bethany Marston, M.D.'s 441 claims are above the specialty average of 200.
Nearby Pediatric Rheumatology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Marston.
Dr. Rabheh Abdul Aziz
M.D
Buffalo, NY
Dr. Alexa Adams
M.D.
New York, NY
Dr. Risa Alperin
M.D.
New York, NY
Dr. Sarah Baluta
MD
Syracuse, NY
Dr. Gail Cawkwell
MD, PHD
New York, NY
Compare Pediatric Rheumatology 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Rheumatology 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.
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Frequently Asked Questions
What is Bethany Marston, M.D.'s specialty? ▼
Bethany Marston, M.D. specializes in Pediatric Rheumatology Physician and practices in Rochester, New York. Credentials: M.D..
How much does Bethany Marston, M.D. prescribe under Medicare Part D? ▼
In 2023, Bethany Marston, M.D. wrote 441 Medicare Part D claims totaling $928K in drug costs for 83 beneficiaries.
What is Bethany Marston, M.D.'s Medicare quality score? ▼
Bethany Marston, M.D. has a CMS MIPS Final Score of 76.8/100 (Quality: 68.2, Cost: 42.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Bethany Marston, M.D. located? ▼
Bethany Marston, M.D. is located at 601 ELMWOOD AVE, Rochester, NY, 14642. Phone: (585) 273-4670.
What is Bethany Marston, M.D.'s NPI number? ▼
Bethany Marston, M.D.'s National Provider Identifier (NPI) is 1386656783, issued on 08/13/2006.
How many Pediatric Rheumatology Physician providers are there in the US? ▼
There are 390 Pediatric Rheumatology Physician providers across 43 states in the US. The average Pediatric Rheumatology Physician provider writes 200 Medicare Part D claims per year.
What drugs does Bethany Marston, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Bethany Marston, M.D.'s most frequently prescribed drugs include Hydroxychloroquine Sulfate, Humira(Cf) Pen, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bethany Marston, M.D. accept Medicare? ▼
Bethany Marston, M.D. appears in CMS Medicare data with 441 Part D claims and 83 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bethany Marston, M.D.'s credentials? ▼
Bethany Marston, M.D.'s NPI is 1386656783 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 PlainDoctor editorial team.